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HomeMy WebLinkAbout453542 AECOM - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE a3/zoao020D ' 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 ofr 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 corder lights to the certificate holder In lieu of such endoreeme s ., PRODUCER Mar$h Risk & hnsw ante Services CA License#0437153 633 W. Fifth Street Sub 1200 Los Angeles, CA 90071 Attn:LosAngeles.certrequesl@marsh.00m CN101348564-LOG_GAUE-20-21 05 2019 CONTACT NAME: PRONE FAX /uc No E-MAIL IL INSU SAFFORDINGCOVERAGE NAICO INSURER A: ACE American Insurance Company 22667 INSURED AECOM 6200 S. Quebec Street INSURER B : WA NIA INSURER C : Illinois Union Insurance Co. 27 960 INSURERo: SEE ACORD 101 Greenwood Vibe, CO 80111 INSURER E : INSURER F : ^e MirA� UI ruoeo. t nUevrr.+!,ura:r Nrvrsr JN NUIInNInK! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR 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. ILTRR TYPE OF INSURANCE _ Aw"BR PDUCYNUMBER POUCY EFF MMM POLICY EXP- MMIDD LIMITS — A X COMMERCIAL GENERALUABILITY X HDOG7123311A 0410112020 04/0112021 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx-1 OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one $ 5'000 PERSONAL & ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 000 $ Z'' PRODUCTS -COMP/OP AGG $ z,000,000 POLICY1:1 JECT LOC OTHER: - A AUTOk10BILELIABILnY X-- - - ISAH25301730 04/01/2020 04/0112021 EMBBIINEEDDSINGLE LIMIT $ f,000,0M BODLLY INJURY (Per person) $ X ANY AUTO 86DLLY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLAWIB OCCUR EACH OCCURRENCE $ AGGREGATE - $ EXCESSLWe CLAIMS -MADE DED I I RETENTIONS $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBEREXCLUDED'1 (Mandatory In NH) Da ECRdIP'TION OF OPERATIONS betrnv NIA SEE 'ACORD 101 . _.. X PEA ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYE $ 2 000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 C ARCHITECTS & ENG. EON G21654693 005 04/01/2020 04/01/2021 Per With/ Aggregate 1,000,000 PROFESSIONAL LIAR. —CLAIMS MADE— DEFENSE INCLUDED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 001. Addalonal Remarks Schedule, may be attached N more space larequkea) Re: 8475 Civil - City of Fort Collins The City of Fort Collins, its officers, agents, and employees are named as additional insured for GL & AL coverages, but only as respects work perfonlied.by or on behalf of the named insured and where requiresd by written contract. The City of Fort Collins Purchasing Deparlmlerd PO Box 580 Fat 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. of Marsh Risk & Insurance Services James L. Vogel �{1 •r. ACORD CORPORATION. All ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 LOG #: Los Angeles .ACORUe ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY - - Marsh Risk 6 Insurance Services NAMED INSURED AECOM- 6200 S. Quebec Street Greenwood Village, CO 60111 POLICY NUMBER CARRIER NAIC CODE EFFECTNE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employer Liability cunt. 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 Retm Waiver of Subrogation is applicable where required by wdtten 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 b those Certificate Holders that require it by written contract. r��.�:�.z rrj rrrrrrF:fvj n © 2008 ACORD The ACORD name and logo are registered marks of ACORD