HomeMy WebLinkAbout453542 AECOM INC - INSURANCE CERTIFICATE (5)q�Ro® CERTIFICATE OF LIABILITY INSURANCE
ATE
D03/21/2011BDnYYY)
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
Marsh Risk & Insurance Services
CA License #10437153
CONTACT
NAME:
PHONE FAX
VAir No. Ext):__ __ _______ (A/C, No):
— —
E-MAIL
ADDRESS:
777 South Figueroa Street
Los Angeles, CA 90017
Attn: LosAngeles.CertRequest@Marsh.Com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Company
22667
CN101348564-STND-GAUE-18-19 12 04 2019
INSURED AECOM
INSURER B : N/A
N/A
INSURER c : Illinois Union Insurance Co
27960
URS Corporation
600 Montgomery Street, 26th Floor
San Francisco, CA 94111
INSURER D : SEE ACORD 101
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-002152323-23 REVISION NUMBER:
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 EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
HDOG71093669
04/01/2018
04/01/2019
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE L-1 OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence)
$ 1,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN
'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY PRO JECT ❑ LOC
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
ONLY AUTOS
BODILY INJURY (Per accident)
$
FAUTOS
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
SEE ACORD 101
04161/2619
X PER oTH-
ST ATUTE ER
E.L.EACH ACCIDENT
$ 2,000,000
E.L DISEASE -EA EMPLOYEE
$ 2,000,000
If yes describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
C
ARCHITECTS & ENG.
EON G21654693
04/01/2018
04/01/2019
Per Claim/Agg
$1,000,000
PROFESSIONAL LIAB.
"CLAIMS MADE"
Defense Included
DESCRIPTION OF OPERATIONS I 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.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
PO 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
of Marsh Risk & Insurance Services
James L. Vogel L
@ 1988.2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD