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HomeMy WebLinkAbout102541 CH2M HILL INC - INSURANCE CERTIFICATE (3)A�4C-O�R1YCERTIFICATE OF LIABILITY INSURANCE DATE(0411712017YYYY) 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). PRODUCER MARSH USA INC. 122517TH STREET, SUITE 1300 DENVER, CO 80202-5534 CONTACT NAME., in�oNr oc_FAX lvo� E-MAIL - ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Greenwich Insurance Company _ 22322 15114-12345-5EX2P-17-18 029032 CA INSURED CH2M HILL ENGINEERS, INC. INSURER B : N/A N/A INSURER C : XL Specialty Insurance Company 37885 9193 SOUTH JAMAICA STREET ENGLEWOOD, CO 80112 INSURER D : Zurich American Insurance Co 16535 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-002831597-11 RFVISInN NI IMRFP:2 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 VVITH 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 CLAIMSADDL. — INSR LTR TYPE OF INSURANCE Nqn SUER POLICY NUMBER POLICY EFF MMlDD/YYYY POLICY EXP MMlDDlYYYY -- — - LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X RGE500025506 05/01/2017 05/01/2018 EACH OCCURRENCE $ 1,500,000 DAMAGE TO RENTED PREM SES (Ea occurrence) $ 1,500,000 X MED EXP (Any one person) $ $500,000 SIR PERSONAL & ADV INJURY $ 1,500,000 GEN'L X AGGREGATE LIMIT APPLIES PER POLICY ❑ PE� El LOC GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER A AUTOMOBILE LIABILITY X RAD500025406 05/01/2017 05/01/2018 COMBINED SINGLE LIMIT Fa accident) _ $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS r PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? NIA RWD500025206 (AOS) RWR500025306 (WI) 05/01/2017 05/01/2017 05/01/2018 05/01/2018 X PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY' EOC382962115 05/01/2017 05/01/2018 Each Claim & Aggregate $2,000.000 Each Policy Period DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ON -CALL FOR RFP 7575 CONSULTING ENGINEERING SERVICES WTP FACILITY DESIGN AND CONSTRUCTION SERVICES FOR CAPITAL IMPROVEMENTS. THE CITY ITS OFFICERS, AGENTS AND EMPLOYEES IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. "FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE. VCR I lr IVA I C rIVLUCR UANL tLLA I IUN CITY OF FORT COLLINS, COLORADO ATTN: PURCHASING DEPARTMENT P.O. 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 L"SA Inc. Jon Lincistrorn © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD25 (2014101) The ACORD name and logo are registered marks of ACORD