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HomeMy WebLinkAbout477776 AMEC ENVIRONMENT & INFRASTRUCTURE INC - INSURANCE CERTIFICATE (2)ACO/7I N CERTIFICATE OF LIABILITY INSURANCE DATE�0�o1�) 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 endomement(s). PRODUCER oo Services NOrthed5t, Inc. Morristown NJ Office CONTACT NME: PHONE (866) 283-22 (WNoWC. NoEaq: -5390 (84J) 953 EMAIL ADDRESS: 44 Whippany Road, Suite 220 Morristown NJ 07960 USA INSURER(S) AFFORDING COVERAGE NAIC e INSURER A: Zurich American Ins CO 16535 nment & Infrastructure, Inc. Street INSURER B: ACE American Insurance Company 22667 INSURER C: EINSURE 80302 USA INSURER D: INSURER E: INSURER F: UUVtKAULb UCK IIr IUA I t NUMULK: 0/UU4H0OtID6L KCVIJIUN INUR ICK: 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD POLICY EFF MMID UMNS GENERAL LIABILITY G24553401U5/UI/ZUIS EACH OCCURRENCE $1,000,000 PREMISES Eeo re,e 1100, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR MED EXP (Any one person) 110, 000 PERSONAL &ADV INJURY S1,000,000 GENERAL AGGREGATE $1,000,000 GEN'L RGATEIMB APPLIES PER : PRODUCTS - COMPIOP AGG $1,000,000 X POLICAGGYEX PLRO- CT LOC AUTOMOBILE LIABILMY COMBINED SINGLE LIMIT nn ANY AUTO BODILY INJURY ( Per person) BODILY INJURY (Per retlont) ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOB NON -OWNED AUTOS PROPERTYDAMAGE Per acd0ent UMBRELLALNB OCCUR EACH OCCURRENCE AGGREGATE E%CESS CLAIMS -MADE DED RETENTION ETE WORKERS COMPENSATION AND EMPLOYERS' LMBILnY YIN WC STATU- OTH- ToRY LIMITS ER E.L. EACH ACCIDENT ANYPROPRIETORIPARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDEDi ❑ NIA E.L. DISEASE4 EMPLOYEE (Mandatory In NK Ir ya r—rt,e ender DESCRIPTION OF OPERATIONS 0ebw E.L. DISEASE -POLICY LIMIT A Archit&Enq Prof EOC938357805 05/01/2013 U5/02/2014 Any One claim/Aggrei 51,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Addhonal Remarks SChaduM, K more space is required) RE: Project NO. 3276645000, Project Description: 7145 Consulting Eng9ineeringg & Planning Services for water Supply Demand Policy, Project start Date: Sep-08-2012, Estimated Contract Price: 160,000.00. where required by written contract, City Of Fort Collins is included as additional insured as respect to General Liability Policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Attn: opal Dick wood Street Ft. t a �it rsaiL � � Ft. Collins CO 80521 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD A� O® CERTIFICATE OF LIABILITY INSURANCE oATE04n812Dt1) 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 Ann Risk Services Northeast, Inc. Morristown NJ Office CONTACT Pr HONE FAX INC. No.EI): (866) 283-A22 Nc No.): (847) 953-5390 EMAIL ADDRESS: 44 Whippany Road, Suite 220 Morristown N3 07960 USA INSURER(SI AFFORDING COVERAGE NAICe INSURED INSURER A, Zurich American Ins Co 16535 AMEC Environment 8, Infrastructure, Inc. 1002 Walnut street INSURER B: ACE American Insurance Company 22667 INSURER C: Suite 200 Boulder CO 80302 USA INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570049669551 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADD INS SUBRI WVD POLICY NUMBER POLICYEFF MMIDO POLICY LAP MMIp LIMITS B GENERAL LIABILITY G EACHOCCURRENCE $500,005 X COMMERCIAL GENERAL LIABILITY PREMISES Err ocwnence) $100,000 CLAIMS -MADE X❑OCCUR MED UP (my one person) $10,000 PERSONAL S ADV INJURY $500,000 GENERALAGGREGATE $500,000 GEN'LAGGREGATELIMn APPLIES PER: PRODUCTS - COMPIOP AGO $500,000 POLICY X PRO X LOC AUTOMOBILE LNBILT' COMBINED SINGLE LIMIT Ee axiEen BODILY INJURY ( Per person) ANY AUTO BODILY INJURY IPer ecdden0 ALL OWNED SCHEDULED AITTOS AUTOS HIRED AUTOS NON-0WNED AUTOS PROPERTY DAMAGE Per acwdenl UMBRELLA LIAR OLCUR EACH OCCURRENCE AGGREGATE EXCESS LIMB CLAIMS -MADE DEO RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILTTY YIN ANY PROPRIETOR / PARTNER / EXECU-nVE T LIMITS TII- OTH- TORY LIMBS R E.L. EACH ACCIDENT OFFICEOW.EMBER EXCLUDED' ❑ NIA E.L. DISEASE -EA EMPLOYEE (Maneatery In NM n yy deecnbe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASEPOJCY LIMIT A Archit&Enq Prof EOC938357805 OS/01/2013 05/01/2014 Any one Claim/Aggrer $1,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (M%oh ACORD 101, Addldenal Remarks Schedule, N more apaw is nqulnd) Project Number: 3276645000. Project Description: water Supply and Demand management update, Po 9105208. Project Start Date: 9/8/2010. Project Completion Date: 9/7/2011. Estimated Contract Price: 129680.00. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROWSIONS. City Of Fort Collins I AUTHORRED REPRESENTATIVE Attn: Donnie Dustin 580 P 0 Box Co Collins t !mod Fort Collins CO 80522 USA L(Jj/ c/,/(/ - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD