Loading...
HomeMy WebLinkAbout490561 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATE (3)ACCiKL?� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 06/06/2019 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(les) 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 633 W. Fifth Street CONTACT NAME: PHONE FAX NC No:1-212-948-1306 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC t INSURERA: ACE AMER INS CO 22667 Los Angeles, CA 90071 ----------------------- - INSURED INSURER B : CH2M HILL ENGINEERS, INC. INSURER C : INSURER D: 9191 South Jamaica Street INSURER E : INSURERF: Englewood, CO 80112-5946 COVERAGES CERTIFICATE NUMBER: 56368845 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. INISRP LTR LTR OF INSURANCE ADDLTYPE INSD WVO SUER POLICY NUMBER MMIDDPOLICY EFF LC MMIDD IXP LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G71565129 07/01/19 07/01/20 EACH OCCURRENCE $ 7,000,000 CLAIMS -MADE IJ OCCUR _ DAMAGE � occu D PREMISES Es occurrence $ 500, 000 X MED EXP (Any one person) $ 5,000 CONTRACTUAL LIABILITY PERSONAL SADVINJURY $ 7,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10, 000, 000 X POLICY JECOT- LOC PRODUCTS - COMP/OP AGG S 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) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Par accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A A A AND EMPLOYERS'LIABILITY AND EMPSYERS'LSATIONILIT ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUI a (Mandatory In NH) NIA SCF C65892327 (WI) NCUC65892285 (AR,LA,OH,T WLR C65892248 (AOS) 07/01/19 OT/O1/l9 07/01/19 07/01/20 07/01/20 07/O1/20 X STATUTE ERH 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 AGG 2,000,000 "CLAIMS MADE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Gretchen Sage. Re: Contract# 8497; On -Call for RFP 8497 Stormwater Consulting Engineering Services . The City its officers, agents and employees are 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: AR, 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.* UANL;LLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City 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 56368845 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5 0 kn 10 N N z L:1