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Home My WebLink About453542 AECOM - INSURANCE CERTIFICATE (6)A�®R� CERTIFICATE OF LIABILITY INSURANCE F—�A311002l20 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 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 #0437153 CONTACT James Vogel PHONE0. 213.346.5098 FAX No : 212-94HO3 eoUDLtJRL ss; James.l.vogel(a)ma sh ...corn 633 W. Filth Street Suite 1200 Los Angeles, CA 9W71 Ab:LosAngeles.CertRequest@Marsh.Com INSURER(S) AFFORDING COVERAGE NAICO INSURER A: ACE American Insurance Company 22667 CN101348%4-PROJ-GAUE-20.21 FortCo CO 04 2019 INSAECOM INSURER B: WA WA INSURER C : Illinois Union insurance Cc 27960 AECOM Technical Services, Inc. INSURER D::SEEACORD.101 EDAW, INC. 240 E. Maintain Avenue Fort Collins, CO 80524 INSURER E :. -INSURER F.: COVERAGES CERTIFICATE NUMBER: LOS-002106526-89 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. INSR LTR TYPE OF ADDL UBR POLICY.NUMBER. - .POLICY EFF MMK)DIYYYY .POLICY EXP MMIDD _LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG7123311A 04/01/202.0 04/01/2021 EACH OCCURRENCE $ 1,000,OW CLAIMS -MADE 7 OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP (Any oneperson) $ 5,000 PERSONAL &ADV INJURY $ 11000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY T CET LOC PRODUCTS - COMPIOP AGG $ 2,060,000 $ OTHER: A 46TOMOBILELUU3ILRY ISA H25301730 04/01/2020 04/01/2021 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED ONLY AUTOSD SCHEDULED AUTOS BODILY INJURY (Per ecdderrt) $ - PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LULe OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS I" CLAIMS -MADE DED I I RETENTION $ $ D WORKERSCOMPENSATION AND EMPLOYERS LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? a (Mandatory in NH) NIA SEEACORD101 1 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE -EA EMPLOYEE $ 2,600,000 B yes describe udder DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 C ARCHITECTS & ENG. EON G21654693 005 04/01/2020 00//2021 Per ClaiMAgg 1,000,060 PROFESSIONAL LIAR. "'CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VENX:LES (ACORD 101, Additional Remarks Schedule, may be attached 11 more apace In required) RE: PROJECT#4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SEE ATTACHED WAIVER OF SUBROGATION ENDORSEMENT. CITY OF FORT COLLINS ATTN: JAMES B. ONEILL II DIRECTOR OF PURCHASING RISK MGMT. P.O. BOX 580 FORT COLLINS, CO 8W22.0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services James L. Vogel All ACORD 25 (2015103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 LOC #: Los Angeles ACC d ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc. EDAW, INC. POLICY NUMBER 240 E. Mountain Avenue Fort Collins, CO 80524 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 Compensafion/Employer Liability cunt. Policy Number Insurer States Covered WLR C669234GA 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 Waiver of Subrogation is applicable where required by written contract with respect to W.C. 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. 120081011 ACORD The ACORD name and logo.are registered marks of ACORD reserved.