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HomeMy WebLinkAboutURS CORPORATION - INSURANCE CERTIFICATE- =-A ®.._ _CERTIFICATE OF LIABILITY INSURANCE page 1 of 3 04/28/2 0 _ PRODUCER _. _ 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis Insurance Services of California, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED URS 600 San Corporation _ Montgomery Street, 26th Floor Francisco, CA 94111 INSURER A: National Union Fire Ins Co of Pittsburgh 19445-100 INSURERB:Zurich American Insurance Company 16535-100 INSURERC:Insurance Company of the State of PA 19429-100 INSURER D:Lloyd, a of London & British Companies 15792-004 INSURERE:Lexington Insurance Company 19437-000 CAVFROCFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS A GENERAL LIABILITY ' . ' GL4376534 5/1/2010 5/1/2011 EACHOCCURRENCE $ 2,000,000 $ COMMERCIAL GENERAL LIABILITY PREMISESOEaoccurence - $ 11000,000 CLAIMSMADEOCCUR- _ MEDEXP(Anyoneperson) $ 10 000 PERSONAL&ADVINJURY $ 2,000,000 X XCU, BFPD X Contractual Liabilit GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X jE LOC B AUTOMOBILE LIABILITY BAP938521501 5/1/2010 5/1/2011 COMBINED SINGLE LIMIT X ANY AUTO - - (Ea accident) $ 2,000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULEDAUTOS (Per person) BODILY INJURY - -- $ -..._._.»__._. .HIREDAUTOS --^^"-""...•,a^.^- ..---. - ..... -----.-•_-.w-^^-•. - NON -OWNED AUTOS - '-' . - - (Per accident) PROPERTY DAMAGE - - x_ (Per accident) GARAGE LIABILITY - AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO »• _---=.---,_.__. ...-._-- - -_ - .._. $ " - - AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION WC6988231 1/1/2010 1/1/2011 X I TORYLAMITS I 'ER' A AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ WC6988234 1/1/2010 1/1/2011 E.L. EACH ACCIDENT $ 2,000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WC6988230/WC6988232 1/1/2010 1/1/2011 - - E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 2 000 000 D OTHER PE0801821 PE0801657 5 1 2010 5 1 2011 E Professional Liability 015438088 5/1/2010 5/1/2011 $1,000,000 Each Claim w/Limited Contractual - $1,000,000 Aggregate claims Made Policy DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project SEE ATTACHED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Opal Dick IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason Street 2nd Floor REPRESENTATIVES. P.O. BOX 580 AU HORIZEDREPRESENTA �E' Fort Collins, CO 80522-0580 'V - ACORD 25 (2009/011 Coll:3000572 Tnl:1078830 Cart:14138691 ©1988-2009ACORD ORPORATION-AllriahtsreservPd The ACORD name and logo are registered marks of ACORD DATE Willis 'CERTIFICATE -OF LIABILITY INSURANCE page 2 of 3 1 04/28/2010 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis Insurance Services of California, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED D'RS Corporation INSURERA:National Union Fire Ins Co of Pittsburgh 19445-100 600 Montgomery Street, 26th Floor INSURERB:Zurich American Insurance company 16535-100 San Francisco, CA 94111 INSURERC:Insurance Company of the State of PA 119429-100 INSURERD:Llo d's of London & British Companies 15792-004 INSURERE:Lexington Insurance Company 19437-000 Workers Compensation - Texas Carrier: Illinois National Insurance Co. Policy No.: WC6988236 Effective Dates: 1/1/2010 - 1/1/2011 Statutory Limits: $2,000,000 EL Each Accident $2,000,000 EL Disease - Each Employee $2,000,000 EL Disease - Policy Limit C011:3000572 Tp1:1078830 Cert:14138691 Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. CORD 25 (2009101) Co11:3000572 Tp1:1078830 Cert:14138691