HomeMy WebLinkAboutAECOM URS CORPORATION - INSURANCE CERTIFICATE (2),acoRO® CERTIFICATE OF LIABILITY INSURANCE DATE 03/21/2016 IYYYY)
2016
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 CONTACT
Marsh Risk & Insurance Services NAME:VAX
-- --
CA License #0437153 PHONE t : (A/C, No):
777 South Figueroa Street E-MAIL
Los Angeles, CA 90017 ADDRESS:
Attn: LosAngeles.CertRequest@Marsh.Com __ INSURERS AFFORDING COVERAGE NAIC #
06510-"ECOM--16-17 04 2019 INSURER A: Zurich American Insurance Company 16535
INSURED AECOM INSURER B : N/A N/A
URS Corporation INSURER C : Illinois Union Insurance Co 27960
600 Montgomery Street, 26th Floor
San Francisco, CA 94111 INSURER D
INSURER E :
CDVFRAGFS CFRTIFICATF All 1111i I r1R-nn1QA67r,9_nQ 0CvI0I^kI wll IRAMi
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
SUER
POLICY NUMBER
POLICY EFF
MM/DD/YYYYI
POLICY EXP
(MM/DD/YYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
GLO 5965891 08
04/01/2016
04/01/2017
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 2,000,000
$ 1,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 2,000,000
GENT
X
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY JECT LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
A
AUTOMOBILE
LIABILITY
BAP 5965893 08
04/01/2016
04/01/2017
COMBINED SINGLE LIMIT
Ea accident
$ 2,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident
( 1
$
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per accident)$
UMBRELLALIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE_
$
EXCESS LIAR
DED I RETENTION $
_
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED'/ f
N / A
PER OTH-
STATUTE I ER
E.L. EACH ACCIDENT
—
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
E L DISEASE - POLICY LIMIT 1
$
DESCRIPTION OF OPERATIONS below
C
ARCHITECTS & ENG.
EON G21654693
04/01/2016
04/01/2017
Per Claim/Agg 1,000,000
PROFESSIONAL LIAB.
"'"CLAIMS MADE""'
Defense Included
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project
-I IF IV IL
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
215 North Mason Street 2nd Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522-0580
AUTHORIZED REPRESENTATIVE
of Marsh Risk &Insurance Services
James L. Vogel
U 1988-2014 ACORD CORPORATION. Ali rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
AICO OOR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
03/21/2016
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 CONTACT
Marsh Risk & Insurance Services NAME: _
CA License #0437153 PHONE ( /C, No):
777 South Figueroa Street E-MAIL
Los Angeles, CA 90017 ADDRESS:
Attn: LosAngeles.CertRequest@Marsh.Com INSURER(S) AFFORDING COVERAGE NAIC #
06510-`ECOM-16-17 12 04 2019 INSURER A: Zurich American Insurance Company 16535
INSURED INSURERS: NIA NIA
AECOM
URS Corporation INSURER C : Illinois Union Insurance Co 27960
600 Montgomery Street, 26th Floor
San Francisco. CA 94111 INSURER D :
INSURER E
COVERAGES CFRTIFICATF MI IMRFR• I nq_nrl1Q55F13-nQ CCllicir%ki Ali laaQCia.
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
ADD L
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
GLO 5965891 08
04/01/2016
04/01/2017
EACH OCCURRENCE
$ 2,000,000
AMAGETO
PREMISES (Ea occurrence)
_
$ 1,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 2,000,000
GENT
X
AGGREGATE LIMIT APPLIES PER
POLICY PRO- ❑
JECT LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -_COMP/OP AGG
$ 2,000,000
$
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Par accident)
$
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per accident)$
UMBRELLA LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
DED I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? NI
NIA
STATUTE ER
E.L. EACH ACCIDENT
—
$
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
E L DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
C
ARCHITECTS & ENG.
EON G21654693
14,0111011
1411112017
Per Claim/Agg $1,000,000
PROFESSIONAL LIAB.
""'CLAIMS MADE""'
Defense Included
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: Right -of -Way Contractor's License. The City of Fort Collins is included as an Additional Insured against any liability arising out of the Ownership, Maintenance or use of that
part of the area pertaining to the Right -of Way, Primary Insurance: It is agreed that such insurance afforded by this policy(ies) is Primary and Non -Contributory with the
insurance maintained by the Additional Insured but only with respect to the work performed by the Named Insured.
--I., 1yM i" nvL-vcn t ANL r_LL.A I IUN
City of Fort Collins I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
James L. Vogel
U 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD