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HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (15)® CERTIFICATE OF LIABILITY INSURANCE DATE YYYY) 031192015 /2015 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 CA License #0437153 IA1C.NNo. Exti: AA:1FAXNo): 777 South Fgueroa Street E-MAIL Los Angeles, CA 90017 ADDRE : Attn.LosAngeles.CertRequest@Marsh.Com INSURE SAFFORDINGCOVERAGE NAICE INSURER A, Zurich American Insurance Company 16535 06510-AECOM01-15-16 DENVE CO ADWA 83114 INSURED AECOM TECHNICAL SERVICES, INC. INSURER B : WA WA INSURER C : WA WA 71717TH STREET, SUITE 2600 DENVER,CO 80202 INSURER D INSURER E : INSURER F COVERAGES CERTIFICATE N"MRFR- 100-0015144q'1-15 RFVISInN NI IMRFR- 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 SU POLICY NUMBER POLICY EFF M M/DD/YYV POLICY EXP MMIDDM/YY LIMITS A GENERAL LIAMUTY X GLO 596589107 04/01/2015 04101/2016 EACH OCCURRENCE $ 1,000,0W X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 71OCCUR MA DAMAGE ARENcu PREMISES Ea occurrence) $ 1 000 000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY X PRO- LOC $ A AUTOMOBILE LIABILITY X BAP 5965893 07 M01/2015 04/01/2016 COMBINED SINGLE LIMIT Ea ccigentj_ 1 X1HIRED $ ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS (Per accident) ) BODILY INJURY (Ptl $ NON -OWNED AUTOS AUTOS ar PPROPPEER ccKleml DAMAGE $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ AGGREGATE It EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEMPLOYf4 $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) RE: 7392 CIVIL ENGINEERING, DESIGN, DRAFTING & SURVEY SERVICES ON -CALL AGREEMENT THE CITY OF FORT COLUNS, 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. v_, . , „ ,vim , I , I 1 V n 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 /Jfif�iK�IA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD