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HomeMy WebLinkAbout466828 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (8)ACORU' CERTIFICATE OF LIABILITY INSURANCE �� vv2017 DATE(MM/DD/YYYY) 12/7/2015 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(les) must 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(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 UUNIAUT NAME: PHONE(A/C, No EX1 : ac No E-MAIL ADDRESS INS ER AFFORDING COVERAGE NAI 949-2524400 INSURER A: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. 1601 Prospect Pk Fort Collins CO 80525-9769 INSURER B INSURER C : INSURER INSURER INSURER COVFROrFS AHI:I 1-01 CFRTIFICATF NIIMRFR- 1'id'J(lddd ocrnernu wleeOCG. VVVVvvv 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 TR TYPE OF INSURANCE ADDL INSD SUBR POLICY NUMBER POLICY EFF IMMIDD MM ICY EXP LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXX7 x CLAIMS -MADE ❑OCCUR NOT APPLICABLE PREMISES Ea RENTED nce XXXXX?CX MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ XXXYXXX GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY0JE� ❑LOC PRODUCTS - COMP/OP AGG$XXXXXXX OTHER AUTOMOBILE LIABILITY LIMIT (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ ANY NOT APPLICABLE pAUTO AUTOS WINED SCHEDULED BODILY INJURY (Per accident $ XXXXXXX HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE Peraccident) $ XXXXXXX UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XXXXX7IX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXX} x DED I I RETENTION $ $ '4 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N SEE ATTACHED ACORD 101 1/1/2016 1/l/2017 TH- X STA1 TUTE FR E.L. EACH ACCIDENT $ 2 000 000 ANY OFFICER/MEMBERMEXCLUDEED4 ECUTIVE NIA E.L. DISEASE- EA EMPLOYEE 2,000,000 In NH) If ym, dtory If yes, describe antler E.L. DISEASE- POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Notice of Cancellation applies per attached endorsement. Professional Services Agreement between The City of Fort Collins, Colorado and AECOM Technical Services, Inc. P 8047 Environmental Services. A.cr�nrwnrr=nvcucn %,AN6rLLAI IUN Jee Attacnments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 134204" AUTHORIZED REPRESENTATIVE The City Of Fort Collins, Colorado P.O. Box 580 Fort Collins CO 80522 ZA� ACORD 25 (2014/01) 01 8-201 C D C RPORATION. All rights reserved fhe ACORD name and logo are registered marks of ACORD ncoRv� CERTIFICATE OF LIABILITY INSURANCE 1/1/2017 DATE(MMIDD/YYYY) 12/7/2015 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(fes) must 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(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 949-2524400 CONTACT ME: FAX A/c No Ext :INC,No): E-MAIL ADDRESS, INSURERAFFORDING COVERAGE INSURERA: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. 71717th St., Ste. 2600 Denver CO 80202-0202 INSURER B : INSURER C : INSURER D INSURER INSURER F : Cf1VFRAQFS AFCTFOI CERTIFICATE NIIMRFR• I0Q5Ri47 RFVISIr1N NIIMRFR• XXXXXXX 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 INSURANCE AIDDL SUBR POLICY NUMBER POLICY EFF IDDIYYYY IPIOLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El I NOT APPLICABLE I EACH OCCURRENCE XXXXXXX PREMISES Ea oworcDence XXXXXXX MED EXP (Any oneperson) XXXXXXX PERSONAL 8 ADV INJURY $ XXXXXXX GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY AUTO AUTOS NED SCHEDULED HIREDAUTOS NON -OWNED NOT APPLICABLE ECOMBINED SINGLE LIMIT $XXXXXXX BODILY INJURY (Per person) $ }{j{}{j{XXX BODILY INJURY (Per accident $ XXXXXXX (Pr acEcde DAMAGE $ XXXXXXX $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OANY FFICER/MEMSERiPARTNDE04�CUT� (Myyaeenssdatory In NH) DESCRIIPPTIION OF OPERATIONS below NIA N SEE ATTACHED ACORD 101 I/I/2016 I/I/2017 PER OTH- X I STATUTE FR E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE 2000000 E. L. DISEASE - POLICY LIMIT is 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Notice of Cancellation applies per attached endorsement. Mason Project t,elcllrlt.Ale nVlucrt t Ant=tLLAIIUN ,5ee Attacnments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10958542 AUTHORIZED REPRESENTATIVE City of Fort Collins P.O. Box 580 Fort Collins CO 80522 ACORD 25 (2014101) 19!88-2014-ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORN' CERTIFICATE OF LIABILITY INSURANCE 1114 . Iul/2017 DATE(MMIDDNYYY) 12/7/2015 . 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 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(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 949-252 4400 CONTACT AX A/c No, E:t : (FA/C.No): E-MAIL ADDRESS, E DING COVERAGE INSURERA: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. (EDAW, Inc.) 240 E. Mountain Ave. Fort Collins CO 80524-2821 INSURER B : INSURER C : INSURER D INSURER E• INSURER F : Cr1VFRARFS AFCTF(11 CFRTIFICATF NIIMRFR• 7R41100 RFVISION Nl1MRFR- XXXXXXX 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 INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP (MMIDDrYYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS -MADE ElOCCUR NOT APPLICABLE DAMAGE TO RENTED PREMISES Ea occurrence XXXX�o{i{ MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY PRD LOC PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident $ XXXXXXX BODILY INJURY (Per person) $ =,VX AUTOWNED AUTOSULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ X'X'X'X'}(}{}{ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XXX}{XXX EXCESS LIAR CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ A WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITYFR OMY FFICERILIEMSEREXCTNEWE � ECUT (MyandMory In NH) If DESCRIPTION OF OPERATIONS below NIA 1' SEE ATTACHEDACORD101 1/1/2016 1/l/2017 X STATUTE OTH- E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE 2,000,000 E.L. DISEASE -POLICY LIMIT s2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached N more space is required) Notice of Cancellation ap lies per attached endorsement. RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957. A Waiver of Subrogation is afford) to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. ctKITrlt AI t MULUtK 6PJ4"LLAI1V N See rutacnmems SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2831300 AUTHORIZED REPRESENTATIVE City Of Fort Collins Attn: John Stephen, Cppo/Senior Buyer P.O. Box 580 Fort Collins, CO 80522-058 ACORD 25 (2014/011 @191118-20140ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACC311IRU' CERTIFICATE OF LIABILITY INSURANCE 164.� I/l/2017 F DATE(MWDDIYI'YY) 1 12/7/2015 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 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(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 949-252-4400 CONTACT NAM hi A/CNo Ext : A FAX No E-MAIL ADDRESS, N RAFFORDING O RA E NAIC INSURER A: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. (EDAW, Inc.) 240 E. Mountain Ave. Fort Collins CO 80524-2821 INSURER B : INSURER C : INSURER : INSURER INSURER rnvF:n Ar:FS AFCTPOl r7PQTIPICAT9=IUIIMRFR- ZA75dd1 RFVISInN NIIIIARFD• YSriCiCyyy 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 INSURANCE ADDL INSD SUBR Wvp POLICY NUMBER POLICY EFF MM POLICY EXP MM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS -MADE ElOCCUR NOT APPLICABLE DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX MED EXP (Any onePerson) XXXXXX7C PERSONAL B ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICYF_�JE� F_�LOC GENERAL AGGREGATE $ XXXXXXX - PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER I AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE (Ea aOMBIc dEeDISINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX AUTOS NED SCHEDULED BODILY INJURY (Per accident $ XX)CXX3CX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ XXXXXXX UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ 1 $ A AND MPLo ERS'NIABILITY YIN OMy FFICEOPRIEBEREXCLUDE EXECUT1� H] (Myandatory In NH) dbounder DE CRIPwaiTION OF OPERATIONS below NIA` N SEE ATTACHED ACORD IOI 1/I/2016 1/I/2017 X I STATUTE o R E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE 2000000 E.L. DISEASE -POLICY LIMIT Is ZOOO OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Notice of Cancegation applies per attached endorsement. Re: City of Fort Collins P1099 Urban, Environmental, and Land Use EDAW Project #08030029.01 (as -needed) GCK I IrIUAIt HULUtK GANGCLLAIIUN See Attactiments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3625"1 AUTHORIZED REPRESENTATIVE City of Fort Collins Attn: James B. O'Neill — Director of Purchasing/R PO Box 580 Fort Collins CO 80522-0580 ACORD 25 (2014/01) @108-2014-ACORD C RPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACOR�a CERTIFICATE OF LIABILITY INSURANCE `� I/1/2017 DATE(MMIDDIYYYY) 12/7/2015 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 be endorsed. R 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(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 949-2524400 CONTACT NAME FAX A/ NoRt- Ext : AIc No): E-MAIL ADD INSURE AFFORDING COVERAGE NAIC III INSURER A: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. 71717th St., Ste. 2600 Denver CO 80202-0202 INSURER B : INSURER C : [INSURER INSURER INSURER F: Cr1VFRAr:FS APCTT701 CFRTIFICATF NIIMRFR• 11 Q77r147 12FVIRIr1N NIIMRFR• XXXXXXX 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. INSR R TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR NOT APPLICABLE EACH OCCURRENCE XXXXXXX DAMAGE TO RENTED PREMISE Ea occ .ce XXXXXXX MED EXP (Any oneperson) XXXX}Q{X PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICYF—]JECT F—]LOC OTHER GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMPIOP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY AUTO AUTOWNED SCHEDULED HIRED AUTOS AOTOSWNED NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXj PROPERTY acatlen DAMAGE $ XXXXXXX $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' COMPENSATION y / N MY OFFICERIMEMSERIEXCLUERIE ECUTIVE (Myyandatory In NH) DESCRIPPTTIION OF OPERATIONS Eelow NIA N SEE ATTACHED ACORD 101 1/l/2016 1/l/2017 X PER FR E.L. EACH ACCIDE14T s 2,000,000 E.L. DISEASE - EA EMPLOYEE 2 OOO 000 E.L. DISEASE - POLICYLIMIT 2 OOO OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached B more space is required) Notice of Cancellation applies per attached endorsement. RE: 7392 Civil Engineering, Design, Drafting & Survey Services On -call Agreement ULK I IhiGA I t[ KULULK GANGtLLAIIUN Jee Attacnments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11922057 AUTHORIZED REPRESENTATIVE City of Fort Collins Attn:John Stephen/Senior Buyer PO Box 280 Fort Collins, CO 80524 ACORD 25 (2014/01) @111188-201141ACORD CORPORATION. All Hants reserved The ACORD name and logo are registered marks of ACORD ACORD' CERTIFICATE OF LIABILITY INSURANCE llli� 1/1/2017 DATE(MMIDDIYYYY) 12/7/2015 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(les) must 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(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 949-252- 400 CONTACT NAME: PHONEFAX AIc No Ext :(A/C,No E-MAIL ADDRESS, INSUREAFFORDING COVERAGE NAI INSURERA: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. 71717th St., Ste. 2600 Denver CO 80202-0202 INSURER B : INSURER C : INSURER INSURER INSURER COVERAGES AFCTF01 CFRTIFICATF NUMRFR- 13706919 REVISION Nt1MRFR- XXXXXXX 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 R TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM D POLICY EXP MM D LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR NOT APPLICABLE EACH OCCURRENCE XXXXX}IX DAMAGPREMISEERE RENTED XXXXXXX MED EXP (Any one erson XXXXXXX PERSONAL B ADV INJURY $ XXXXXXX GEHL AGGREGATE LIMIT APPLIES PER: POLICY❑ JECT El LOC OTHER GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY pAUTO AUTOS NED gUTOSULED HIRED AUTOS AUTO-0OWNED NOT APPLICABLE COMBINED accident) SINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ X){XXXXX (Per PROPERTY DAMAGE $ X}{XXXX}{ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $XXXXXXX AGGREGATE $ XXXXX}{j{ DED RETENTION $ $ A WORKERS AND EMPLO ERs' LIABILITY YIN OANY FFICER/MEM ER�EXCLUDED? ECUTIVE N (Myto andary In NH) DEC RIIPPTIION OF OPERATIONS below N 1 A N SEE ATTACHED ACORD 101 1/1/2016 1/1/2017 TH- X STATUTE oFIR E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE 2,000,000 EL DISEASE -POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached U more space is required) Notice of Cancellation applies per attached endorsement. Re: 8134 Vine & Lemay BNSF Improvements GtK I IFIGAIt MULUtK GANGtLLAI IVN See AttacnmentS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13706819 AUTHORIZED REPRESENTATIVE The City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins CO 80522 ACORD 25 (2014/01) @19188-20141ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD