HomeMy WebLinkAbout466828 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (3)®
ACCORD CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
03/18/2019
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 pc icy(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
Marsh Risk & Insurance Services
CA License #0437153
633 W. Fifth Street, Suite 1200
Los Angeles, CA 90071
Attn: LosAngeles.CertRequest@Marsh.Com
CN101348564-STND-GAUL-19-20 Fort C GLALP 03 2020
CONTACT
NAME: _
— - _ FAX
PHONE
A/C No E • IAIC, No):
E-MAIL
ADDRESS:
INSURER S AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Company
22667
INSURED
AECOM Technical Services Inc.
1601 Prospect Parkway
INSURER B : N/A
N/A
INSURER C: AIG Specialty Insurance Company
26883
INSURER D : SEE ACORD 101
Fort Collins, CO 80525
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-002123530-17 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
HDOG71234137
04/01/2019
04/01/2020
EACH OCCURRENCE
$ 1,000,000
'nce
CLAIMS -MADE I J OCCUR
PREMISES Ea occur e
$ 1,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 1,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
X
POLICY ❑ PRO ❑ LOC
JECT
OTHER:
A
AUTOMOBILE LIABILITY
ISA H25280532
04/01/2019
04/01/2020
COEa aMBccident) INED SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
L
PROPERTY DAMAGE
Per accident
$
$
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LAB
CLAIMS -MADE
_
DED RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED? �
(Mandatory in NH)
NIA
SEE ACORD 101
0410112020
X STATUTE ERH
E.L. EACH ACCIDENT
$ 2,000,000
_
E.L DISEASE -EA EMPLOYEE
$ 2,000,000
E.L DISEASE -POLICY LIMIT
2,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
CONTRACTORS
CPL 1814870
04/01/2019
04/01/2020
Per Loss/ Aggregate
4,000,000
POLLUTION LIABILITY
""'CLAIMS -MADE""'
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re. Professional Services Agreement between The City of Fort Collins, Colorado and AECOM Technical Services, Inc, RFP 8047 Environmental Services.
The City, its officers, agents and employees are named as additional insureds for GL & AL coverages, but only as respects work performed by or on behalf of the named insured. This insurance is primary and non-
contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to the GL & AL coverages,
GERTIFIGAIE HULUEK 11AM"I' IJi I IVIY
The City of Fort Collins, Colorado
P.O. Box 580
Fort Collins, CO 80522
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
U 1 ytlti--LUl6 AGUKU t.UKrUKA 1 IUIV. All rlguiLs reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD