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453542 AECOM INC - INSURANCE CERTIFICATE (6)
ACORL7® CERTIFICATE OF LIABILITY INSURANCE ATE D03/21'201/8D/YYYY) 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 NAME_ Marsh Risk & Insurance Services PHONE FAX CA License #0437153 -(A/C.No.Ext) ____ A/C No): 777 South Figueroa Street E-MAIL ADDRESS: Los Angeles, CA 90017 Attn: LosAngeles.certrequest@marsh.com INSURERS) AFFORDING COVERAGE NAIC If INSURER A: ACE American Insurance Company 22667 CN101 W564-LOC-GAUE-18-19 05 2019 INSUREDAECOMINSURER B : N/A N/A INSURER c : Illinois Union Insurance Co 27960 6200 S. Quebec Street INSURER D : SEE ACORD 101 Greenwood Village, CO 80111 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-002123597-08 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 NOTVVITHSTANDING 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 MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X HDOG71093669 04101/2018 04/01/2019 EACH OCCURRENCE $ 2,000,000 _ CLAIMS -MADE a OCCUR PREMISES Ea oocur ence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY � PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY X ISA H25157229 04101/2018 04/0112019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ 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 OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) NIA SEE ACORD 101 04/01/2019 X I PER oTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 --"" "- - $ 2,000,000 E.L. DISEASE - EA EMPLOYEE If yes describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 2,000,000 C ARCHITECTS & ENG. EON G21654693 1411112118 041/1/1019 Per Claim/ Aggregate $1,000,000 PROFESSIONAL LIAB. """'CLAIMS MADE" DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 8475 Civil On -Call - City of Fort Collins 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 on behalf of the named insured and where required by written contract, l.tK I IVIL A I L MULutK The City of Fort Collins Purchasing Department 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-- ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD