HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (22)A_o CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY)
L___ CERTIFICATE
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 CONTACT
Marsh Risk & Insurance Services NAME: --
CA License #0437153 A/ NE _ i vc, Not:
777 South Figueroa Street EMAIL -
Los Angeles, CA 90017 ADDRESS:
Attn: LosAngeles.CertRequest@Marsh.Com INSURERS AFFORDING COVERAGE NAIC #
CN1 01 348564-PROJ-GAUE-1 8-19 Denver CO 04 2019 INSURER A: ACE American Insurance Company 22667
INSURED AECOM INSURERS : NIA N/A
AECOM Technical Services, Inc. INSURER C : N/A N/A
Inc. 717 17 INSURER D : SEE ACORD 101
717 17th Street, Suite 2600 —
Denver, CO 80202 INSURER E :
COVFRAGFS CFRTIFICATF MI IMRFR• I nS_0n91nR3FR_rn DM1ICIn KI Art IMDCD-
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/YYYYI
POLICY EXP
(MM/DDIYYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
HDOG71093669
04/01/2018
04/01/2019
EACH OCCURRENCE
$ 1,000,000
T RENTED
PREM
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
_
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER .
POLICY ] PE� LOC
GENERAL AGGREGATE
$ 1,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
$
OTHER
A
AUTOMOBILE
LIABILITY
ISA H25157229
04/01/2018
04/01/2019
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident )
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRI ETOR/PARTNER/EXECUTIVE
OFF ICER/MEMBER EXCLUDED? ❑N
N / A
SEE ACORD 101
04/01/2019
X IPER I OTH-
STATUTE I ER
E.L. EACH ACCIDENT
$ 2,000,000
_
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E L DISEASE - POLICY LIMIT
$ 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Mason Project.
THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR Ol`
BEHALF OF THE NAMED INSURED.
t1r_K I IrII.A 1 t MULUCK CANCELLA I ION
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
P.O. 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�---
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