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HomeMy WebLinkAbout492167 TETRA TECH CONSTRUCTION SERVICES INC - INSURANCE CERTIFICATE (7)i1 ® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/ YYY) 09292014 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 endomement(s). PRODUCER Aon Risk Insurance Services West, Inc. LOS Angeles CA office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (MC. Fla. at): MC.No,: EMAIL ADDRESS: 707 Wilshire Boulevard Suite 2600 INBURER(B)AFFORDING COVERAGE NAIGa LOS Angeles CA 90017-0460 USA INSURED WSURER A National Union Fire Ins Co of Pittsburgh 19445 Tetra Tech Construction, Inc. 2817 S 46th St. INSURER B: The Insurance CO of the State of PA 19429 INSURER C: Phoenix AZ 85040 USA INS:ER 0: NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570055333015 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. Limits shovm are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMr MkvD OUCY LAP DMITS X I COMMERCIAL GENERAL LIMUTY GL 1 EACHOCCURRENCE $2,000,005 CLAIMS -MADE X❑OCCUR PREMISES Ea occunnce S1,000,000 X MED UP (My one person) SIO,006 X.C,U Coverage PERSONAL a ADV INJURY S2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 PRO ❑X LOO POLICY O- PRODUCTS-COMPIOP AGG $4,000,000 OTHER, A AUTOMOBILEWBILITY CA 5101755 10/01/2014 10/01/2015 COMBINED SINGLE LIMIT E. 0�110 $1,000,000 BODILY INJURY (Per Person) X ANY AUTO BODILY INJURY (Per acbden) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS H NON -OWNED AUTOS PROPERTY DAMAGE PeraoGdent UMBRELLA LIAB OLCUR EACH OCCURRENCE AGGREGATE EXCESS LIM CIAIMSMADE DED RETENTION B B B B ORKE SCOMPENSA ION MID WORKERS YIN ANY PROPRIETOR I PARTNER I E CVUVE OFF ICERIMEMBEREXCLUMDi [flNIA (Maaaamry is NH) Use, desmbe under DESCRIPTION OF OPERATIONS below WCO28328161 wc028328165 WCO28328166 WCO28328167 10/01 2014 10/01/2014 30/Ol/2014 10/01/2014 10/01/2015 10/01/2015 10/Ol/201$L 10/01/2015 X SPER ITATUTE OTH EEACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidorel Rorarks Schedule, may Ee aN.cNed N more space is required) city of Fort Collins, Engineer, Engineer's Consultants and their respective officers, employees and Burlington Northern Santa Fe Railroad (BNSF) are included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General Liability policy. Contractual Liability is included under the General Liability policy where required by written contract. A Waiver of Subrogation is granted in favor of Additional Insured as required by written contract but limited to the operations of the insured under said contract, with respect to the General Liability property. Stop Gap Coverage for the following states: ON, WA, W. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort 215 Mason St. Collins 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 74 Z�