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Home My WebLink About101409 URS CORPORATION - INSURANCE CERTIFICATE (5)ACC>R o® CERTIFICATE OF LIABILITY INSURANCE DATEYYVY) 05131201212012 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 FAX 345 CALIFORNIA STREET, SUITE 1300 INC. No ExillA/C No E-MAIL ADDRESS: CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 INSURERS AFFORDING COVERAGE NAIC If INSURER A: National Union Fire Ins Co Pittsburgh PA 19445100 URSCOR-ALL-PROF-12-13 SF CA11 1I INSURED I O I WD INSURER a: N/A NIA URS Corporation NIA NIA 600 Montgomery Street, 26m Floor INSURER c : INSURER D : NIA NIA San Francisco, CA 94111 INSURER E: Lexington Insurance Company 19437000 INSURER F: Lloyd's Of London & British Companies 15792004 COVERAGES CERTIFICATE NUMBER: SEA 002271255-02 REVISION NUMBER:4 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 ADOL SUBfl POLICY NUMBER POLICY EFF IMMIDDIYYYY POLICY EXP MM/DD/YYYY1 LIMITS A GENERAL LIABILITY GL4870829 05/01/2011 09/0312012 EACH OCCURRENCE S 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E T RENTED PREMISES Ea occurrence III 1,000,000 CLAIMS -MADE MOCCUR MED EXP(My one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000.000 X XCU, BFPD X Contractual Liability GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGO $ 2,000,000 ( $ IFQT17 POLICY X PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUT BODILY INJURY (Per accident) $ PROPERTY DAMAGE nor, accident $ NON OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION I WC STATU- OTH- ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNErIIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yyes, descriee under DESCPJPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ E Prof. Liab wlLmm! Contractual 015438088 05101/2011 09/0112012 Each Claim $1,000,000 F Claims Made l Retro 11-17-1938 PE11051501PLI 105490 0510112011 09/01/2012 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is nNuired) Re: Right -of -Way Contractors License. The City of Fort Collins is included as an Additional Insured against any liability arising out of the Ownership, Maintenance or use of mat 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 NomComobUlory with the insurance maintained by the Add4ionai Insured but Only with respect to the work performed by the Named Insured. 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 E ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Marsh Risk & Insurance Services 345 California Street, Suite 1300 San Francisco, CA 94104-2579 California Insurance License #0437153 888-769.3673 urs.renewafcGrts@marsh.com w .marsh.com May 30, 2012 To Whom It May Concern: Attached is a Certificate of Insurance which provides evidence of the current insurance policies for the URS Corporation insurance program extension from 6/1/2012 to 9/1/2012. Marsh will issue another Certificate of Insurance evidencing insurance coverage for the 9/1/2012 to 9/1/2013 renewal period in the near future. If you have any questions, please do not hesitate to contact us between 7AM - 6PM (PST) at the following: Telephone: 1-888-769-3873 E-Mail: urs.renewalcertsc@marsh, com Sincerely: Marsh Certificate Team MARSH & MCLENNAN LEADERSHIP, KNOWLEDGE, SOLUTIONS.. WORLDWIDE. Q0 COMPANIES THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT # This endorsement, effective 12:01 A.M. 51112011 forms a part of Policy No. GL4870829 issued to URS Corporation by National Union Fire Ins Cc of Pittsburgh PA ADDITIONAL INSURED -OWNERS, LESSEES, OR CONTRACTORS— COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION: WHERE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT THE CITY OF FORT COLLINS. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: WHERE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT RE: RIGHT-OF-WAY CONTRACTORS LICENSE. ADDITIONAL PREMIUM: (If No entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) SECTION II — WHO IS AN INSURED is amended to include as an insured, The person or organization shown in the Schedule, but only with respect to liability arising out of .your work" at the location designated and described in the schedule of this endorsement performed forthat additional insured and included in the "products -completed operations hazard". All other terms and conditions remain unchanged. ,gr A thorized Representative or Countersignature (in States Where Applicablei 97837 (4/08) Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT # This endorsement, effective 12:01 A.M. 5/1/2011 forms a part of Policy No. GL4870829 issued to URS Corporation by National Union Fire Ins Co of Pittsburgh PA ADDITIONAL INSURED -OWNERS, LESSEES, OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION: WHERE REQUIRED BYWRITTEN CONTRACT OR AGREEMENT THE CITY OF FORT COLLINS. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) A. SECTION II —WHO IS AN INSURED is amended to include as an insured; The person or organization shown in the schedule, but only with respect to liability arising out of your ongoing operations performed for that additional insured. . B. With respect to the insurance afforded to these additional insureds, SECTION I COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. — Exclusions, is amended to include the following additional exclusion; This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) all work, including materials, parts or equipment furnished in connection with such work on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or, (2) that portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. D. Qi v AEAthorized Representative or Countersignature (in States Where Applicable' 97838 (4/08) Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURER CANCELLATION TERMS Holder Name: City -of Fort Collins Cancellation Terms: 30 Days Notice of Cancellation will be provided by the carriers in accordance with the policy terms and conditions in the event the policies are cancelled or non -renewed, for any reason other than non-payment of premiums Cancellation Terms Applyto the Following Coverages: General Liability and Professional Liability