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HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (8)AFRO® CERTIFICATE OF LIABILITY INSURANCE DAT211201DD YYYY) 03/2112014 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 8 Insurance Semces CA License #0437153 CONTACT NAME: _. PHONE FAX IAIC. NoEvil, N E-M RE . 777 South Figueroa SUeet Los Angeles, CA 90017 AM: LosAngekSCertRequesi@Marsh.Ccm 06510-AECOMO1-141$ ForM.o CO WS INSURE S AFFORDING COVERAGE NAICe INSURER A: Zurich American Insurance Company 16635 INSURED ADAW, INC.clinical Services, Inc. 100021 F-C1AW, IN 240 E. MOUNTAIN AVENUE FORT COLLINS, CO 80524 INSURER B : INSURER c Illinois Union Insurance Co 27960 INSURER D : WA WA INSURER E : INSURER F : r f)VFRer.FS CERTIFICATE NUMBER: LOS-DO1495847-54 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 ADDLBUBR POLICY NUMBER MIDDYEW PIWICY E%P LIMITS A GENERAL LIABILITY GILD 5965/19106 04/0112014 0410112015 EACH OCCURRENCE S 2,000,000 DAVAGE TO RENTED r n • S 1'�'� X COMMERCIAL GENERAL LIABILITY MED EXP (Any we arson S 5,000 CLAIMS -MADE FT1 OCCUR PERSONAL a ADV INJURY S 2,000,000 GENERAL AGGREGATE $ Z000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 4,000,000 S POLICY X PR0.JECT LOC A AUTOMOWLELUIBILITY BAP 598589306 04101014 041011201$ COMBINED SiWGLE LIMIT (Es amid"I 1.000.d10 BODILY INJURY (Parperson) S X ANY AUTO BODILY INJURY (Par saddles) S ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE S S UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE 3 EXCESS LIAO CLAIMSdtADE DED I I RETENTIONS S WORKERS COMPENSATION VJC STATU- O7H- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE NI OFFICERIMEMBER EXCLUDED? (Mandatory in NH) MIA E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE S EL. DISEASE -POLICY LIMIT S u yes aemrioa urwle DESCRIPTION OF OPERATIONS bedN C ARCHITECTS 8 ENG. EON G216M693 04/0112013 10IOB12014 Per ClaimlAgg $1,OD0,000 PROFESSIONAL LIAB. ""CLAIMS MADE" Defense Induded DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom apace Is ie iu rad) RE: PROJECT AF002.01 I 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. CITY OF FORT COLLINS ATTN. JAMES B. O'NEILL II DIRECTOR OF PURCHASING RISK MGMT. P.O. BOX 580 FORT COLLINS, CO 80522-0580 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 S Insurance Services David Denihan ACORD 25 (2010105) ©1988-2010 ACORD The ACORD name and logo are registered marks of ACORD reserved. A`ORD® CERTIFICATE OF LIABILITY INSURANCE DADD/YYYYj 031210112112014 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 T77 South Figueroa Street Los Angeles, CA 90017 Attn: LosAngeles.CedRequest@Marsh.Com 06510-AECOKOI-14-15 DENVE CO ADWA 83114 CONTACT NAME: PRONE I FAX hu AIC No E-MAIL - RIE33: INSURE S AFFORDING COVERAGE NAM# INSURER A: Zunch Annenran Insurance Company 16535 INSURED AECOM TECHNICAL SERVICES, INC. 71717TH STREET, SUITE 2600 DENVER, CO 80202 INSURER B : INSURER C : WA WA INSURER D : WA WA INSURER E : INSURER F COVERAGES CERTIFICATF MIIMRFR- LOS-001514491-05 REVISION NUMBER: v 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 A U POLICYNUMSER EFF MWDCDIYYYY LI CY EXP MMY DIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR X GILD 596589106 04/01/2014 04/0112015 EACH OCCURRENCE S 1,0D0,000 DAMAGE TO RENTED PREMISES occurrence)$ 1'01)(1'000 MED EXP (Any one non $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 1,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER. FX7 PRO- LOCIFCT PRODUCTS-COMP/OP AGG $ 1,000,000 S A AUTOMOSILELIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-0WNED HIRED AUTOS AUTOS I X BAP 596589306 O410V2o14 0410ia 5 COMBINED SINGLE LIMIT Ea emit 10000)0 BODILY INJURY (Per person) S BODILY INJURY (Per acdtlen) 4 PROPERTY DAMAGE r ccidenl S S UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y� OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If y dasuioe under DESCRIPTION OF OPERATIONS below NIA WC STAT.0 OTH- E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE a E.L. DISEASE -POLICY LIMO I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atfaeh ACORD 101, JIUAMU MI RemrtlM SehedWe, R non apace is mqulrarq RE: 7392 CIVIL ENGINEERING, DESIGN, DRAFTING& SURVEY SERVICES OWCALL AGREEMENT THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL it AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. C&y of Fort Collins Attn: John Stephen - Senior Buyer P.O. Box 280 FM Collins, CO 80524 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 & Insurance Services David Denihan ACORD CORPORATION. All rights ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD