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HomeMy WebLinkAbout102541 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATE (4)P52 VM*2 :r ACOR& CERTIFICATE OF LIABILITY INSURANCE o6 5/2D° o" 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 endorsement e . PRODUCER LIC #0437133 1-212-948-1306 Marsh Risk a Insurance Services CIRTS_BuDPortgjacobe.CC®WC AT NAME: PHONE FAX 1-212-948-1306 No)'.Ea TAIL 633 W. Fifth Street ADDRESS: - INSURE S AFFORDING COVERAGE NAIC6 INSURERA: ACE AMEN INS CO 22667 LOB Angeles, CA 90071 INSURED INSURER B : CH2N HILL ENGINEERS, INC. IN9URERC: INSURERD: 9191 South Jamaica Street INSURERS: INSURER F: Englewood, CO 60112-5946 CnVFRARFLC CFRTIFICATF MIIMRFR• 5Y5Y14a4 RFVICInR RIIMRFR- _ 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 REOUIREMENT,_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. ILNSRm TYPE OF INSURANCE POUCYNUMBER MMUCYEFF POLICMMMD EXP LIMITS A X COMMERCALGENERALLIASUJIY EDO 071452694 07/01/20 07/01/21 EACH OCCURRENCE 5 7.000,000 CLAIMS-MAOE ri� OCCUR PREMITED Ee DAMAGETORFN rmnce $ 500,000 % MED EXP one n) S 5,000 CONTRACTUAL LIABILITY PERSONAL B ADV INJURY $ 7,000,000 GENL AGGREGATE OMIT APPLIES PER GENERAL AGGREGATE S 10,000,000 % POLICY JPECT LOC PRODUCTS -COMPIOP AGG. i 10,000,000 t OTHER A AUTOMOBRELABRITY ISA 925307306 07/01/20 07/01/21 COMBINED aMBIINs NEDSINGLELIMIT t 2,000,000 BODILY INJURY (Per Person)S % ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Pe,eccMem) - $ PROPERTY DAMAGE =Idwl $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY E UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE I EXCESS LAB CLAIMS -MADE DED I I RETENTION S $ A A A ANDEmRSCOMPuAaiLrN AND EMPLOYERS' LABILITY YIN ANYPROPRIETORIPARTNEFUEXECUTNE OFFICERNEMBERE)(CWDED? (Mandatory In NH) NIA WCU C67460340 (OHIO Only SCF C67460388 (WI) NLR C67460303 (ADS) e7/01/20 07/01/20 07/01/20 07/01/21 07/01/21 07/01/21 % PEAT ERH E.L. EACH ACCIDENT -E 1,000,000 E.L. DISEASE -EA EMPLOYEE 5 1, 600, 000 8 ym, describe under DESCRIPTION OF OPERATIONS belav E.L. DISEASE -.POLICY LIMIT 1,000,000 $ - A PROFESSIONAL LIABILITY RON G21655065 011 07/01/20 07/01/21 PER CLAMN/PER AGO 2,000,000 -CLAIMS BADE* AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidand Remerlo Schedule, may be cSached N mom space IF rpldmd) LOCATION: Englewood, CO.. PROJECT NOR: Al Paquet. CONTRACT ADMINISTRATOR: Gretchen Sage. RE: ON -CALL FOR RFP 7575 CONSULTING ENGINEERING SERVICES WTP FACILITY DESIGN AMID CONSTRUCTION SMMICBB FOR CAPITAL IMPROVEMENTS. THE CITY ITS OFFICERS, AGENTS AM EMPLOYEES IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTffii CONTRACT OR AGREEMENT. *82,000,000 SIR FOR STATE OF: ORIO. *THE TERNS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EECERD OR BROADEN IN ANY WAY THB TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* CITY OF FORT COLLINS, COLORIM ATTN: PURCHASING DEPARTMENT P.O. BOX Soo COLLINS, 00 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. AUTHORIZED REPRESENTATIVE 1 z LU ACORD 25 (2016103) Cert_Renerval 59591484 The ACORD name and logo are registered marks of ACORD P52W)2XW2 SUPPLEMENT TO CERTIFICATE OF INSURANCE I 0612.512020 CMX HILL MMMMW, 3:NC. s z ru