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HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (4)ACCMbr CERTIFICATE OF LIABILITY INSURANCE DATE 03 25011 YYYY) 2/2011 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 FAX .(A/Q.Na. A/c No: EMAIL ADDRESS 777 South Figueroa Street Los Angeles, CA 90017 Add Lori Bryson 213346-5464 PRODUCER CUSTOMER to INSURERS AFFORDING COVERAGE Rate# 06510B-PROF-CAS'2-11 12 Denver CO ADWOA TBD INSURED INSURER A : Zurich Amenum Insurance Company 16535 AECOM Technicul Services, Inc. EDAW, Inc. 71717th Street, Suite 2600 INSURER B : N/A NIA INSURER C : NIA NIA Denver, CO 80202 INSURER D ;NIA NIA INSURER E : NIA NIA INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001242562-02 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 ADDL JumSUM POLICY NUMBER MM LICY EFF IDDYYYY POLICY EXP Y MM/DD YYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X1 OCCUR GILD 596589103 04/01/2011 04/012012 EACH OCCURRENCE $ 1,000.000 DAMAGE TORENTED PREMISES Ea occurrence $ 1000000 N ED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER. PRO-1-1 LOG PRODUCTS - COMPIOP AGG $ 1•000•000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP 596589303 04/012011 04/012012 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ $ $ UMBRELLA LUIB EXCESS LIAR OCCUR CLAIMS1MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION ANDEMPLOYERTUABIUTY YIN ANY PROPRIETORIPARTNERIEXECUTWE ❑ OFFICER/MEMBER EXCLUDED? (Mandatary in NH) If yes, deSQibe under DESCRIPTION OF OPERATIONS belay NIA VJC STATU- OTH- E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: Mason Project. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. City of Fart Collins P.O. Box 590 Fat Collins, CO 80522 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 & Insurance Services David Denman .��/✓f�.o6M/I�O�/ 111)1988-2009 ACORD CORPORATION. All riahts reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD