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HomeMy WebLinkAbout453542 AECOM TECHINCAL SERVICES INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE (YYYY) o3ns12020rzo2o THE CERTIFICATE HOLDER. TS THIS CERTIFICATE IS ISSUED AS A MATTER OF -INFORMATION ONLY AND CONFERS NO RIGHTS UPON 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 poligy(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 endorsements).. - PRODUCER Marsh Risk & Insurance Services CA License f10437153 633 W. Fifth Street, Suite 1200 Los Angeles, CA 90071 Attn: LosAngeles CertRequest@Marsh.Com CNI01348564-PR_ 0_J-GAUE-2.0-21 DENVE CO 04 2019 C NTACT JamesVogel NAME: 3 A/C No PHONE Y13 y5098 FAX 21t22667 M RE : James.h ogel@malsh.com INSURE S AFFORDING COVERAGE NAIC p INSURER A: ACE American Insurance an - INSURED AECOM TECHNICAL SERVICES, INC. 71717TH STREET, SUITE 2600 INSURER B :.NIA WA INSURER C :NIA WA INSURER D : SEE ACORD 101 DENVER CO 80202 INSURER E :. INSURER F : GVvtKAUilto a. Ilvlvm I�.---___.- 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 L - .. .-. --.. TYPE OF INSURANCE ADDL SU R _ POLICYNUMBER POLICY EFF MMIDD POLICY EXP MM/DD .:... - LIMITS A A X COMMERCIAL GENERAL LIABILITY • CLAIMS -MADE Fx-1 OCCUR X X I HDOG7123311A ISAH25301730 0410112020 001112020 04/0112021 04101/2021 EACH OCCURRENCE $. .000,000 DAMAGE TO RENTED PREMISES lEa occurrence $ 1,00000 MED EXP (Any one Person $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Efl JECOT� LOC OTHER: nuroMoBILELIABartr X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY -AUTOS ONLY PRODUCTS-COMP/OP AGG $ 1,000,000 EaemaeDLs(HGLELIMIT $ 1,000,000 BODILY INJURY (Par Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ D UEIBRELIA IJAB CEO LIAa OCCUR CLAIMS -MADE NIA SEE ACORD 101 EACH OCCURRENCE $ AGGREGATE $ _$ X STATUTE ER DED. RETENTION $ WORKERS COMPENSATION. AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVER E OFFICERIMEMBEXCLUDED? (Mandatary in NH) N yes, desvibe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYE $ 2,000,000 E.L. DISEASE. -.POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 1a1, Additional Remarks Schedule, may be anachad M more apace b reryulred) RE: 7392 CIVIL ENGINEERING, DESIGN, DRAFTING & SURVEY SERVICES ON -CALL AGREEMENT 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 01 BEHALF OF THE NAMED INSURED. City of Fort Colin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: John Stephen - Senior Buyer THE EXPIRATION DATE THEREOF, NOTICE MLL BE DELIVERED IN P.O. Box 280 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 86524 James L. Vogel rights ACORD 25 (1016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 LOC #: Los Angeles Deco d ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM TECHNICAL SERVICES; INC. 71717TH STREET, SUITE 2600 DENVER, CO 80202 POLICY NUMBER CARRIER - NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS 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 06692340A Indemnity Insurance Company of North America - NAIC If 43575 ADS WLR C66923320 ACE American Insurance Company - NAIC # 22667 CA, AZ, MA SCF C66923368 ACE American Insurance Company - NAIC # 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 will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract _ ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and -logo are registered marks of ACORD