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Home My WebLink About490561 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATE (6)P526002MI02 fD DATE(MM/DD/YYYY) AC"RO CERTIFICATE OF LIABILITY INSURANCE 06/19/2018 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(s). PRODUCER LIC #0437153 1-212-948-1306 CONTACT NAME: _ Marsh Risk 4 Insurance Services PHONE FAX 1-212-948-1306 CIRTS._SuDport@jacobs.com I&C-No-EMI° - — WC.No): E-MAIL 633 W. Fifth Street ADDRESS: WSURE S AFFORDING COVERAGE NAIL II Los Angeles, CA 90071 _ INSURER A:M3 AM3R INS CO 22667 INSURED .. - _—-_.._.. INSURERS: _ C112M HILL ENGINEERS, INC. INSURER C 9191 South Jamaica Street INSURER D: INSURER E : Englewood, CO 80112-5946 1 INSURER F: ^~Cnwcee PCDTHC PATC MuunCD• 53097906 RFVISIAN NIIMRFR- 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 TYPE OF INSURANCE ADDL SUER POLICY NUYBER POLICY EFF POLICY EXP LRITTS LTR A X COMMERCIAL GENERAL LIABILITY HDO G71096750 07/01/18 07/01/19 EACH OCCURRENCE : 7,000,000 CLAIMS -MADE 1XI OCCUR DAMAGE TO RE PREMISES Ea oomsmllce f 500,000 MED EXP (Any one person) f 5,000 X CONTRACTUAL LIABILITY PERSONAL & ADV INJURY i 7,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 10, 000, 000 GENT PRODUCTS -COMPIOPAGG $ 10,000,000 _ POLICY D ACT LOC $ OTHER. A AUTOMOBILE LIABILITY ISA H25158684 07/01/18 07/01/19 CEa OMBINEDSINGLELIMIT accident $ 2,000,000 BODILY INJURY (Per person) $ Y ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS HIRED NON -OWNED AUTOS ONLY _ _ AUTOS ONLY PROPERTYDAMAGE � Zent $ i UMBRELLALWB I EACH OCCURRENCE f AGGREGATE $ EXCESS LIAR CLAIMS-MApE DIED RETENTIONS f A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROF'RIETOR/PARTNERIEXECUTNE OFFICER/MEMBEREXCLUDED7 (Mandatory in NH) Is WLR C6479033A (AOS) WCU C64789533 (LA, OH, SCF C64789570 (WI) 07/01/16 T/01/18 07/01/18 07/01/19 07/01/19 07/Ol/19,000,000 OTH- = I PTATUTE I I E.L. EACH ACCIDENT $ 1,000,000 E.L.EDISEASE-EAEMPLOYEE - i E.L. DISEASE - POLICY LIMIT f 1, 000, 000 If yes, descnbe under DESCRIPTION OF OPERATIONS below A PROFESSIONAL. LIABILITY EON G21655065 009 07/01/18 07/01/19 PER CLAIM/PER AGG 2,000,000 "CLAIMS MADE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Gretchen Sage. RE: ON -CALL FOR RFP 7575 CONSULTING ENGINEERING SERVICES WTP FACILITY DESIGN AND CONSTRUCTION SERVICES FOR CAPITAL IMPROVEMENTS. THE CITY ITS OFFICERS, AGENTS AND EMPLOYERS IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. "$2,250,000 SIR for states of: LA, OH, TX. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT." sore — ncn CANPFI I ATHIKI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS, COLORADO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPARTMENT AUTHORIZED REPRESENTATIVE P.O. BOX 580 FORT COLLINS, CO 80522 USA V lyaa-LUTE AI,VRu I.VRrVrv+l lyre. Mrr rralrW rGaarOWU- ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Cert_Renewal 53097906