HomeMy WebLinkAboutAECOM TECHNOLOGY CORP - INSURANCE CERTIFICATEACORU' CERTIFICATE OF LIABILITY INSURANCE
`i vv2017
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 pollcy(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 #01`15767
Irvine 92612
949-252-4400
NAME:
PHONE No Ext : A X No
E-MAIL
ADDRESS,
INSURER(S)COVERAGE
AIC If
INSURER A: *** SEE ATTACHMENT ***
INSURED AECOM Technology Corporation
1075642 AECOM USA, Inc.
71717th Street, 5th Floor
Denver CO 80202-0202
INSURER B :
INSURER C:
INSURE
INSURER E
INSURER F
CnVFRA(:FS AFC'TFOI CFRTIFICATF NIIMRFR• 1046SIRR RFVISION 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
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
M
POLICY EXP
MM DD
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
EACH OCCURRENCE
XXXXXXX
DAMAGE TO RENTED
PREMISES Ea unence
XXXXXXX
MED FRCP (Any oneperson)
XXXXJO{J{
PERSONAL 8 ADV INJURY
$ XX�
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT F—] LOC
OTHER
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS-COMPIOP AGG
$ XXXXXXX
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL AUTOS NED gUTOSULED
HIRED AUTOS NON -OWNED
NOT APPLICABLE
EOMaBIINdEeDtSINGLE LIMIT
$XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
PeOraEltlen DAMAGE
$XXXXXXX
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXX}IL{
AGGREGATE
$ XXXXXXX
DED RETENTION $
$
A
WORKERS COMPENSATINAND EMPLOYERS LABILITY YIN
OANY
FFIOERIMEM ERfPARTNDED�CUTIVE
(Mandatory In NH)
If yes, des under
DESCRIPTION OF OPERATIONS bebw
NIA
N
SEEATTACHEDACORD101
I/l/2016
1/1/2017
X STATUTE OTH-
E.L. EACH ACCIDENT
$ 2000000
E.L. DISEASE - EA EMPLOYEE
2,000,000
E.L. DISEASE -POLICY LIMIT
2000000
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. 60096856 Final Design of SH392
LiCKIIr I1.Alt MVLUCK 9,ANL rLLAIIVN bee Artacnments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10465388 AUTHORIZED REPRESENTATIVE
City of Fort Collins, Purchasing Department
P.O. Box 580
Fort Collins CO 80522
ACORD 25 (2014/01) @119118-20i4oAcORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD