HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (13)AFRO® CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDYVYY)
03r1912015
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
PHONE AX
CA License #0437153
_ (A/C No :
777 South Figueroa Street
E-MAIL
Los Angeles, CA 90017
-ADDRESS:
Attn: LosArgeles.CertRequest@Marsh.Com
INSURE S AFFORDING COVERAGE
NAIC N
INSURER A : Zurich American Insurance Company
16535
06510-AECOMUt-15.16 ForlCo CO WS
INSURED
N/A
WA
AECDM Technical Services, Inc.
-INSURERS:
INSURER C : Illinois Union Insurance Co
27960
EDAW, INC.
INSURER D
240 E. MOUNTAIN AVENUE
FORT COLLINS. CO 80524
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-001495847-64 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.
INSRPOLICY
LTR
TYPE OF INSURANCE
AODL
Im
UBR
POLICY NUMBER
EFF
1MMDDIYYYY
POLICY EXP
D
MM DIYYYY
LIMITS
A
GENERAL LIABILITY
GLO 596589107
04101/2015
04/01/2016
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGEi0 RENTED
PREMISES Ea occurrence)$
1'�'�
CLAIMS -MADE a OCCUR
MED EXP one person
$ 5,000
PERSONAL & ADV INJURY
$ 1,W0,000
GENERAL AGGREGATE
$ 2,000,000
PER.
GENT AGGREGATE LIMIT APPLCT
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
FIES
POLICY X PERLOC
A
AUTOMOBILE
LIABILITY
BAP 5965893 07
04/01/2015
04101/2016
COMBINED SINGLE LIMIT
Ea accident
1000 000
X1HIRED
BODILY INJURY (Par person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
PROPERTYDAMAGE
Per accident
$
NON -OWNED
AUTOS AUTOS
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
Id
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DIED I I RETENTION$
$
WORKERS COMPENSATION
WCSTATU- OTH-
FIR
AND EMPLOYERS'LIABILITY YINI
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? NI
NIA
E.L. EACH ACCIDENT
$
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYE
$
n yes, describe urW
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT 1
$
C
ARCHITECTS 8 ENG,
EON G21654693
10/08/2014
04/0112016
Per Claim/Agg $1,000,000
PROFESSIONAL LIAR.
""CLAIMS MADE"
Defense Included
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
RE: PROJECT #4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SEE ATTACHED WAIVER OF SUBROGATION
ENDORSEMENT.
CITY OF FORT COLLINS
ATTN: JAMES B. O'NEILL II
DIRECTOR OF PURCHASING RISK MGMT.
P.O. BOX 580
FORT COLLINS, CO 80522-0580
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
9)1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD