Loading...
HomeMy WebLinkAbout453542 AECOM - INSURANCE CERTIFICATE (4)a A�/R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDIYYYY) 03/21/2020 THIS CERTIFICATE IS ISSUED AS A MATTER 60 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(fes) 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 end orsemen s .. - PRODUCER CONTACT NAME: Marst Risk & Insurance Services PHONE FAX CA License #0437153 A/CNo E-MAIL ADDRESS: 633 W. Fifth Street, Suite 1200 Los Angeles, CA 90071 Attn: LosAngeles.CertRequest@Marsh.Com INSURFRISI AFFORDING COVERAGE NAIC d INSURER A: ACE American Insurance Company 22667 CN101348564STND-GAUE-20-21 02 2023 INSURED. INSURER B : WA N/A AECOM AECOM Technical Services Inc. INSURER C : Illinois Union Insurance Co. 279so INSURER D : SEE ACORD-101 1601 Prospect Parkway Fort Collins, CO 80525 INSURER E INSURER F ^=nn 10K^AT WINUIMMO• Il1.Gfln'l:1Ki111M11K KFVINIUN Nl1MtlGK_ 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 HAVEBEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE AD L vmn UBR POLICY NUMBER MNNDYIYYYY MMDDAMY LIMITS A X COMMERCIALGENERALLUI'&UTY HDOG7123311A 04/0112020 04/0112021 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL d ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY ❑ PRO ❑ LOC JECT OTHER: A AUTOMOBILE LIABILITY ISA H25301730 04/01/2020 04/01/2021 Ee aBBIINEEDntSINGLE LIMIT g 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 LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ D WORKERS COMPENSATION. _ _ SEE ACORD 101 120 1 X STATUTE ERH E.L. EACH ACCIDENT $ 1 OD,000 AND EMPLOYERS LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in NHS if yyes, dascnbe under OESCRIPTION OF OPERATIONS bebw NIA - E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DtSFASE -POLICY LIMIT $ 500,000 C ARCHITECTS 8 ENG. EON G21654693 005 04/01/2020 04/01/2021 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 U more space Is required) Re: Professional Services Agreement - General Environmental Services The City of Fort Collins, its officers, agents and employees are named as additional insured for GL 8 AL coverages, but only as respects work performed by or on behalf of the named insured and where required by written contract. City of Fort Collins Attn: Pal Johnson, CPPB, Senior Buyer 215 N. Mason Street, 2nd Floor Fort Collins, CO 80521 SHOULD ANY OF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REF of Marsh Risk 81 James L. Vogel1vfr. ACORD 25'(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 _ LOC #: Los Angeles A4 R 16. . _ ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAKED INSURED Marsh Risk 8 Insurance Services AECOM - AECOM Technical Services Inc. 1601 Prospect Parkway POUCY NUMBER Fort Collins, CO 80525 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers CompensaboNEmployer Liability cant. Policy Number Insurer States Covered WLR C6692340A Indemnity Insurance Company of North America - NAIC # 43575 AOS WLR C66923320 ACE American Insurance Company - NAIC # 22667 CA, AZ, MA SCF C66923368 ACE American Insurance Company - NAIC # 22667 WI Retro ACORD 101 (2008101) The ACORD name and logo are registered marks of ACORD riahts