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Home My WebLink About100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (6)A� Rbe CERTIFICATE OF LIABILITY INSURANCE DATE(MMODVYYY) 10/05/2011 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). I PRODUCER CONTACT . NAME: Marsh Risk & Insurance Services PHONE CA License#0437153 t A/C No E-MAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Attn: Lori Bryson 213-346-5464 INSURER 5 AFFORDING COVERAGE NAIC N INSURER A: Zurich American Insurance Company 16535 0651OB-PROFa-CAS2-11_13 FonCo CO WS INSURED 1'[ I g y, INSURER B : NIA N/A AECOM Technical Services, Inc. V INSURER c : NIA NIA EDAW, INC. V INSURER D : Illinois Union Insurance Co 27960 240 E. MOUNTAIN AVENUE FORT COLLINS, CO 80524 NIA NIA INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001393566-39 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 ADI L SUER POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MWDD/YYYY LIMITS A GENERAL LIABILITY GILD 596589103 04/01/2011 04101/2012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE I X I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY PRO LOC $ A AUTOMOSILELIABILITY BAP 596589303 04/01/2011 04/0112012 COMBINED SINGLE LIMIT Ea accident 1,000,000 A BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ DAMAGE Per accident $ NONOWNEDPROPERTY HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYEflS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYE $ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ D ARCHITECTS&ENG. EON G21654693 10/08/2011 04/01/2013 Per ClaiaV Aggregate $1,000,000 PROFESSIONAL LIABILITY """"CLAIMS MADE""" DEFENSE INCLUDED DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) E PROJECT #4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN HIS 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 S. 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 & Insurance Services David Denihan .�Ifi�iKl�al�w © 1988-2010 ACORD CORPORATION. All rights reserved- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510B _ LOC u: Los Angeles A E® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED Marsh Risk 8lnsuance Services AECOM Technical Services, Inc. EDAW, INC. 240 E. MOUNTAIN AVENUE POLICY NUMBER FORT COLLINS, CO 80524 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ""THIS CERTIFICATE SUPERSEDES THE PREVIOUSLY ISSUED CERTIFICATE AS THIS CERTIFICATE REFLECTS THE PROFESSIONAL LIABILITY RENEWAL POLICY, WHICH EXPIRED 101812011""' ACORD 101 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD f`l b® CERTIFICATE OF LIABILITY INSURANCE DATEYYY) 1(1051201112011 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 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: FA% Mif Exitac No: E-MAIL ADDRESS: Attn: Lori Bryson (213)-346-5464 INSURERS AFFORDING COVERAGE NAIC e INSURER A: Zurich Amencan Insurance Company 16535 06510-AECOMCAS-11/13 Denver CO AFAAK NEW NY INSURED �, 'tiV AECOM USA, Inc. U `b0 D INSURER B: I INSURER cllinois Union Insurance Co 27960 flk/a OMIM+NARRIS, Inc. 717 Seventeenth Street Denver, CO 80202-3330 INSURER D: N1A NIA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-001363690-26 RFVISI()N NIIMRFR• 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 LTA TYPE OF INSURANCE ADDL INSIR SUER WVD POLICY NUMBER POLICY EFF MWDD/YYYY) POLICY EXP IMWDD/YYYYW LIMITS A GENERAL LIABILITY GLO 5965891 03 04/01/2011 04/0112012 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rfl OCCUR OHMAGE TO RENTED PREMISES Ea occurrent $ 500,000 MED EXP(Any ape person) $ 5,000 PERSONAL &ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 500,000 X POLICY PRO-iFCT LOC $ A AUTOMOBILE LIABILITY BAP 596589303 0410112011 0410112012 COMBINED SINGLE LIMIT Ea accidem 500,000 X BODILY IiJJUR'r (Per Pursun) S MY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accitlem ( ) $ NON -OWNED HIREDAUTOS nAUTOS PROPERTY DAMAGE Wars idert $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOWPARTNEWEXECUTIVE OFFICEWMEMSER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C ARCHITECTS & ENG. EON G21654693 10108/2011 04/0112013 Per ClaiMAgg $1,000,000 PROFESSIONAL LIAB. "'CLAIMS MADE'" Defense Included DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 96856 Final Design of SH392 The City, its officers and employees NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. for any aims arising out of work performed under this Agreement City of Fort Collins, Purchasing Dept. P.O. Box 580 Fort 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 Denihan 1988-2010 ACORD CORPORATION. All rights reserved. AUUMU Zo (ZUTu7UD) The ACORD name and logo are registered marks of ACORD