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HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (7)AcoR ® CERTIFICATE OF LIABILITY INSURANCE OATS YVYV) 12013 3 031291201 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 Marsh Risk &Insurance Services CA License #0437153 CONTACT NAME: PHONE FAX C, N Emil (AIc Not: ADDRESS: 777 South FNJueroa Street Los Angeles, CA 90017 Attn: Lori Bryson (213)-346-5464 06510-AECOM CAS-13114 Denver CO ADWO TBD INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 INSURED \ 0 0 O tiV EDAW, Technical Services, Inc. ` EDAW, Inc. 71717th Street, Suite 2600 Denver, CO 80202 INSURER B : INSURER C : NIA NIA INSURER D : NIA NIA INSURER E INSURER F : COVERAGES cFRTIFICATF NIIMRFR- LOS-001495206-15 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 I LTR TYPE OF INSURANCE AODL NqR SUER wun I POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYY'Y LIMITS A GENERAL LIABILITY GLO 5965891 05 OM0112013 0410112014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES IF. ocwrtence $ 1,000,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE rq OCCUR PERSONAL d ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ 1,000,000 $ X I POLICY PRO LOC A AUTOMOBILE LIABILITY BAP 596589305 04/01/2013 0410112014 COMBINED SINGLE LIMIT Ea accident 11000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY(Paracodenp $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE per..,denl $ 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE It EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E. L. DISEASE -POLICY LIMIT $ If yes desoibe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD iet, Additional Remarks Schedule, Ifmom space Is required) RE: Mason Project. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL 8 AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 r1-M 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 A Insurance Services David Denihan (J 1988-ZU1U ACUKU GUKPUKAI IUN. All rlgnts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD A� a CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 03129Y1013 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 terns 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 Marsh Risk & Insurance Services CA License #0437153 CONTACT NAME: NAME:PHONE FAX .INr mw lac Nol, E MAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Adn: Lod Bryson (213y345-5464 06510 -AECOMCAS-13114 FonCo CO WS INSURERS AFFORDING COVERAGE NAIC N INSURER A: Zurich American Insurance Canpany 16535 INSURED AECOM Technical Services, Inc. EDAW, INC. INSURER B: INSURER c :Illinois Union Insurance Co - 27960 INSURER D: N/A NIA 240 E. MOUNTAIN AVENUE FORT COLLINS, CO 80524 INSURER E: INSURER F r.nVFRAC,FS CERTIFICATE NUMBER: LOS-001495847-51 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 LTRmn TYPE OFINSURANCE ADDL SUER NUMBER POLPOLICY MM OICY EFF D/YYYY LICY EXP MM OIV1'YY LIMITS A GENERAL LIABILITY GILD 596589105 04/01/2013 0410112014 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E T RENTED PREMISES Fa occurrence $ 1,000.000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE IT I OCCUR PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 4,000.000 $ X POLICY 7 PRO- LOC A AUTOMOBILE LIABILITY BAP 596589305 0410112013 04/01/2014 COMBINED SINGLE LIMIT Ea awcienl 1,000,000 BODILY INJURY (Per person) $, X ANY AUTO BODILY INJURY(Peraccident) $ ALL OWNED SCHEDULED AUTOS NOIDS NOOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE 8 EXCESS LIAB CLAIMS -MADE LED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N OANY FFICER/ EIMBER EXCLUDED, ETORIPARTNERIEXECUTIVE (Mandatory in NH) NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E. L. DISEASE -POLICY LIMIT $ If yes, desonbe „rider DE SCRIPTION OF OPERATIONS Below C ARCHITECTS & ENG. EON G21654693 04/01/2013 1010812014 Per ClairrdAgg $1,000,000 PROFESSIONAL LIAB. "'CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES IANdch ACORD 101, Additional Remarks Schedule, if more space Is required) RE: PROJECT N4F002.01/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. CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: JAMES B. O'NEILL II THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DIRECTOR OF PURCHASING RISK MGMT. ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 FORT COLLINS, CO 80522-0580 AUTHORIZED REPRESENTATIVE of March Risk & Insurance Services David Denihan © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� o® CERTIFICATE OF LIABILITY INSURANCE DAT291201ODYYYY 03YL9I2013 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 INSURERS), 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 Marsh Risk 8 Insurance Services CA License#0437153 CONTACT NAME: PHONE FAX IA/C Ns,FXtJ lac No): E-MAIL ADDRESS: 777 South Figueroa Street LOS Angeles, CA 90017 Attn: Lon Bryson (213}346-5464 06510-AECOMCAS-13114 Denver CO AFAAK NEW NY INSURERS) AFFORDING COVERAGE NAIC Y INSURER A: Zurich Amaiwn Insurance Company 16535 INSURED AECOM USA, Inc. f/kla DMJM+HARRIS, Inc. INSURER B : INSURER c Illinois Union Insurance Cc 27960 INSURER D : NIA NIA 717 Seventeenth Street Denver, CO 80202-3330 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-00136369041 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 L RINSR TYPE OF INSURANCE ADDL SUBR MID POLICY NUMBER LICY EFF MMIDDIYYVV POLICY EXP MMIDD VYYV LIMITS A GENERAL LIABILITY GLO 5965891 05 0410112013 04/0112014 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occunence S 500,000 MED EXP (Any we person) $ 5,000 CLAIMS -MADE M OCCUR PERSONAL 8 AOV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 500,000 $ X POLICY JFRO F7 LOC A AUTOMOBILE LIABILITY BAP 596589305 0410112013 04101014 COMBINED SINGLE LIMIT Ea accident 500,ggg BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accilenn $ ALL OWMED SCHEDULED AUTOS AUTNONOVVNED PROPERTVDAMAGE Peraccitlenl $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED i I RETENTION$ $ WORKERS COMPENSATION VJC STATU- OTH- AND EMPLOYERS' LIABILITY y I N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE-EAEMPLOYE $ EL.DISEASE -POLICY LIMIT $ If yes, of a the under DESCRIPTION OF OPERATIONS Oelfm I C ARCHITECTS 6 ENG. EON G21654693 04/01/2013 10108/2014 Per Claim/Agg $1,000,000 PROFESSIONAL LIAB. "'CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUonal Remarks Schedule, if more space is required) 60096956 Final Design of SH392 The City, its officers and employees NAMED AS ADDITIONAL INSURED FOR GL 8 AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. for any Claims arising out of milk performed under this Agreement CERTIFICATE HOLDER CANCELLATION City of Fort Collins, Purchasing Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PA. Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fat Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk S Insurance Services David Denihan ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AC �® CERTIFICATE OF LIABILITY INSURANCE DATE /2013 VYYY) MM/D 03/292013 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 Marsh Risk & Insurance Services CA License #0437153 CONTACT NAME: PHONE FAX Jam, ac No Ao MAIL 777 South Figueroa Street Los Angeles, CA 90017 Attu: Lai Bryson (213)-346-5464 06510-AECOMCAS-13114 DENVE CO 83114 INSURERS AFFORDING COVERAGE NAIC If INSURER A: Zurich American Insurance Conpany 16535 lADWA INSURED + D 0� V AECOM TECHNICAL SERVICES, INC. I 717 17TH STREET, SUITE 2600 INSURER B : INSURER C : N/A NIA INSURER D: NIA WA DENVER, CO B0202 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001514491-02 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 LTR TYPE OF INSURANCE ADDL SUE R POLICY NUMBER POLICY EFF iMM/DDNYYYI POLICY EXP MMIDONYYY1. LIMITS A GENERAL LIABILITY X GLO596589105 0410112013 0410112014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 _ CLAIMS -MADE 1E OCCUR PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENE AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG $ 1,000,000 $ X POLICY PRO- LOG JECT A AUTOMOBILE LIABILITY X BAP 596589305 04/01/2013 0410112014 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS OS NON -OWNED HIREDAUTOS AUTO$ PROPERTY DAMAGE Per accident $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECU➢VE WC STATU- OTH- _FR_ E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NMI E.L. DISEASE - EA EMPLOYE $ E L DISEASE - POLICY LIMIT $ Under D yes, descriDESCRIPTION N OF OPERATIONS uelow DESCRIPTION O DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 7392 CIVIL ENGINEERING, DESIGN, DRAFTING & SURVEY SERVICES ON -CALL AGREEMENT 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. CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: John Stephen - Senior Buyer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 280 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services David Denihan a�jl%�LyA�j��tr ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD