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Home My WebLink About102541 CH2M HILL INC - INSURANCE CERTIFICATE,acoRO°° CERTIFICATE OF LIABILITY INSURANCE �,/' DATE(MM/DO YVYY) 04118/2013 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 USA INC. 1225 17TH STREET, SUITE 2100 DENVER, CO 80202-5534 CONTACT NAME: PHONE Fax AIC No Ext) A/C No: E-MAIL ADDRESS: MSUREflS AFFORDING COVERAGE NAIC If INSURER A: Greenwich Insurance Company 22322 15114-12345-5EX2P 13114 SCO DE INSURED CHUM HILL, INC. �� )) \Z-1A u,l INSURER 8: N/A NIA INSURER C : XL Specialty Insurance Co. 37885 6 HUTiON CENTRE DRIVE, SUITE 700 SANTA ANA, CA 92707 INSURER D : Zurich American Insurance Co 16535 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: SEA -002331217-02 RFVISInM NI INIRFR:6 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 ADUL SUER POLICY NUMBER POLICY EFF MM,DD1YY YI POLICY EXP tMWDDNYYYILIMITS GENERAL LIABILITY X EACH OCCURRENCE S 1,500,000 A X COMMERCIAL GENERAL LIABILITY RGE500025502 0510112013 05I0112014 DAMA E TO RENTED PREMISES Ea occurrent $ 1,500,000 M CLAIMS -MADE OCCUR MED EXP (Any one person) S X $500,000 SIR PERSONAL& ADV INJURY S 1,500,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 5,000,000 POLICY PRO LOD $ AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT Ea accident 2,000,OW A ANY AUTO RAD500025402 (AOS) 05/0112013 05/01/2014 X BODILY INJURY (Per,n;on) S A ALL OWNED SCHEDULED AUTOS AUTOS RAD500025602(MA) 0510112013 05101/2014 BODILY INJURY Peraccicent I ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS MADE DIED F7 RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- C AND EMPLOYERS' LIABILITY ANY PROPRIETONPARTNER/EXECUTIVE Y/N RWD500025202(AOS) 05/01/2013 05101/2014 1,000,000 C OFFICEWMEMBER EXCLUDED? N N/A E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ 1-000,000 (Mandatory in HINT RWR500025302(WI) 0510112013 05101/2014 If yes, describe under DESCRIPTION OF OPERATICNS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY' EOC3829621-11 0510112013 05101 014 Each Claim & Aggregate $2.000,000 Each Policy Period DES ION OF OPERATIONS/ LOCATIONS I VEHICLES launch ACORD 101, Additional Remarks Schedule, if more space is required) R n.�. 7390 INSTRUCTION MANAGER FOR MAX DIRT PROJECT. THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. 'FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERAUONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE. CITY OF FORT COLLINS PURCHASING DEPT. PO BOX 280 FT. 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 USA Inc. ACORD 25 (2010/05) Sharon A. Hammer C1R=�._,. Q- 7v� W latsa-[Ulu AGUHU CUHPUHATION. All rights reserved. The ACORD name and logo are registered marks of ACORD