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Home My WebLink About100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (5)7 ® CERTIFICATE OF LIABILITY INSURANCE DVYY 03I282012ATE12012 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 endorsements . PRODUCER CONTACT NAME: Marsh Risk & Insurance Services HONE PWC. CA License#0437153 No. Exit q/C No: E-MAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Attn: Lai Bryson 213-346-5464 INSURERS AFFORDING COVERAGE NAIC It INSURER A: Zurich Amencan Insurance Canpany 06510-PROF-CAS'2-1213 Denver CO ADWO TBD INSURED 1 0 0 "yv INSURER B NIA NIA AECOM Technical Services, Inc. 0 INSURER C : NIA NIA EDAW, Inc. 717 17th Street, Sure 2600 INSURER D : NIA NIA Denver, CO 80202 INSURER E: NIA NIA 'SURER F: COVERAGES CERTIFICATE NUMBER: LOS 001495206-11 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 TR TYPE OF INSURANCE AODL SUER POLICY NUMBER MW LICY EFF DO/YYYY POLICY EXP /Y MWDOYVV LIMITS A GENERAL LIABILITY GILD 5965891 04 0410112012 0410112013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T N ED PREMISES Ea occurr n,X $ 1,000,000 CLAIMS -MADE � OCCUR MED EKE (My one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 1,000,000 X POLICY PRO- LOC IFQT $ A AUTOMOBILE LIABILITY BAP 596589304 04101/2012 04/0112013 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY fear accident) $ PROPERTY DAMAGE Per accident $ NONAWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CIAIMSMADE DED I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS 'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe und., DESCRIPTION OF OPERATIONS below 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. Cry of Fort Collins P.O. Box 580 Fog 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 la 11gBR-2010 ACORD CORPORATION. All rights ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATEtMA12 YYYY) 0312812012 ��. 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 CA License #0437153 FAXNor: EMAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Attn: Lai Bryson 213-346-5464 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 06510-PROFa CAS2-12_13 ForrCo CO MIS INSURED AECDM Technical Services, Inc INSURER B NIA N/A INSURER C : NIA N/A EDAW, INC. INSURER D : Illinois Union Insurance Co 27960 240 E. MOUNTAIN AVENUE FORT COLLINS, CO 80524 NIA N/A INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: LOS 001495847 47 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 LTfl TYPE OFINSURANCE Jum 22aADDLSUBR POLICY NUMBER POLICY EFF MWO /YYYY POLICY EXP MWDD/YYYY LIMITS A GENERAL LIABILITY GILD 596569104 04/0112012 0410112013 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 CLAIMS -MADE ff] OCCUR MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY S 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 4,000,000 $ X POLICY PRO- LOC A AUTOMOBILE LIABILITY BAP 596589304 04/0112012 0410112013 COMBINED SINGLE LIMIT Ea ax,denU 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS HAUTOS PROPERTY DAMAGE Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC) I I RETENTION$ $ 1 WORKERS COMPENSATION WC STATU- OTH. AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? F`N] (Mandatory in NH) N/A E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE- POLICY LIMIT S It y s. descriae under DESCRIPTION OF OPERATIONS below I D ARCHIFECIS&ENG. EON G21654693 1010812011 04101/2013 Per Clairol 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) 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. lili LPPlel9: CITY OF FORT COLLINS ATTN: JAMES B. 0 NEILL It 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 cn IQAR-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD A� " CERTIFICATE OF LIABILITY INSURANCE DATEYYVV) 03128212012 012 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 CA License #0437153 I p/XC No E-MAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Ann: Loft Bryson (213)-346-5464 INSURERS AFFORDING COVERAGE NAIC a INSURER A: Zurich American Insurance Company 16535 06510-AECOM-CAS-12/13 Deriver CO AFAAK NEW NY INSURED AECOM USA, Inc. INSURER B : INsuRER c ; Illinois Union Insurance Co 27960 flkla DMJM+RABBIS, Inc. INSURER D : NIA NIA 717 Seventeenth Street Denver, CO 80202-3330 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS 001363690-37 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 LTA TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/ D/YYYY LIMITS A GENERAL LIABILITY GLO 596589104 041012012 04/0112013 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMA T RENTED PREMISE Ea occurrent $ 500000 CLAIMS -MADE MOCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ACV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 500,000 $ X POLICY PRO LOD A AUTOMOBILE LIABILITY BAP 5965893 04 10410112012 0410112013 COMBINED SINGLE LIMIT Ean I 500,000 BODILY INJURY (Per person) $ % ANY AUTO BODILY NJURY(Peraccidenp $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per ccitl ra $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOWPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICENMEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - POLICY LIMIT I S H yes daseries under DESCRIPTION OF OPERATIONS below C ARCHITECTS&ENG. EON G21654693 1010812011 0410112013 Per Claini $1,000,000 PROFESSIONAL LIAR. —CLAIMS MADE"" Defense Included DESCRIPTION OF OP LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks ScheduW, If more apace la ratfuirad) 60096856 Final Desig of SH392 The City, its officers and emp yees NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. for any claims arising out of work performed under this Agreement City of Fort Collins, Purchasing Dept. PC 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. of Marsh Risk & Insurance Services David Denihan toARanln CORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD