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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