HomeMy WebLinkAbout466828 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (5)DATE (MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 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 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 CONTACT
NAME: _
Marsh Risk & Insurance Services FAX
CA License ##0437153 PHONE 1
633 W. Fifth Street, Suite 1200 E-MAIL
Los Angeles, CA 90071 ADDRESS: _—
Attn. LosAngeles.certrequest@marsh.com INSURERS AFFORDING COVERAGE NAIC #
CN101348564-LOC-GAUE-19-20 05 2019 INSURER A : ACE American Insurance Company 22667
INSURED INSURER B : N/A N/A
AECOM
6200 S. Quebec Street INSURER C : Illinois Union Insurance Co _ 27960
Greenwood Village, CO 80111 INSURER D : SEE ACORD 101
I INSURER F : I I
\rCMAL`CC r`CCTICIt'ATC d111MRFA• InS-(M?l 915W-l0 RFVlRIt7N NIIMRFR-
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
SUBR
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
X
HDOG71234137
04/01/2019
04/01/2020
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE lxl OCCUR
PREMISES Ea occurrence)
$ 1,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL& ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -
2,000,000
PRO
POLICY ❑JECT _LOC
OTHER
A
AUTOMOBILE LIABILITY
X
ISA H25280532
04/01/2019
04/0'1%2026
COMBINED SINGLE LIMIT
Ea accidence_
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY L AUTOS ONLY
PROPERTYDAMAGE
Per accident)
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DED RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
SEE ACORD 101
04/01/2020
X STATUTE EORH
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
ARCHITECTS & ENG.
EON G21654693 005
04/01/2019
04/01/2020
Per Claim/ Aggregate
$1,000,000
PROFESSIONAL LIAB
""'"CLAIMS MADE"""'
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: 8475 Civil - City of Fort Collins
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 on behalf of the named insured and where required by
written contract.
rE HOLDER
The City of Fort Collins
Purchasing Department
PO 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 19S8-ZU16 AGUKU GUKf'UKA I IUN. An rlgnis reserveO.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD