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Home My WebLink About492167 TETRA TECH CONSTRUCTION INC - INSURANCE CERTIFICATE (2)A ROC O® CERTIFICATE OF LIABILITY INSURANCE DAT (MMID l Y) 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(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 endomement(s). PRODUCER AOn Risk Insurance Services west, Inc. LOS Angeles CA office 707 Wilshire Boulevard Suite 2600 CONTACT NAME. (A, No. Eao: (866) 283-7122 FM (800) 363-0105 E4WUL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC0 LOS Angeles CA 90017-0460 USA INSURED INSURER A, National Union Fire Ins Co of Pittsburgh 19445 Tetra Tech Construction. Inc. l (� n INSURER e: xnsurance Co of the state of PA 19429 5401 E 48th Avenue 4Y1 •' I Denver CO 90216 USA INSURER C: INSURER D: INSURER E: INSURER F: 7ERTIFICATE 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 LTRA TYPE OF INSURANCE POLICY NUMBER LINTS GENERAL LIA111i GL EACH OCCURRENCE $2,000,006 Ea arcurmnoe $1.000.00O COMMERCIAL GENERAL LIABILITYPREMISES MEO EXP(Any one n PNn) $10,000 CLAIMBANDE ❑% OCCUR XC,U Cores, I PERSONAL A ADV INJURY $2,000,000 GENERALAGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COAPIOP AGO $4,000,000 POLICY % PRO- X LOC A AUTOMOBILE U,,,LnY CA 14 COMBILED SINGLE LIMIT Ee sod $1,000,000 X ANY AUTO BODILY IWURY(Per Peron) BODILY INJURY(Pro-.sm enq ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS % AUTOS P ROPERTY DAMAGE Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIMB CLAIMS -MADE ICED I RETENTION B B WORKERS COMPENSATION AND EMPLOYERs'UABILnY ANY PROPRIETOR I PARTNER I EXECUTIVE YIN OFFICEWMEMBER E%CWOEOT (Mandatory In NN) NIA K15656017 CS WC15656011 CA 10 01 201310 30/Ol/2013 01 4 10/Ol/2014 WC STATU- OTH- % TORY LIMnS EL EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE s1,000,000 If Y1meee describe and r OESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES IAnecb ACORD 101, A4dldorml Rommis ScneOUq, It mom epeo i Is required) City of Fort Collins, Engineer, Engineer's Consultants and their respective officers, employees and Burlington Northern Santa Fe Railroad (BNSF) are included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General Liability policy. Contractual Liability is included under the General Liability policy where required by written contract. A waiver of Subrogation is granted in favor of Additional Insured as required by written contract but limited to the operations of the Insured under said contract, with respect to the General Liability property. Stop Gap coverage for the following states: OH, WA, WY. CERTIFICATE HOLDER CANCELLATION Loa SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORREO REPRESENTATIVE 215 Mason St. 2nd Floor Fort Collins, CO 80522 USA eSQ(oAT r�sAilrstanez Jatvira fYr.��iu 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD i1 ® A�Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNM) DBI242D,D 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(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 endomemem(s). PRODUCER Aon Risk Insurance Services west, Inc. LOS Angeles CA Office 707 Wilshire Boulevard 5Uite 2600 CONTACT NAME_ ANC NNo.EaOo (866) 283-7122 aC. No.: (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE me# LOS Angeles CA 90017-0460 USA INSURED INSURERA: National union Fire Ins CO Of Pittsburgh 19445 Tetra Tech Construction Services, Inc. 4304 E. 60th Avenue µL %� Commerce City CO 80022 USA f �+ 1 INSURER 6: Insurance Co of the State of PA 19429 INSURER C: AIG Europe Limited AA1120841 INSURER D: NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570051358130 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 INSR MD POLICYNUMBER POLICY LEE O.Ul ..P MM,p LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE %❑OCCUR GL EACH OCCURRENCE $2,000,000 PREMISES Ea occurrence $1, 000, 000 MED EXP(AP,.rm Demon) $10,000 PERSONAL B ADV INJURY $2,000,005 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE POLIOV X LIMIT APPLIES PRO-JECT % PER: LOG PRODUCTS -COMPIOP AGG $4,000,000 A AUTGAIO&LE LABILITY X ANY AUTO ALL OWNED r7 SCHEDULED AUTOS AUTOS NON-0WNED X HIRED AUTOS X AUTOS CA 327 52 65 Ol 1310/01/2014 COMBINED SINGLE LIMIT RE, fuxlm,fi $2,000,000 BODILY INJURY ( Per psmon) BODILY INJURY (Per amident) PROPERTY Perrsaccitlant G X UMBRELLA LIAe EXCESS LIAB X OCCUR CLAIMS.WDE TH1300027 10 01 2013 10/01/2014 EACH OCCURRENCE $5,000,000 AGGREGATE S5,000,D00 BED % RETENTION S100, 000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/ PARTNER I EXECUTIVE YIN OFFICEIMEMBER EXCLUDEDi (Mandatory In NH) If ye easctlbs and®r DESCRIPTION OF OPERATIONS bebw NIA wC15656017 ADS WC15656011 CA 10 01 201 10/Ol/201310/Ol/2014 10/01/2014 X WC STLIMAT9U- OTH- E.L.EACH ACCIDENT $1,000,000 EL. DISEASE -EA EMPLOYEE $1,000,000 E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddWanal Remarks Schedule, It mere specs Is requlrec) RE: Mr. John Stephen Bid Job a5738. Stop Gap coverage for the following states: OH, WA, W. 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 PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins CO 80522 USA 91988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD