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Home My WebLink About101409 URS CORPORATION - INSURANCE CERTIFICATE (7)P52.2.2 R A� TOE CERTIFICATE OF LIABILITY INSURANCE °10/31/201ATE YY, 10/31/2012 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 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: N the Certificate holier Is an ADDITIONAL INSURED, the policy(les) 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 1-e15-7e3-0238 Slacsh Risk and IDBUraDCe Services CONTACT PHONE rrFA% .(ANC. NO. ERA):__ f(AIG, N.)____ EMAR. ADDRESS__ 345 California Street _ INSURER(S)MFOMINGCOVEMGE _ _NAICS Suite 1300 San Francisco, CA 9e104 INSURER A: NATIONAL UNION FIRE INS CO OF PIWS 19445 INSURED ItJ\ly(J 1 INSURERS: Lloyds of London 6 British Companies ORS Corporation I INSURER C: LEXINGTON INS CO 19437 INSURER D: 600 Montgomery Street, 26th Floor INSURER E: San Francisco, CA 95111 INSURER F : P^VVDAnVQ PFDTICIrATF MIIMRFD• 300AS391 DFVIRION NIIMRFR- 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. WSR AEG, sun POLICY EFF POLICY E%P LIMITS TR TYPE OF INSURANCE POLICY NUMBER uA D YYX)D/YYYY A GEMEMLWIBLLTTY OL 2491973 11/01/1 09/01/13 EACH OCCURRENCE $2,000,000 Z COMMERCML GENEMLLUBILITV DAMAGE TO RENTED PREMISES tEaac ..)_ $ 1, 000, 000 _ —1 CLAIMS -MADE 1XI OCCUR MED EXP (MY Oee Pwso^) $ 10,000 _ PERSONAL A ADV INJURY $ 2,000,000 _ X XCO, BERET E Contractual Liability GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S2, 000, 000 3 -- POLICY X PRG I AMOYOBLLE DUALITY COMBINED SINGLE LIMIT .(E.e ,U)_ I S MY AUTO BODILY INJURY(P., Perms) BODILY INJURY (Pw wti0enl) S MLOV/NEO ASCHES DULED AUTOS UTO S _ _ ED HIREDAUTOS _ AUTOS PROPERTY DAMAGE S UMBRELLAUAEI OCCUR EACH OCCURRENCE_ $ AGGREGATE 4 EXCESS LAID CLAIMS -MADE DE. I RETENTION _$ S WORMERS COMPENSATION ANDEMPLOYERS-LIABITrY YIN MyPROPRIETOWPARTNER,EXECUTNE OFFICERIMEMBER EXCLUDED? MIA WC STATU- OTH- —TORY.LIMfTS. _-ER- E.L. EACH ACCIDENT S (Mmuftd YIn NH) EL DISEASE- EA EMPLOYE $ If Yes, A .Ix, UMw DESCRIPTION OF OPERATIONS befw EL.DISEASE - POLICY LIMIT S B Claims Bade Retroll-17-38 PPI205610 11/01/1 09/01/13 C Prof Liab w/Tmtd Contract 015438088 11/01/1 09/01/13 Ba. Occur/Agg 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES D awb ACORO 101, MOXIPatl Rwnaas selwA !*. It men ePece Is rpuUW) Re: Right -of -Nay Contractors License. The City of Port Collins to included as an Additional Insured against any liability arising out of the Ownership. Maintenance or use of that Dart of the area pertaining to the Right -of Way. Primary Insurance: It is agreed that such insurance afforded by this policy(les) is Primary and Non -Contributory with the insurance maintained by the Additional Insured but only with respect to the work performed by the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE �V^'1`'•`^'''yry�lY`1�—�� Port Collins, CO 80522�-� V 1 USA ACORD 25 (2010105) JSawyerURS 30045391 SO 19BB-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YS3Wulgxl3 R u THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LL 0 This endorsement, effective 12:01 A.M. 11/01/12 forms a part of Policy No. CL 3e91973 0 issued to ORs Corporation by NATIONAL ONION FIRE INS z m 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: Please see attached certificate of insurance description of operations section for specific contract, location, or other details. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: Please sea attached certificate of insurance description of operations section for specific contract, location, or other details. 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 for that additional insured and included in the "products - completed operations hazard". All other terms and conditions remain unchanged. Authorized Representative 97837 (4/08) Includes copyrighted material of Insurance Services Office, Inc., with its permission. P53dp1WMii Insurer Cancellation Terms Named Insured: Policy No. U corporation Various Holder Name: city of Part Collins Cancellation Term: 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 Apply to the following coverages: Geveral Liability Professional Liability