HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (10)Atall �® CERTIFICATE OF LIABILITY INSURANCE
JMMJD
DATEYYYYI
101032014/2014
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
CONTACT
NAME:
Marsh Risk & Insurance Services
HONE
PAll
CA License#0437153
No. Ext) AIC No
E-MAIL
ADDRESS:
777 South Figueroa Street
Los Angeles, CA 90017
Attn: LosAngeles,CertRequest@Marsti
INSURERS AFFORDING COVERAGE
HAD As
INSURER A: Zurich American Insurance Company
16535
06510-AECOM-01-14-15 DENVE CO ADWA 83114
INSURED
AECOM TECHNICAL SERVICES, INC.
INSURER B:
INSURER c : NIA
N/A
717 17TH STREET, SUITE 2600
DENVER, CO 80202
INSURER D: NIA
N/A
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-001514491-13 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
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MWDDIYYYY
POLICY EXP
MWDDIYYYY
LIMITS
A
GENERAL LIABILITY
X
GLO 596589106
04/0112014
04101/2015
EACH OCCURRENCE
E 1,000,000
X COMMERCIAL GENERAL LIABILITY
—DAMAGE T RENTED
PREMISES ERENGlnence
E 1,000,000
CLAIMS -MADE I X I OCCUR
MED EXP(Anyone person)
$ 5,000
PERSONAL&ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 1,00000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO
$ 0000,000
POLICY
X PRO- LOC
S
A
AUTOMOBILE
LIABILITY
X
BAP 596589306
04101/2014
04CI2015
COMBINED SINGLE LIMIT
Ea accident
1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per amtlenl)
$
PROPERTY DAMAGE
Per cocoont
$
NON_OWNED
HIRED AUTOS AUTOS
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DEO RETENTIONS
$
WORKERS COMPENSATION
WC STATU- OTH.-
S ER
AND EMPLOYERS' LIABILITY YINER
E.L. EACH ACCIDENT
$
ANY PROPRIETORIPARTNERIEJ(ECUTIVE❑
OFFICERIMEMBER EXCLUDED?
NIA
E.L. DISEASE - EA EMPLOYE
$
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is reclulnue
RE: 7392 CIVIL ENGINEERING, DESIGN, DRAFTING & SURVEY SERVICES ON -CALL AGREEMENT
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
Attn: John Stephen - Senior Buyer
P.O. Box 280
Fort 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
n 1ARR-201n ACORO CORPORATIr1N All rinhfs
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD