HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (9)®
A`"m CERTIFICATE OF LIABILITY INSURANCE
DATE(MMMDIYYYY)
DJ12112014
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: ---
PRONE
Nol:
.(IUC.
EMAIL
T77 South Figueroa Street
Los Angeles, CA 90017
Atbl:Lo5AI19e1w.CertRCQuest@Marsh.COm
06510-AECOM01-%15 Denver CO ADW'D TBD
INSURE S AFFORDING COVERAGE
NAIL0
INSURER A: Zurich Mlenan kwRalce Company
16535
INSURED
AECOM Technical Services, Inc. 'OVO�rI
EDAW, Inc. L
71717th Street, Suite 2600
Denver, CO 80202
INSURER B
INSURER C : WA
NM
INSURER D : NlA
WA
INSURER E
INSURER F
nnvco w11:0 COOTICICATP NUMBER: InR-nn1AQ!i2A&1R 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
TYPEOFINSURANCE
POLICY NUMBER
MWOCI)1YV�YFY
M�MILIDCDYYYY
u Srs
A
GENERAL LIAMTY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE MOCCUR
GLO 596589106
D4/012014
04/01/2015
EACH OCCURRENCE
E 1,0110,I)DO
6E To
PRE ISES tE`N=..IS
1'000'000
MED EXP one person)
$ 5.000
PERSONAL& ADV INJURY
S 1,000,DOO
GENERAL AGGREGATE
$ 1,000A00
GENT AGGREGATE
POLICY
LIMIT APPLIES PER:
X PRO- LOC
JEr
PRODUCTS-COMP/OP AGO
$ 1,0D0,000
E
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-0WHED
HIRED AUTOS AUTOS
I
BAP 596589306
04101/2014
04101201$
COMBINED ANGLE LIMIT
1000000
BODILY INJURY (Per perecn)
S
BODILY INJURY (Per accident
S
PROPERTY DAMAGE
P
S
S
UMBRELLA LWB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EAC;OCCURRENCE
S
AGG
S
DED RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYANY PROPRIETOR/PARTNEMXECUTIVE Y❑
OFFICER/MEMBER EXCLUDED?
(Manclatary In NH)
N y89 cis. be Under
DESCRIPTION OF OPERATIONS below
NIAE.L.
OTH-
NT
E
E.L. DISEASE - EA EMPLOYE
E
E.L. DISEASE- POLICY LIMIT
E
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ARaeh ACORD 101, AddRloml Remarks ScNeJUN, N man space Is required)
RE: Mason Project.
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.
City of Fort Collins
P.O. Box 580
Fat 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 Risk & Insurance Services
David Denihan
n 1RRR-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD