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