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466828 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE
DATE (MMIDD/YYYY) AC"RO> CERTIFICATE OF LIABILITY INSURANCE � 0311812019 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 CONTACTNAMEJames Vogel Marsh Risk & Insurance Services - -- CA License0437153 PHONE ) 213-346-5098 FAX No : 212-948-0533 633 W. Fifth Street, Suite 1200 E-MAIL James.l.vogel@marsh.com Los Angeles, CA 90071 ADDRESS: Attn: LosAngeles.CertRequest@Marsh Com _ INSURERS AFFORDING COVERAGE NAIC # CN101348564-PROJ-GAUE-19-20 Denver CO 04 2019 INSURER A: ACE American Insurance Company 22667 INSURED AECOM INSURER B : N/A N/A AECOM Technical Services, Inc. INSURER C : NIA N/A EDAW, Inc. INSURER D : SEE ACORD 101 71717th Street, Suite 2600 Denver, CO 80202 INSURER E : COVERAGES CERTIFICATE NUMBER: LOS-002106366-51 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. INSIR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDD.YY MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G71234137 04/01/2019 04/01/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR _ DAMAGE TO RETED PREMISES (Ea oN urrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY jEO- D LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISA H25280532 04/01/2019 04/01/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) N/A SEE ACORD 101 04/01/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 — E.L. DISEASE -EA EMPLOYEE --- $ 2,000,000 If yes, describe under OF OPERATIONS below E.L DISEASE -POLICY LIMIT 2,000,000DESCRIPTION $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Mason Project. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR OP BEHALF OF THE NAMED INSURED. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 l.AN%,r_LLA I IUIV 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 James L. Vogel ���-`�--- ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD