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HomeMy WebLinkAboutURS CORPORATION - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE YVVV) ��. /2011 lvzs/zo11 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 PPHHONE 345 CALIFORNIA STREET, SUITE 1300 ac NoI: E-MAIL CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC e INSURER A : National Union Fire Ins Co Pittsburgh PA 19445100 URSCOR-ALL-PROF-12-13 SF CA 222360 INSURED INSURER B : Zurich American Insurance Company 165351 DO 600 Corporation 00 Montgomery Street, 26ti1 Floor INsuaea c: Illinois National Ins Co 23817001 INSURER D: Insurance Company Of The State Of PA 19429100 San Francisco, CA 94111 INSURER E: Lexington Insurance Company 19437000 INSURER F : Lloyd's Of London & British Companies 15792004 COVERAGES CERTIFICATE NUMBER: SEA-002271256-01 REVISION NUMBER:1 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADLRr-TYPE INSR MO POLICY NUMBER MMIOI D/VVYY) (MM/DDNYYYl LIMITS A GENERAL LIABILITY GL4870829 05/0112011 06/0112012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LABILITY PREMISES EaEoccu ence $ 1,000,000 CLAIMS -MADE Ifl OCCUR MED EXP (My we person) $ 10,000 PERSONAL& ADV INJURY $ 2,000,000 X XCU, BFPD X Contractual Liability GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG It 2,000,000 $ POLICY X PRO- LOG B AUTOMOBILE LIABILITY BAP938521502 05/01/2011 06/0112012 COMBINED SINGLE LIMIT Ea amident 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Pm..xJenl $ NON -OWNED HIRED AUTOS AUTOS S UMBRELLA U, B OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED I I RETENTION$ $ A D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERr, inN )EXCWDED? E OFFICE IM m NH) N/A SEE ATTACHED-ACORD 101 SEE ATTACHED-ACORD 101 SEE ATTACHED-ACORD 101 01/01/2012 0110112012 01/0112012 01/0112013 0110112013 0110112013 X I WC STATU- OTH- T� E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYE $ 2,000,000 It as, describe under DESCRIPTION OF OPERATIONS bsk E.L. DISEASE - POLICY LIMIT $ 2,000,000 E Prof. Liab w/Lmtd Contractual 015438088 0510112011 0610112012 Each Claim $1.000,000 F Claims made policy PE11051501PEI 105490 0510112011 06101/2012 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, It more space Is required) E: Protect No.: 22236040 - Dry Creek Basin Flood Control Protect City of Fort Collins Attn: Opal Dick 215 North Mason Street 2nd Floor P.O. Box 580 FM Collins, CO 80522-0580 Lp]1[Of aals'Llr V1cl 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 Service, Lynne Harrington ©1988-2010 ACORD ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD reserved. AGENCY CUSTOMER ID: UH6C;C) i LOC #: San Francisco , llI110® ADDITIONAL REMARKS SCHEDULE L i Page 2 of 2 AGENCY MARSH RISK 8 INSURANCE SERVICES NAMED INSURED URS Corporation 600 Montgomery Street, 26th Floor San Francisco, CA 94111 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The Workers' Compensation coverage shown does not apply in monopolistic slates. In the Stales of ND, OH, WA and WY Workers' Compensation coverage is provided by the State Fund. In Nose States, the above - referenced policies provide Stop -Gap Employers Liability only. Workers Compensatbn policies apply as indicated below: Insurer A: National Union Fire Ins Cc Pittsburgh, PA NAIC# 19445100 WC 021417576 -CA WC 021417579 - TX Insurer D: Insurance Company Of The Slate Of PA NAIC#19429100 WC 021417580 - MA, WI (Stop Gap) WC 021417581 - AK AL, AR, AZ, CO, DE, GA, IF KS, KY, MD, ME, I MS, MT, NC, NH, NM, NV, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WV WC 021417585 - MN Insurer C: Illinois National Ins Cc NAIC#23817001 WC 021417577 -FL WC 021417678 -NY WC 021417582 - CT, DC, HI, IA, It. IN, LA, MI, NE, NJ ACORD 101 (2008101) U 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Marsh Risk & Insurance Services 345 California Street, Suite 1300 San Francisco, CA 94104-2679 California Insurance License#0437153 888-769-3873 u rs. ren ewal certs@marsh.cam www.marsh.com December 23, 2011 Dear Certificate Holder: Attached is an updated Certificate of Insurance which evidence URS's Workers Compensation program effective January 1, 2012. If you have any questions, please do not hesitate to contact us between lam - 6Dm (PST) as follows: Telephone: 1-888-769-3873 Email: urs.renewalcerts(Olmarsh.com Sincerely, Marsh Certificate Team MARSH & MCLENNAN LEADERSHIP, KNOWLEDGE,SOWTIONS...WORLDWIDE. ;s -. COMPANIES