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HomeMy WebLinkAbout490561 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATE (2)ie ACORO CERTIFICATE OF LIABILITY INSURANCE 1114� OrYY DATE 06/0 M/20019 Y) 06/06/2019 r - 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 LIC #0437153 1-212-948-1306 Marsh Risk & Insurance Services CIRTS_Support@jacobs.com CONTACT NAME: _ PHONE0. FAX A/C No:1-212-948-1306 E-MAIL 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC• INSURERA: ACE AMER INS CO 22667 Los Angeles, CA 90071 INSURED INSURER a : CH2M HILL ENGINEERS, INC. INSURER C INSURERD: 9191 South Jamaica Street INSURER E : INSURERF: Englewood, CO 80112-5946 COVERAGES CERTIFICATE NUMBER: 56372571 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 OF INSURANCE ADDILTYPE INSD W POLICY NUMBER MWDDPOLICY EFF MWDD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G71565129 07/01/19 07/01/20 EACH OCCURRENCE $ 7,000,000 CLAIMS -MADE � OCCUR PREMISES(Ea occurrence $ 500,000 X MED EXP (Any one person) $ 5,000 CONTRACTUAL LIABILITY PERSONAL & ADV INJURY $ 7,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 10, 000, 000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 10,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISA H25295511 07/01/19 07/01/20 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ X1ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAO CLAIMS -MADE DIED RETENTION $ $ A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 (Mandatory In NH) NIA BCF C65892327 (WI) WCUC65892285 (AX,LA,OH,T $PLR C65892248 (AOS) 07/01/19 QT/Ol/19 07/01/19 07/01/20 07/01/20 07/01/20 PER X I STATUTE 'ER' E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY EON G21655065 010 07/01/19 07/01/20 PER CLAIM/PER AGO 2,000,000 "CLAIMS MADE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It mom space is required) LOCATION: Englewood, CO. PROJECT MGR: Al Pat;uet. CONTRACT ADMINISTRATOR: Gretchen Sage. RE: ON -CALL FOR RFP 7575 CONSULTING ENGINEERING SERVICES WTP FACILITY DESIGN AND CONSTRUCTION SERVICES FOR CAPITAL IMPROVEMENTS. THE CITY ITS OFFICERS, AGENTS AND EMPLOYEES IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. *$2,250,000 SIR for states of: LA, OH, TX. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OF FORT COLLINS, COLORADO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPARTMENT P.O. BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522 USA ACORD 25 (2016/03) Cert_Renewal 56372571 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD