HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (28)A�� a DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 03/20/2017
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 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).
CONTACT
PRODUCER NAME: _ ------
Marsh Risk & Insurance Services PHONE
FAX
CA License #0437153 tA/C, No Extl: A/C No):
777 South Figueroa Street ADDRESS:
Los Angeles, CA 90017
Attn.LosAngeles.CertRequest@Marsh.Com INSURERS AFFORDING COVERAGE NAIC #
06510 -STND-GAUE-17-18 Denver GLALP 12 2017 INSURER A : Zurich American Insurance Company 16535
--. _ _ _ _ -INSURER NIA
INSURED INSURERB: NIA
AECOM
AECOM Technical Services, Inc. INSURER C : Illinois Union Insurance Co _ 27960
71717th Street, Suite 2600 INSURER D :
Denver, CO 80202
INSURER E
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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.
-"-- ADDL SUER POLICY EFF POLICY EXP
INSRLTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
X
GLO 5965891 09
04/01/2017
04/01/2018
EACH OCCURRENCE
$ _ 1,000,000
X l
CLAIMS -MADE N OCCUR
DAMAGE TO RENTED
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.
GENERAL AGGREGATE
$ 1,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
[—]PRO- ❑
X POLICY JECT LOC
A
OTHER______
AUTOMOBILE LIABILITY
X
BAP 5965893 09
04/01/2017
04/01/2018
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ _
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIED RETENTION $
WORKERSCOMPENSATION
PER OTH-
STATUTE ER
$
E.L. EACH ACCIDENT
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
E.L. DISEASE - EA EMPLOYEE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N / p`
$
E L DISEASE - POLICY LIMIT
If yes describe under
DESCRIPTION OF OPERATIONS below
$
C
ARCHITECTS & ENG.
EON G21654693
1111112011
04/0112018
Per Claim/Agg $1,000,000
PROFESSIONAL LIAB.
"CLAIMS MADE"
Defense Included
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re 8134 Vine & Lemay BNSF Improvements,
Certificate holder is named as additional insured for General Liability & Auto Liability coverages, but only as respects work performed by or on behalf of the named insured,
UtK
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'"rar�
lJ -I V00-GV 19 AVVnv .--.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD