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Home My WebLink About100022 AECOM - INSURANCE CERTIFICATEAC�R�® CERTIFICATE OF LIABILITY INSURANCE Do /21/22oN owl 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, thepolicy(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: LasAngeles.CertRequest@Marsh.Com CN101348564-STND-GAUE-20.21 12 04 2019 CONTACT NAME: PHONE FAX Alc No E-MAIL . ADDRESS: : INSURE S AFFORDING COVERAGE NAIC # INSURER A: ACE American insurance Company 22667 INSURED AECOM URS Corporation INSURERS :.WA. WA INSURER C.:.IUIIIOIS Union Insurance CO 279M INsuRER D :.SEE ACORD 101 600 Montgomery Street, 26th Floor San Francisco, CA 94111 INSURER E INSURER E: nnIse Ar_cc PCOTICICATC MIIMIOCO• I OS-002152323-26 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. ILTR LTA TYPE OF INSURANCE DD 4so UBR POLICY NUMBER MM OYM'YY. MM0)D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG7123MIA 04/0112020 04/01/2021 EACH OCCURRENCE $ 2,060,000 CLAIMS -MADE � OCCUR DAMAGE TO NTED PREMISES (Eaoccurrence)$ 1,000,000 MED EXP (Any one Person) $ 5,000 PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ 2,000,000 PRODUCTS-.COMPIOP AGG.. $ 2,00.0,000 X POLICY1:1 PRO ❑ LOC JECT OTHER: AUTOMOBILE -LIABILITY - -- - COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per-aodtlent $ UMBRELLA IAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED .RETENTION$ $ D NIDRKERSCOMPENSATION AND EMPLOYERS LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) .NIA SEE ACORD 101 _ X STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE -EA EMPLOYEE $ 2,000,OOD E.L. DISEASE.-. POLICY -LIMIT- $. 2,000,000 rc yes, describe under DESCRIPTION OF OPERATIONS below C ARCHITECTS 8 ENG. EON G21654693 005 04101/2020 Per Cla mlAgg 1,000,000 PROFESSIONAL UAB. 'CLAIMS MADE' !04/01!12021 Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is required) Re: Right -of -Way Contractor's License. The City of Fort Collins is included as an Additional Insured against any liability arising out of the Ownership, Maintenance or use of that part of the area pertaining to the Right - of Way. Primary Insurance: It is agreed that such insurance afforded by this policy(ies) is Primary and Non -Contributory with the insurance maintained by the Additional Insured but only with resped to the work performed by the Named Insured. City of Fort Collins 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. Risk & Insurance Services James L. Vogel <=zax- W—= -- ACORD 25 (2016103) ACORD The ACORD name and logo are registered marks of ACORD reserved. AGENCY CUSTOMER ID: CN101348564 LOC #: Los Angeles ACO d ADDITIONAL REMARKS SCHEDULE Page 2 of .2, AGENCY NAMEDINSURED Marsh Risk & Insurance Services AECOM URS Corporation 600 Montgomery Street, 26th. Floor POLICY NUMBER San Francisco, CA 94111 CARRIER "C CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employer Liability Cont. Policy Number Insurer States Covered WLR C6692340A Indemnity Insurance Company of North America - NAIC N 43575 AOS WLR C66923320 ACE American Insurance Company - NAIC If 22667 CA, AZ, MA SCF C66923368 ACE American Insurance Company - NAIC ft 22667 WI Retro Waiver of Subrogation is applicable where required by written contract with respect to WC. If the insurer for the Workers Compensation policy cancels its policy for any reason other than for non-payment of premium, the insurer vri0 provide 30 days notice of cancellation to those Certificate Holders that require it by written contract. L The ACORD name and logo are registered marks of ACORD reserved.