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HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (3)A4CCWhr CERTIFICATE OF LIABILITY INSURANCE IasiO3 DATE/2011 DYYYY) 252011 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 Marsh Risk & Insurance Services CA License#0437153 CONTACT NAME: PHONE A/O No: E-MAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 PRODUCER Ann: Lori Bryson 2133465464 CUSTOMER 10 at INSURERS AFFORDING COVERAGE NAIC # 06510B-PROFa-CAS2-11 12 Fori CO WS INSURED INSURER A: Zurich American Insurance Company 16535 AECOM Techniml Services, Inc. EDAW, INC. 240 E. MOUNTAIN AVENUE INSURER B: Ni NIA INSURER C ; N/A NIA FORT COLLINS, CO 80524 INSURER 0Illinois Union Insurance Co : 27960 INSURER E ; NIA NIA INSURER F COVERAGES CERTIFICATE NUMBER: LOS 001157993-35 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 TYPE OF INSURANCE ADD L BURR POLICY NUMBER MMIICY DOIYYFF YY POLICY MMDN DYYY LIMITS A GENERAL LIABILITY GLO 596589103 04101/2011 04101/2012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY T R NTED DANIA PREMISES PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE Fx] OCCUR MED EXP (Any we person) $ 5,000 PERSONAL a ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2•000•000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG $ 4,000,000 POLICY PRO LOG S A AUTOMOBILE LIABILITY ANY AUTO BAP 596589303 0410112011 041012012 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ ALL DOMED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ S NON-OVINED AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION MSTATU- OTH- AND EMPLOYERS' LIABILITY Y I N E. L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, desrsibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ D ARCHITECTS&ENG. EON G24654693 0410112010 101082011 Per Claiml Aggregate $1,000,000 PROFESSIONAL LIABILITY ""CLAIMS MADE"" DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES PANzch ACORD 101, Additional Remarks Schedule, if more space Is required) RE: PROJECT #4F002.01/ GARDENS ON SPRING CREEK CHILDREN'S GARDEN THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SEE ATTACHED WAIVER OF SUBROGATION ENDORSEMENT. CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL II DIRECTOR OF PURCHASING RISK MGMT. P.O. BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk B Insurance Services David Denihan 9Coloizi IUT:wcTrrml.vrw7:T:T:ry .1 ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD