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HomeMy WebLinkAbout101409 URS CORPORATION - INSURANCE CERTIFICATEA �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 12/2 0 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. 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). PRODUCER Willis Insurance Services of California, Inc. 26 Century Blvd. P. O. sox 305191 Nashville, TN 37230-5191 CONTACT NAME: PHONE aC No: 888-467-2378 A/C No EXT: 877-945-7378 E-MAADDRESS: certificates@Willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:National Union Fire Ins Co of Pittsburgh 19445-100 INSURED URS Corporation INSURERB:Zurich American Insurance Company 16535-100 INSURERC:Insurance Company of the State of PA 19429-100 600 Montgomery Street, 26th Floor San Francisco, CA 94111 INSURERD:Illinois National Insurance Co. 23817-001 INSURERE:Lloyd's of London 6 British Companies 15792-004 INSURERF: Lexington Insurance Company 19437-000 COVERAGES CERTIFICATE NUMBER: 15234079 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTIR TYPE OF INSURANCE DD' SUB WVD POLICY NUMBER POLICY EFF YY POLICY EXP . LIMITS A GENERAL LIABILITY GL4376534 5/1/2010 5/l/2011 EACHOCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES RENTED REMISES $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 10,000 PERSONAL& ADV INJURY $ 2,000,000 X XCU, BFPD X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PE O LOC $ B AUTOMOBILE LIABILITY BAP938521501 5/1/2010 5/l/2011 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY(Perperson) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS P BODILY INJURY(Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS R PERTYDAMA E Per accident $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ C D A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory inNH) - - ff yes, describe under DESCRIPTION OF OPERATIONS below N/A - WC20635054/WC20635055 WC20635052 WC20635051 - WC20635053 1/1/2011 1/1/2011 1/1/2011 1/1/2011 1/1/2012 1/1/2012 1/1/2012 1/l/2012 X T RY IMITS ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE, EA EMPLOYEE $ 2-1000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 PE0801821/PE0801657 5/1/2010 5/1/2011 i 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 (Attach Acord 101, Additonal Remarks Schedule, if more space is required) RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project The Workers' Compensation coverage shown above does not apply in monopolistic states. In the States of ND, OH, WA and WY, Workers' Compensation coverage is provided by the State Fund. In those States, the above -referenced policies provide Stop -Gap Employers' Liability only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Opal Dick 215 North Mason Street AUTHORIZED REPRESENTATIVE 2nd Floor P.O. Box 580 A�^. � —{�- Fort Collins, CO 80522-0580 l'h - ' V,— L 1 n r _ OV _ Coll:3220633 Tpl:1196061 Cert:1523'4079©1988-2010ACORD FCORPORATION.All riahtsreserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 64517 LOC#: '4 ADDITIONAL REMARKS SCHEDULE Page z of 2 AGENCY NAMED INSURED URS Corporation Willis Insurance Services of California, Inc. 600 Montgomery Street, 26th Floor San Francisco, CA 94111 POLICY NUMBER See First Page CARRIER NAIC CODE See First Page EFFECTIVEDATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Workers Compensation policies apply as indicated below: WC20635051 - CA WC20635052 - FL WC20635053 - TX WC20635054 - AR, AL, AZ, DC, DE, HI, IA, IL, IN, KS, LA, MD, ME, MI, MO, MS, MT, NC, NE, NH, NJ, NM, OK, PA, RI SC, SD, TN, VA, VT WC20635055 - AR, CO, CT, GA, ID, KY, MA, MN, ND, NV, NY, OH, OR, UT, WA, WI, WV, WY ACORD 101 (2008/01) C011:3220633 Tpl:1196061 Cert:15234079©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 12/21/20 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. 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). PRODUCER Willis Insurance Services of California, Inc. 26 Century Blvd.INC, P. O. Box 3 TN 3ESS: Nashville, TN 7230-5191 CONTACT NAME: PHONE FAX MC No: 888-467-2378 NC NO EXT: 877-945-7378 (MC, -ADDE-MARESS: Certificates@Willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:National Union Fire Ins Cc of Pittsburgh 19445-100 INSURED URS Corporation INSURER B: Zurich American Insurance Company 16535-100 INSURERC:Insurance Company of the State of PA 19429-100 600 Montgomery Street, 26th Floor San Francisco, CA 94111 INSURER D: Illinois National Insurance Co. 23817-001 INSURER E: Lloyd's of London & British Companies 15792-004 INSURERF: Lexington Insurance Company 19437-000 COVERAGES CERTIFICATE NUMBER: 15191719 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYpEOFINSURANCE ADDI INSFIC SUBR WVD POLICY NUMBER POLICY EFF MM1DQ/YYYY) POLICY EXP (MWDDNYYYI LIMITS A GENERAL LIABILITY GL4376534 5/1/2010 5/1/2011 EACHOCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Eaoccurence $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR IVIED EXP(Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 X XCU, BFPD X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLI ES PER: PRODUCTS- COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC B AUTOMOBILE LIABILITY BAP938521501 5/1/2010 5/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY(Per person) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS er accident ( ) BODILY INJURY(Per $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMA Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I RETENTION$ $ C D A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEI—I OFFICER/MEMBER EXCLUDED?—_ _ l_J 4MandatoryinNH) f yes, describe under DESCRIPTIONOFOPERATIONSbelow N/A WC20635054/WC20635055 WC20635052 WC20635051 WC20635053 1/1/2011 1/1/2011 1/1/2011 1/1/2011 1/1/2012 1/1/2012 1/1/2012 1/1/2012 X I TORYLIMIT ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE _ $ 2,000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 E PE0801821/PE0801657 5/1/2010 5/1/2011 F 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 (Attach Acord 101, Additonal Remarks Schedule, if more space is required) RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project The Workers' Compensation coverage shown above does not apply in monopolistic states. In the States of ND, OR, WA and WY, Workers' Compensation coverage is provided by the State Fund. In those States, the above -referenced policies provide Stop -Gap Employers' Liability only. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Opal Dick 215 North Mason Street AUTHORIZED REPRESENTATIVE 2nd Floor P.O. Box 580 Fort Collins, CO 80522-0580 Coll:3216526 Tp1:1196061 Cert:1519'1719©1988-2010ACORDICORPORATION- All riahtsresPruprf ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 645175 LOC#: ACCOREP ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED URS Corporation Willis Insurance Services of California, Inc. 600 Montgomery Street, 26th Floor POLICY NUMBER San Francisco, CA 94111 See First Page CARRIER NAIC CODE See First Page I EFFECTIVEDATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Workers Compensation policies apply as indicated below: WC20635051 - CA WC20635052 - FL WC20635053 - TX WC20635054 - AK, AL_, AZ, DC, DE, HI, IA, IL, IN, KS, LA, MD, ME, MI, MO, MS, MT, NC, NE, NH, NJ, NM, OK, PA, RI, SC; SD; TN, VA, VT WC20635055 - AR, CO, CT, GA, ID, KY, MA, MN, ND, NV, NY, OH, OR, UT, WA, WI, WV, WY AGUHUIUI(2UUS/Ul) Coll:3216526 Tpl:1196061 Cert:15191719©2008ACORDCORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD