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492167 TETRA TECH CONSTRUCTION SERVICES INC - INSURANCE CERTIFICATE (5)
A� o CERTIFICATE OF PROPERTY INSURANCE D09/29%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 R thk certlRcate is halm oremaretl for a mash, who has an Insurable Interest In the Dromerty. do not use this form. Use ACORD 27 or ACORD 2a. PRODUCER AOn Risk Insurance services west, Los Ang9eles CA Office 707 wilshi re Boulevard suite 2600 Los Angeles CA 90017-0460 USA Inc. V u 9 PHONE (866) 283-7122 FAX (800) 363-0105 INC. Ne. Eatl: INC. Nal: E_"wL Me ss PRODUCER CUSTOMER to .. 570000036654 INSURE S AFFORDING COVERAGE NAICa INSURED Tetra Tech Construction Services, 4304 E. 60th Avenue Commerce City CO 80022 USA Inc. INSURERA: AGCS Marine Insurance Company 22837 u 9 0 CC, INSURER B: INSURER C: INSURER O: INSURER E: INSURER F: (`()VFRARFC r:FRTIFIr:ATF NIIMRFR• 5700553 21204 RFVICIr1N NIIMRFR• LOCATION OF PREMISEW DESCRIPTION OF PROPERTY IA1bch ACORD 101, AEENonel RmuKa SNMuM, a— apra Is assumed) RE: Mr. John Stephen Bid Job a5738 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 POLICY NUMBER POLICY EFFECTIVE DATE(MWDDNYYY) POLICY EXPIRATION ATE (MMIO COVERED PROPERTY LIMITS PROPERTY CAUSES OF LOSS DEDUCTIBLES BUILDING PERSONAL PROPERTY BUSINESS INCOME WO Extra Expense EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG S PP BASIC BUILDING BROAD SPECIAL CONTENTS EARTHQUAKE WINO FLOOD A X INLAND MARINE OF LOSS PERILS All Risk TYPE OF POLICY Equipment Fl Dtr 10/01/2013 10/01/201H5 X Leased or Rented Equ $1000.000 CAUSES POLICY NUMBER m193053784 XNAMED CRIME TYPE OF POLICY BOILER aMACHINERY / EQUIPMENT BREAKDOWN SPEGML CONDITIONS I OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, a more space Is required) CERTIFICATE HOLDER CANCELLATION MISM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE / /y l�Tl/AAl//O/i ll/J/]LAy�)IP-•JG�/7 iAk(AO1iQS LZ/4� Fort Collins CO 80522 USA ©1995-2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD i5 FR Ir-_2