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Home My WebLink About101409 URS CORPORATION - INSURANCE CERTIFICATE (9)YSSwNIlXlin2 o® DI D08/28 D014. �`� CERTIFICATE OF LIABILITY INSURANCE oe/ze/ao1a. 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: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H 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 1-000-000-0000 Marsh Risk and Insurance Services CONTACT NAME: PHONE NIj 888-769-3873 jAX No), EMAIL ADDRESS: 345 California Street Suite 1300 San Francisco, CA 94104 INSURERSAFFORDING COVERAGE NAIC4 _ INSURER A: NATIONAL UNION FIRS INS CO OF PITTS 19445 INSURED INSURER B: LEXINGTON INS CO 19437 ORS Corporation Lloyd's of London & British companies INSURER C: Y OIDIIaII INSURER D: 600 Montgomery Street, 26th Floor INSURER E: San Francisco, CA 94111 _ INSURER F: COVERAGES CERTIFICATE NUMBER: 41249613 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 TYPE OF INSURANCE ADOL SUBIR POLICY EFF POLICY EXP LIMITS LTft POLICY NUMBER MMIDD/Y MMIDDIYY A GENERAL LABILITY GL5388391 09/01/1 09/01/15 EACH OCCURRENCE E 2,000,000 .X COMMERCIALGENERALLIANLITY ICLAIMS -MADE 1XI OCCUR DAMAGE TO RENTED PREMISES Ea ocw ..) It 1, 000,000 MEDEXP(AnYone Person) E 10,000 PERSONAL S NEW INJURY 12,000,000 X X(U, BFPD X Contractual Liability GENERALAGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO 1 2,000,000 POLICY I X PRO- LOC E AUTOMOBILE LABILITY COMBINED SINGLE LIMIT (Ea �e acnli_ It ARYAUTO -'— - - --- - -- -_ - BODILY INJURY Pe, Pelson) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY IPer acaden) E PROPERTY DAMAGE Peaaaldenl) E NON -OWNED RREDAUTC AUTOS E UMBRELLA LAB OCCUR EACH OCCURRENCE E AGGREGATE E EXCESS LAB CLAIMS MADE OLD I I RETENTIONS E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER XECUTIVE❑ OFFICERIMEMBER E%CWDED? NIA WC STATU- OTH- -19BYLIMO$ EL. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S (Mandelory In NH) ff "s, descdbe under DESCRIPTION OF OPERATIONS Ce. EL DISEASE -POLICY LIMIT E B Prof Liab w/Lmtd Contract 015438088 09/01/1 09/01/15 Each Claim / Agg C ClaimsMade Retro 11-17-38 PE1410213 09/01/1 09/01/15 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Allech ACORD 101, Additional Ramerin Schedule. a more spats Is regulated) Re: Right -of -Way Contractor's License. The City of Fort Collins is included as an Additional Insured against any liability arising out of the Ownership, Maintenance or use of that part of the area pertaining to the Right -of Way. Primary Insurance: It is agreed that such insurance afforded by this policy(ies) to Primary and Non -Contributory with the insurance maintained by the Additional Insured but only with respect to the work performed by the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. O. Box 580 AUTHORIZED REPRESENTATIVE �� (((TT�� rt Collins, CO 80522 USA __ 00 V W w ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CHogueURS 41249613 P5Ed 2U 2 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 08,78,1014 OAS Corporation This page intentionally left blank vsnaavw.v s AIR" °AT/27/2014 CERTIFICATE OF LIABILITY INSURANCE Oe/z7nola 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 endorsements). PRODUCER 1-000-000-0000 Marsh Risk and Insurance Srvices e CONTACT NAME: �Air Nyy .Bee-769-3873 iuc. xoy. EMAIL ADDRESS: 345 California Street Buite 1300 San Francisco, CA 94104 INSURER(SI AFFORDING COVERAGE NAIC0 INSURERA: NATIONAL UNION PIKE INS CO OF PITTS 19645 INSURED INSURER B: ZURICH AMER INS CO 16535 URS Corporation INSURERC: 9BE ATTACBBD INSURER D: LEXINGTON INS CO 19637 600 Montgomery Street, 26th Floor INSURER E: Lloyd's of London 6 British Companies San Francisco, CA 96111 INSURER F: COVERAGES CERTIFICATE NUMBER: 41189636 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. NSR LTR TYPE OFINBURAXCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDOIYYYY POLICY EXP MMMD LIMITS A GENERAL LIABILITY OL5388391 09/01/1 09/01/15 EACH OCCURRENCE S 2,000,000 X COMMERCIAL GENERAL LIABILITY DAIMGETO RENTED -PREMISES (Ea cxcnn noel $ 1,000,000 CLAIMS -MADE � OCCUR MED EXP y ore P ) f 10,000 PERSONAL S ADV INJURY f 2,000,000 X XCU, ]SPED X Contractual Liability GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO f2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LUBRITY 1138111105 0 OOMBINEDSINGULIMIT LEa emmPl_— _ s2,000,000 S BODILY INJURY (Pw Person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per ardden0 f PROPERTYDAMAGE f NON -OWNED HIRED AUTOS AUTOS Peraaidenll f UMBRELLA LAB OCCUR EACH OCCURRENCE S AGGREGATE f EXCESS USB CLAIMS -MADE DIED RETENTIONS f C WORKERS COMPENSATION SEE ATTACKED O1/OS/1 O1/O1/15 WC STATU- OTH- % TORY FT AND EMPLOYERS' LIABILITY YIN EL. EACH ACCIDENT f 2,000,000 ANY PROPRIETOWPARTNER'EXECUTIVE OFFICERIMEMBEREXCLUDEDi N❑ NIA EL.DISUSE-EAEMPLOYE f 2,000,000 (Mandatory In NH) IF yes' desu,be under DESCRIPTION OF OPERATIONS Oebx E.L. DISEASE - POLICY LIMIT S 2,000,000 D Prof Liab w/Lmtd Contract 015438088 09/01/1 09/01/15 Each Claim / Agg E Claies"de Retro 11-17-38 FE1410213 09/01/1 09/01/15 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(Allah ACORD 101,M01Uonal R..&. ScMdula, ITmwa apau Is r .Il ) RE; Project No.: 22236040 - Dry Creek Basin Flood Control Project SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. to; Opal Dick 5 North Mason Street, 2nd Floor AUTNORIIED REPRESENTATIVE rt Co111m, CO 80522-0580 ' 1l. 03A 107119811-4n1n ACORn CCAPr1RATHIN All d.h t rnsavwd ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD GTlemeierURS 41189636 SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 08/27/2014 NAME OF INSURED: aRs corporation Additional Description of Operations/Remarks from Page 1: This page intentionally left blank Additional Information: The Workers- Ccupeneation coverage shown does not apply in monopolistic states. In the States of SO, ON, WA and MY Workers' compensation coverage is provided by the state Fund. In those Staten, the below -referenced policies provide Stop -Gap Employers- Liability only. Workers Compensation policies apply as indicated below: National Orlon Fire Ins Cc Pittsburgh, PA (NAIC# 19665100): WC 015656173 - CA Insurance Company Of The State Of PA (NAIC4 19629100)2 WC 015656175 - NA, WI (atop Gap - ND, ON, WA, WY) 11C 015656176 - AS, AL, AR, AR, CO, DR, GA, ID, KS, RY, m, W, NO, tar, W, NC, NS, NN, W, NY, OR, OR, PA, RI, Sc. SD, TN, TR, DT, VA, W. W NC 015656178 - 1@ Illinois National Ins Cc (NAIC# 23817001)2 WC 015656174 - FL WC 015656177 - CT. DC, NI, IA, IL, IN, LA, NI, Ns, NJ SUPP (0 AM) row