HomeMy WebLinkAbout466828 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (6)�1 ®
A` "R" CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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 terns and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not conter rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Marsh Risk & Insurance Services
CA License #t0437153
633 W. Fifth Street, Suite 1200
Los Angeles, CA 90071
Attn: LosAngeles.CeitRequest@Marsh.Com
CN101348564-PROJ-GAUE-19-20 FortCo CO 04 2019
CONTACT James Vogel
NAME:
PHONE FAX
213 346-5098 (A/c. No): 212-948 0533
E-MAIL ADDRESS., James.LVogel@mafsh.Com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Company
22667
_ _
INSURED
AECOM
AECOM Technical Services, Inc.
INSURER B : N/A
N/A
---
INSURER C : Illinois Union Insurance Co
27960
INSURER D : SEE ACORD 101
EDAW, INC.
240 E. Mountain Avenue
Fort Collins, CO 80524
INSURER E :
_
INSURER F :
rnw=0AnPQ CERTIFICATE NUMRFR- LOS-002106526-87 REVISION NUMBER:
vTHIS 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.
IFNSRADDL
LTR
TYPE OF INSURANCE
SUBR
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
CLAIMS -MADE XI OCCUR
DAMAGE RENTED
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 - COMP/OP AGG
$ 2,000,000
POLICY JE� LOC
OTHER:
A
AUTOMOBILE LIABILITY
ISA H25280532
04/01/2019
04/01/2020
CEO MB�INdEeDLSINGLE 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
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
D
WORKERS COMPENSATION
SEE ACORD 101
04I01/2020
H
X STATUTE ER
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRI ETORIPARTNE R/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
E.L. EACH ACCIDENT
$ 2,000,000
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
E.L. DISEASE -POLICY LIMIT
$ 2,000,000
C
ARCHITECTS & ENG.
EON G21654693 005
04101/2019
04/01;2020
Per Claim/Agg
$1,000,000
PROFESSIONAL LIAB.
""CLAIMS MADE""
Defense Included
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: PROJECT ##4F002.01 I GimRDENS ON SPRING CREEK CHILDREN'S GARDEN
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SEE ATTACHED WAIVER OF SUBROGATION
ENDORSEMENT.
GEK 1 IF IGA It r1VLUtK vnwv���r+r w•
CITY OF FORT COLLINS
ATTN: JAMES B. O'NEILL II
DIRECTOR OF PURCHASING RISK MGMT.
P.O. BOX 580
FORT COLLINS, CO 80522-0580
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
V 7`Ji1tf-LU70 AI.VKu l.Vr[rvRAtIV 1Y. Tau nyrrw reaer ve:u.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD