Loading...
HomeMy WebLinkAbout100022 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (29),4� oCERTIFICATE OF LIABILITY INSURANCE I, 1 /201 R DATE(MM/DD/YYYY) 1 12/5/2016 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). FRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 949-252-4400 CONTACT NAME: FAX Ext : A/C, No E ANo, IL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: *** SEE ATTACHMENT *** INSURED AECOM 1075642 AECOM Technical Services, Inc. 1601 Prospect Pkwy. Fort Collins CO 80525-9769 INSURER B : INSURER C INSURER D INSURER E : INSURER F : vTHIS IS TO CERTIFYTHATTHE 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/DDNYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR NOT APPLICABLE EACH OCCURRENCE XXXXXXX DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-]JECT ❑ LOC OTHER: GENERAL AGGREGATE $ XXXXXXX — PRODUCTS - COMP/OP AGG 1 $ XXXXXXX is AUTOMOBILE LIABILITY ANY AUTO OWNSUTOS ONLY AUTODULED HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NOT APPLICABLE Eaa acccideDINGLE LIMIT Is XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXX X AGGREGATE $ XXXXXXX DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A N SEE ATTACHED ACORD 101 U1/2017 1/1/2018 X STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE 2,000,000 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) Notice of Cancellation applies per attached endorsement. Professional Services Agreement between The City of Fort Collins, Colorado and AECOM Technical Services, Inc. RFP 8047 Environmental Services. CERTIFICATE HOLDER I lultl occ r LWWwtcuw SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13420444 AUTHORIZED REPRESENTATIVE The City of Fort Collins, Colorado P.O. Box 580 Fort Collins CO 80522 ernpri os ronlam tt ©1 8-207 C D CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD