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Home My WebLink About101409 URS CORPORATION - INSURANCE CERTIFICATE (6)A� V CERTIFICATE OF LIABILITY INSURANCE. °ATE1/2012 ""' 0513112012 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 No E-MAIL CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 ADDRESS: INSURERS AFFORDING COVERAGE NAIL 0 INSURER A: National Union Fire Ins Co Pittsburgh PA 19445100 URSCOR-ALL-PROF-12-13 SF CA 222360 INSURED 1 Ok t.4 INSURER B : Zurich American Insurance Company — 16535100 URS Capaation INSURER C: Illinois National Ins Co 23817001 600 Montgomery Street, 261h Floor San Francisco, CA 94111 INSURER D: Insurance Company 01 The State Of PA 19429100 INSURER E: Lexington Insurance Company 19437000 INSURER F: Lloyd's Of London & British Companies 15792004 COVERAGES CERTIFICATE NUMBER: SEA 00229849501 REVISION NUMBER:I 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 OF INSURANCE ADDLSUBRTYPE 1HM Jum POLICY NUMBER MW LICY EFF DD/YYYY) POLICY EXP (MWDDNYYYI LIMITS A GENERAL LIABILITY GL487OB29 0510112011 09101/2012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR DAMAGET RENTED PREMISES IFa occurrence $ 1000000 IVIED EXP (Any one person) $ 10,000 X XCU, BFPD PERSONAL & ADV INJURY $ 2.000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 $ POLICY X I PRO- LOG B AUTOMOBILE _ LIABILITY BAP938521502 0510112011 09101/2012 COMBINED SINGLE LIMIT Ea amid -nil 2000000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per amident) $ PROPERTY DAMAGE Paraccidoor $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC) I I RETENTION $ A WORKERS COMPENSATION SEE ATTACHED-ACORD 101 01101/2012 01101/2013 X wCSTATUMll- OTH- D C AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE Y/N O arelat rytin N) E%CLUDED7 E FFICERIM in NH) NIA SEE ATTACHED -ACORD IOI SEE ATTACHED - ACORD 101 01101/2012 0110112012 0110112013 0110112013 E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE- EA EMPLOYE $ 2,000,000 Ifdescries under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 2,000,000 $ E Prof. Liab w/Lmtd Contractual 015438088 0510112011 0910112012 Each Claim $1,000,000 F Claims Made l Retro 11-17-1938 PE11051501PE1105490 0510112011 09101/2012 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Scimcule, if more space is reauireG) RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project City of Fort Collins Ann: Opal Dick 215 North Masan Street 2nd Flow 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 Lynne Harrington ACORD 25 (2010105) ® 1988-2010 ACORD The ACORD name and logo are registered marks of ACORD reserved. AGENCY CUSTOMER ID: LIRSCOR LOC #: San Francisco ACC)R E), ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH RISK & INSURANCE SERVICES NAMED INSURED URS Corporation 600 Montgomery Street, 26th Floor San Francisco CA 94111 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The Workers Canpensadon coverage shown does not apply in monopolistic states. In the States of NO, OR WA and WY WorkersCompensation coverage is provided by the State Fund. In those Slates, the above, referenced policies provide Stop -Gap Employers' Liability only. Workers Compensation policies apply as indicated below: Insurer A: National Union Fire Ins Co Pittsburgh, PA NAIC# 19445100 WC 021417576 -CA Insurer D: Insurance Canpany Of The State Of PA NAICd 194291DO WC 021417580 - MA, WI (Stop Gap - NO, OH, WA, WY) WC 021417581 - AK, AL, AR, AZ, CO, DE, GA, ID, KS, KY, MD, ME, MO, MS, MT, NC, NH, INK NV, OK, OR, PA, RI, SC, SO, TN, UT, VA. VT, WV WC 021417585 - MN WC 021417578 -NY Insurer Q Illinois National Ins Co NAtCN 23017001 WC 021417577 - FL WC 021417582 - CT, DC, HI, IA, IL, IN, LA, MI. NE, NJ WC 021417579 - TX 1 ACORD 101 (2DD8/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE YYYY) `� 05I31/2012 2012 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 uR 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 ac rvo E-MAIL CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 ADDRESS: INSURERS AFFORDING COVERAGE NAIC a INSURER A : National Union Fire Ins Co Pittsburgh PA 19445100 URSCOR-ALL-PROF-12-13 SF CA 222360 INSURED INSURER B: Zudm American Insurance Company 16535100 Corporation INSURER C: Illinois National Ins Co 23817001 00 Montgomery Street, 261h Floor 600 San Francisco, CA 94111 INSURER D: Insurance Company Of The State Of PA 19429100 INSURER E: Lexington Inwrance Company 19437000 INSURER F: Lloyd's Of London & British Companies 15792004 COVERAGES CERTIFICATE NUMBER: SEA 00227125602 REVISION NUMBER:I 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 BUBO POLICY NUMBER POLICY EFF MM/OD/YYYY POLICY EXP MWOD/YYYV LIMITS A GENERAL LIABILITY GL4870829 05/01/2011 09/0112012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FT] OCCUR Al MISEAES Ea NTOREN TT nce PRE $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 2,000,000 X XCU, BFPD X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY-X PRO LOD $ B AUTOMOBILE LIABILITY BAP938521502 05/01/2011 09/0112012 CEOMaBBIINEDISINGLE LIMIT a 20W (100 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Pwticciden0 $ NON -OWNED S HIRED AUTOHAUTOS PROPE PeracciRTY DAMAGE dent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION SEE ATTACHED ACORD 101 0110112012 01101/2013 % I WC STATU- OTH- D C AND EMPLOYERS' LIABILITYIM ANY PROPRIETOR/PARTNER/EXECUTNE YIN OFFICERJMEMBER EXCLUDED? (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below NIA SEE ATTACHED - ACORD 101 SEE ATTACHED - ACORD 101 01/01I2012 0110112012 0110112013 01/0112013 EL. EACH ACCIDENT $ 2,000,000 E.L. DISEASE EA EMPLOYE $ 2,000,000 E.L. DISEASE -POLICY LIMIT $ 2 E Prof. Liab w/Lmld Contractual 015438088 0510112011 09101/2012 Each Claim $1,000,000 F Claims Made Reno 11 17-1938 PEI 1051501PEI 105490 05/01/2011 09101/2012 Aggregate $1.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more apace is raptured) RE: Project No.: 22236040. Dry Creek Basin Flood Control Project City of Fort Collins Attn: Opal Dick 215 North Mason Street 2nd Floor P.O. Box 580 Fat 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 Sereices Lynne Harrington ACORD 25 (2010/05) 0 1988-2010 The ACORD name and logo are registered marks of ACORD All Hants reserved. AGENCY CUSTOMER ID: LIRSCOR LOC #: San Francisco ,ac izo o® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH RISK & INSURANCE SERVICES NAMED INSURED URS Corporation 600 Montgomery Street, 261h Fluor 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 WorkersCompensation coverage shown does not apply in monopolistic states. In the Slates of NO, OH, WA and WY Workers' Compensation coverage is provided by the State Fund. In those States, the above refeenced policies provide Stop -Gap Employers Liability only. Workers Compensation policies apply as indicated below: Insurer A: National Union Fire Ins Co Pittsburgh, PA NAICY 194451 DO WC 021411576 -CA Insurer D'. Insurance Company Of The State Of PA NAICY 19429100 WC 0214175BO - MA, WI (Slop Gap - NO, OH, WA, WY) WC 021417581 - AK, AL, AR, AZ, CO, DE, GA, ID, KS, KY, MD, ME, MO, MS, MT, INC, NH, NM, NV, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WV WC 021417585 -MN WC 021417578 -NY Insurer C'. Illinois Nadonall115Co NAICY 23817001 WC 021417577 - FL WC 021417582 - CT, DC, HI. IA, IL, IN, LA MI, NE, NJ WC 021417579 - TX ACORD 101 (20W01) 2008 ACORD CORPORATION- All riahts rese"ack The ACORD name and logo are registered marks of ACORD