HomeMy WebLinkAbout551245 LEIDOS ENGINEERING LLC - INSURANCE CERTIFICATE (8)Page 1 of 1
® DATE (MWDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 10/13/2017
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 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:
Willis of Maryland, Inc. PHONE FAX
A/ No Ex 1-877-945-7378 A/C No): 1-888-467-2378
c/o 26 Century Blvd E-MAIL
P.O. Box 305191 ADDRESS: certificates@willie.com
Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC#
INSURERA: Underwriters at Lloyd's London 15792
INSURED rINSURER B :
Le.idos Engineering LLC
a wholly owned subsidiary of Leidos Holdings, Inc. RERC:
11955 Freedom Drive RERD:
Reston, VA 20190nee e.
f�AVCI"f A/�CC f%CDTICI!`ATC prI laAMCD• W4024057 RFVISIr1N NI IMRFR-
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
MWDD/Y
POLICY EXP
MM/DD/YYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS -MADE OCCUR
PREMISES. oocu ENTEence
$
IVIED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
PRODUCTS - COMP/OPAGG
$
POLICY PRO JECT ❑ LOC
P1
E
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N/A
E.L. DISEASE -POLICY LIMIT
If yes, describe under
DESCRIPl10N OF OPERATIONS below
$
A
Professional Liability
B080130966P17
10/12/2017
10/12/2018
Each Claim
Aggregate
$10,000,000
$10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Underwriters at Lloyds's London (A F Beazley #623 & #2623)
Professional Liability Includes: Contractors Pollution Legal Liability and Information Security & Privacy Liability.
Professional Liability inclusive of a $10M Aggregate Sublimit for Privacy Notification Costs.
CERTIFICATE HOLDER L.Arv1rtLLA l IV1V
City of Fort Collins
Fort Collins Utilities
Attn: Pat Johnson
700 Wood Street
Fort Collins, CO 80521
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
U 191313-ZUlb AL;UKUl UL)KF UKA I IVIV. AU rlgnis reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SR ID: 15200477 BATCH: 479502