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HomeMy WebLinkAbout492167 TETRA TECH RMC INC - INSURANCE CERTIFICATE�1 ® A�RL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/30/2018 I 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Insurance Services West, Inc. Los Angeles CA Office CONTACT NAME: (AJC. No. Ext): (666) 283-7122 jac No ): (800) 363-0105 E-MAIL ADDRESS: 707 Wilshire Boulevard Suite 2600 INSURER(S) AFFORDING COVERAGE NAIC # Los Angeles CA 90017-0460 USA INSURED INSURER A: Lexington Insurance Company 19437 Tetra Tech RMC Inc. INSURER B: Zurich American Ins CO 16535 1560 N. Broadway, suite 1400 Denver CO 80202 USA INSURERC: AIG Europe Limited AA1120841 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570073371785 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 shown are as requested 1 TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD/YYYY MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY GLOl 1 EACH OCCURRENCE $2 , 000 , 000 CLAIMS -MADE OCCUR DAMA E T RENTED DAMAGE PREMISES Ea occurrence $1, 000 , 000 MED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY F�j PRO X❑ LOC JECT PRODUCTS - COMP/OP AGG $4,000,000 OTHER: B AUTOMOBILE LIABILITY BAP 1857085-00 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT Ea accident $2 , 000 , 000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTYDAMAGE Per accident C X UMBRELLA LIAB X OCCUR 62785232 10/01/2018 10/01/2019 EACH OCCURRENCE $5,000,000 AGGREGATE $ S , 000 , 000 EXCESS LAB CLAIMS -MADE DED I X I RETENTION$100, 000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNERIEXECUTIVE N wc254061600 wc185708700 10/01/2018 10/01/2018 10/01/2019 10/01/2019 X SPERTATUTE EORH E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below I I I i E.L. DISEASE -POLICY LIMIT $1, 000, 000 A Env Contr Prof 028182375 10/01/2017 10/01/2019 Each Claim $5,000,000 SIR applies per policy terins & condi ions Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Fort Collins is included as additional insured with respect to the General Liability policy where required by written contract. Insurance is Primary and Non -Contributory. A waiver of Subrogation is granted in favor of City of Fort Collins on the General Liability policy. see Attached endorsements. SStop Gap Coverage for the following states: OH, WA, WY. 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 Collins AUTHORIZED REPRESENTATIVE Attn: opal Dick P.O. Box 580 Ft. Collins CO 80522 USA�y c'GGGe/nOrGtttnCG c/Gt2�eX1 1'�C�c./�tG ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD