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HomeMy WebLinkAbout102541 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATEPSjWM1jtlIM1$ ACOR& CERTIFICATE OF LIABILITY INSURANCEDATE 06/2 /202YYY) 6/2saoao 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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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.11eu of such.endorsement(s). PRODUCER LIC A0437153 1-212-948-1306 Marsh Risk a insurance Services CIRT9_SupportGjacobs.c= 633 W. Fifth StreetADDRESS: CONTACT - PHONE FAX. Noel-212-948-1306 MAIL INSURERS AFFORDING COVERAGE RAIC0 INSURER A: ACE AMER INS CO 22667 Los Angeles, CA 90071 INSURED CMM HILT, ENGINEERS, INC. INSURER B : INSURER C :. INSURER O: 9191 South Jamaica Street .INSURER E : INSURER F: -Englewood, CO 60112-5946 CrTVGDarOP9 rDDT19ICATG u11aaDGD• 595133151 DNIQV1u ulluncD. 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 im _ TYPE OF a1S11RANCE POLICY NUMBER POLICY EFF POLICY EIP LIMITS A X COMMERCUILOENERALLIABILRY BDO 071452694 07/01/20 07/01/21 EACH OCCURRENCE 5.1,000,000 CLAIMS -MADE OCCUR EMISES E c u nce $ 500,0 00 X MEDEXP (Any one arson $ 5.000 CONTRACTUAL LIABILITY PERSONAL B ADV INJURY t 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 11000,000 8: POLICY ❑ JECT 0LOC PRODUCTS-COMP/OP AGG $ 1,000,000 $ OTHER: A A_UTOMOBILELIABnrtY ISA H25307306 07/01/20 07/01/21 COMBINED SINGLE U I Me acddeM S 1,000,000 BODILY INJURY(Per penon) $ _ X ANYAUTO— -- - -- _ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Pereccidem) - - 6 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Pw amide M $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE i LFXOE89 CLAIMS -MADE DED. RETENTION $ A A A WORKERS COMPENSATNIN. - AND EMPLOYER$' LIABILITY YIN ANYPROPRIETOPJPARTNERIERECUTNE OFICERIMEMaEREXCLUDED7 (MaMaDory In NH) NIA - WCU C67460340 JOHIO Only BW C67460388 (WI) WLR C67460303 (ADS) e7/01/20 07/01/20 07/61/20 07/01/21 67/01/21 07/O1/21 g PER 07 - A TE ER E.L. EACH ACCIDENT S 100,000 EL DISEASE - EA EMPLOYEE $ 100,000 _ -- If' desalbe ulldm DESCRIPTION OF OPERATIONS below- . E.L. DISEASE - POUCY LIMIT $ 500,060 A PROFESSIONAL LIABILITY - R N G21655065 011 07/01/20 07/01/21 PER CLAIM/PRR AGG 1,000,000 eCLAINE NAUB* AGGREGATE DEFENSE INCLUDED DESCRIPTION OF UPS RATIONS I LOCATIONS I VEHICLE8 (ACORD 10/,_AddlBonal Ramama 6ahadule, may be aeached N mm apace Is nqubed) PROJECT NO: Al Paquet. CONTRACT NOR: Gretchen Sage. REt 8737 Environmental Services for Salligan Water Supply Project. CONTRACT ENO DATE: 6/25/2021. SECTOR: Public. *1112,000,000 SIR FOR STATE OF: OHIO. City of Fort Collins, Colorado, its officers, agents and employees are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured•a Services to cert holder under Contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT E%CBED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT. - of Fort Collins, Colorado P.O. Box 580 Collins, CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2015 ACORD CORPORATION. All rlahts reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Cert_Renewal 59583151