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HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (24)A`COAbr CERTIFICATE OF LIABILITY INSURANCE DATE IYYYY) `�'" 03I21/2018I2018 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 #10437153 PHONE xt __. -- _ -- (NC, Not: 777 South Figueroa Street E-MAIL Los Angeles, CA 90017 ADDRESS: Attn: LDSAngeles.CertRequest@Marsh.Com _ _ INSURERS) AFFORDING COVERAGE NAIC S 22667 CN1 01 348564-PROJ-GAUE-1 8-19 DENVE CO 04 2019 INSURER A: ACE American Insurance Company INSURED AECOM TECHNICAL SERVICES, INC. INSURER B : N/A N/A INSURER C : NIA N/A 71717TH STREET, SUITE 2600 DENVER, CO 80202 INSURER D : SEE ACORD 101 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-002107199-37 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 INSURANCElusk ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYV POLICY EXP MM/DD/YYYY - - - - LIMITS A X COMMERCIAL GENERAL LIABILITY J CLAIMS -MADE a OCCUR X HDOG71093669 04/01/2018 04/01/2019 EACH OCCURRENCE $ 1,000,000 _ DAMAGETO1,000,000 PREMISESSEa occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY � ECT LOC GENERAL AGGREGATE $ 1,000,000 PRODUCTS -COMP/OP AGG $ 1,000,000 $ OTHER. A AUTOMOBILE LIABILITY X ISA H25157229 04/01/2018 04/01/2019 COMBINED SINGLE LIMIT Ea accident) __ $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB FCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE_ $ EXCESS LIAB DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTNE R/EXECUTI VE OFFICER/MEMBER EXCLUDED? N N/A SEE ACORD 101 0410TW8 04/01/2019 X PER OTH- STATUTE I ER E.LEACHACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE _$ 2,000,000 $ 2,000,000 (Mandatory m NH) If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 7392 CIVIL ENGINEERING, DESIGN, DRAFTING & SURVEY SERVICES ON -CALL AGREEMENT 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 01 BEHALF OF THE NAMED INSURED. l.tF( I IrII.A I t 1'1ULUtK CANCtLL.A 1 ION City of Fort Collins Attn: John Stephen - Senior Buyer P.O. Box 280 Fort Collins, CO 80524 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD