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HomeMy WebLinkAbout102541 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATE (2)P52W102M2 ACOR& CERTIFICATE OF LIABILITY INSURANCE 06 2 /20220"7 THIS CERTIFICATEIS 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(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 Ileu of such andorseme s . PRODUCER LIC #04371S3 1-212=948-1306 Marsh Risk a Insurance Services CIRTS-Aupport0jacobs.c001 633 N. Fifth Street LOB Angeles, CA 90071 CNONTE•. PHONE Ben.PAX No): 1-212-946-1306 E4MAIL - - ADDRESS: INSURERS AFFORDING COVERAGE NAIC0 INSURERA: ACE A11ER INS CO 22667 INSURED CH2M HILL ETa3II;lzER8, INC. 9191 South Jamaica Street Englewood, CO 80112-5946 .INSURER B: INSURER C INSURER D: INSURER E: INSURERF• ---- - CflVFRAr:GS THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE :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. ILA TYPE OF IN POLICY NUtleER POLICY EFF fmumDrfyyln PoLN:I'.EXP - LIMffB A X COMMERCIALOENERALLIABILRY HMO G71452694 07/01/20 07/Ol/21 EACH OCCURRENCE f 1,000,000 CLAIMS -MADE a OCCUR DAMAGE TO MENTED PREMISSSIF,min f 500,000 X MEDF-XP (Any one anon f 5,000 CONTRACTUAL, LIABILITY PERSONAL 4ADV INJURY f 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 1,000,000 PRODUCTS-COMP/OPAGG f 1,000,000 g POLICY1:1 ECT LW f OTHER: A AUTOtlOORUUABILnY ISA 325307306 07/01/10 07/01/21 COMBINED SINGLE LIMIT woldenD f -Me 000; 000 BODILY INJURY(Per pemmn) f g ANY AUTO BODILY INJU0f1PwamMem) f OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Mar sooldW) f f UMBRELLAUAB OCCUR EACH OCCURRENCE f AGGREGATE S EXCESS LAB CLAIMS -MADE DED I I RETENTIONS f A A A WORKERS COMPENSATION AND EMPLOYERS' LUDJLLRY ANYPROPRIETORIPARTNERSXECUTNE a OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) MIA TPCO C67460340 (OHIO Daly SCF C67460388 (NI) WLR C67460303 (AOS) a7/Ol/20 07/01/20 07/01/20 07/Ol/21 07/01/11 07/O1/21 X PER ERH. EL EACH ACCIDENT S 100,000 E.L. DISEASE - EA EMPLOYEE f 100,000 E.L. DISEASE -POLICY LIMIT f 500, 000 If ye0. describe under DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY EON 021655065 011 - 07/01/20 07/01/21 PER CLAIM/PER AGG 1,000,000 -CLAIMS MApE. AGGREGATE DEFENSE IACLUM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addbbnal Remene SdWulk nay be aasohed N mm epees Is requbed) PROJECT MGR: Brad Schutt. CONTRACT MGR: Gretchen Sage. RE: IntercounectiOn Modeling Project/Professional Services Agreement. CONTRACT ffi® DATE: 6/11/2020. SECTOR:. Public. •$2,000,000 SIR FOR STATE OFt OHIO. City of Fort Collins, its officers, agents and employees are added as an additional insured for general liability 6 auto liability respects the negligence of the insured in the performance of insured-s services to cert holder under contract for captioned work. •TSE TERMS, CONDITIONS, AND LIMITS PROVIDED MMER THIS CERTIFICATE OF INSUFMM WILL NOT EECMW OR BROADEN IN ANr wAy Tea TERMS, COtIDITIONS, AND LIMITS AGREED TO WIDER THE APPLICABLE CONTRACT.* of Fort Collins, Colorado BOX sea Collins, CO SOS22 USA 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 01988.2015 ACORD CORPORATION. All rights reserved. 7 as ACORD 25 (2616103) The ACORD name and logo are registered marks of ACORD Cert_Renemal 59587774