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Home My WebLink About101409 URS CORPORATION - INSURANCE CERTIFICATE (3)A� 04� CERTIFICATE OF LIABILITY INSURANCE DATE12011 YYY) z 3azon 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 CONTACT NAME: MARSH RISK & INSURANCE SERVICES PHONE 345 CALIFORNIA STREET, SUITE 1300 I aG No EMAIL CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 ADDRESS: INSURERS) AFFORDING COVERAGE NAIC r INSURER A: National Union Fire Ins Co Pittsburgh PA 19445100 INSURED Corporation INSURER B: INSURER c : Illirl0is National Ins Co 23817001 600 Montgomery Street, 26th Floor 600 INSURER o: Insurane Company Of The State Of PA 19429100 San Francisco, CA 94111 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: SEA-002271255-01 REVISION NUMBER:0 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. INSRPOLICY LTA TYPE OF INSURANCE ADDL UBR POLICY NUMBER EFF fMWDDfYYYYI POLICY EXP fMMDIDNYYY1LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE E OCCUR MED EXP (Any we person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ POLICY PRO- LOD ECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT cid m BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS H BODILY INJURY (Per acciient) $ PROPERTY DAMAGE Per mid n $ HIRED AUTOS NON -OWNED AUTOS $ 1 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ A WORKERS COMPENSATION SEE ATTACHED-ACORD 101 OV0112012 01101/2013 X WCSTATU- oTH- D C AND EMPLOYERS' LIABILITYFR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERry inN )EXCLUDED? E OFFICERWin NH) N/A SEE ATTACHED-ACORD 101 SEE ATTACHED - ACORD 101 0110112012 01101I2012 0110112013 0110112013 E.L. EACH ACCIDENT 2,000,000 $ E.L. DISEASE - EA EMPLOYE $ 2,000,000 If y s, describe antler DESCR I PTION OF OPE RATIONS below E.L. DISEASE -POLICY LIMIT 2,000,000 $ DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space Is rspuirod) e: Right of -Way Contractors License. City of Fort Collins 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 Lynne Harrington m 1988-2010 ACORD CORPORATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: URSCOR LOC N: San Francisco AGENCY MARSH RISK & INSURANCE SERVICES POLICY NUMBER CARRIER ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMED INSURED URS Corporation 600 Montgomery Street, 26th Film San Francisco, CA 94111 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, - FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Page 2 of 2 The Workers' Compensation coverage shown does net apply in monopaisac states. In the States of NO, OH, WA and WY Workers' Compensation coverage is provided by the Stale Fund. In those States, the above - referenced policies provide Stop Gap Employers Liability oNy. Workers Compensation policies apply as indicated below: Insurer A: National Union Fire Ins Co Pittsburgh, PA NAICr 19445100 WC 021417576 -CA WC 021417579 TX Insurer D: Insurance Company Of The State Of PA NAICM 19429100 WC 0214175BO - MA, WI (Stop Gap) WC 021417581 - AK, AL, AR, AZ, CO, DE, GA, ID, KS, KY, MD, ME, MO, MS, MT, NC, NH, NM, NV, OK, OR, PA, RI, SC, SO, TN, UT, VA, VT, WV WC 021417585 - MN Insurer C: IlunDis National Ins Co Ni 23BI7001 WC 021417577 - FL WC 021417578 -NY WC 021417582 - CT, DC, HI, IA, IL, IN, LA, MI, NE, NJ The City of Fort Collins is included as an Additional Insured against any liability arising out of the Ownership, Maintenance or use of that pan of the area pertaining to the Right of Way. Primary Insurance: It is agreed that such insurance afforded by this policy(ies) is Primary and Nan-Connbney with the insurance maintained by the Additional Insured but only with respect to the work perfumed by the Named Insured. ACORD 101 (2008101) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD