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HomeMy WebLinkAbout490561 CH2M HILL ENGINEERS INC - INSURANCE CERTIFICATE (7)P52611028oe2 ��� DATE(MM/DDIYYYY) 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 h Insurance Services PHONE FAX 1-212-948-1306 CIRTS_ Support@jacobs.com C. No. Extl. ��'No): E-MAIL 633 W. Fifth Street ADDREIMI: INSURE S AFFORDING COVERAGE NAIC1 Los Angeles, CA 90071 INSURER A: ACE AMER INS CO 22667 INSURED INSURER B : CH2M HILL ENGINEERS, INC. INSURER C 9191 South Jamaica Street INSURERD: INSURER E : Englewood, CO 80112-5946 INSURERF: rnvCDAr]cc rCDTIGIrATF NIIIURFR- 53098016 RFVISInN 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 LTR TYPE Of INSURANCE ADDL SUBR POLICY NUMBER POLICY OFF POLICY EXIP LIMBS A X COMMERCIAL GENERAL LIABILITY HDO G71096750 07/01/18 07/01/19 EACH OCCURRENCE $ 7,000,000 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurence S 500,000 X MED EXP (Any one person) CONTRACTUAL LIABILITY $ 5,000 PERSONAL SADVINJURY $ 7,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10, 000, 000 POLICY [� JECT LOC PRODUCTS -COMP/OPAGG S 10,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISA H25158684 07/01/18 07/01/19 COMBINED SINGLE LIMIT Ea accident = 2,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY _ AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acradent — --__— $ S UMBRELLA LU18 _ OCCUR EACH OCCURRENCE f AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBEREXCLUOED9 (Mandatory In NH) NIA WLR C6479033A (AOS) WCU C64789533 (LA, OH, T SCF C64789570 (WI) 07/01/18 QT/01/18 07/01/16 07/01/19 07/01/19 07/Ol/19 X �ARTUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE 5 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 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 It more space is required) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Gretchen Sage. Re: Contract# 8497; On -Call for RFP 8497 Stormwater Consulting Engineering Services . The City its officers, agents and employees are 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: AR, 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.* CERTIFICATE HOLDER CANCELLATION City of Fort Collins, Colorado ATTN: Purchasing Department P.O. Box 580 Fort Collins, CO 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 USA �� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 53098016 4 I