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Home My WebLink About492167 TETRA TECH UTILITY CONSTRUCTION INC - INSURANCE CERTIFICATEDIYYYY)E (MMID CERTIFICATE OF LIABILITY INSURANCE DATE 18 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 NFP Property 8r Casualty Services PHONE _ Risk Management Department FAX 45 Executive Drive C No, Ext : 516-327-2700 ac No): 516-327-2800 Plainview NY 11803 ADDRESS. Riskcerts(cDnfD.com INSURER 3 AFFORDING COVERAGE NAIC 0 INSURER A: Hartford Fire Insurance Company 19682 INSURED HYLADAT-01 INSURERS: Allied World National Assurance Company 10690 Tetra Tech Utility Construction, Inc. 2817 S 46th Street INSURER C : Twin City Fire Insurance Company 29459 Phoenix AZ 85040 INSURERD: Berkley Assurance Company 39462 INSURER E INSURER F COVERAGES CFRTIFICATF NIIMRFR• 1d1R01d41Q 01=1/IQIr%K1 IUIIMQCD• THIS IS TO CERTIFY THAT .THE POLICIES OF INSURANCE LISTED BELOW FIAVE 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 MM/DD/YYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY L Y Y 12 LEA BL3051 6/30/2018 6/1/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS -MADE OCCUR REMISJ PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $10,000 PERSONAL 6 ADV INJURY $ 1,000.000 AGGREGATE LIMIT APPLIES PER: POLICY JECOT- FX] LOC GENERAL AGGREGATE $4,000.000 GEN'L PRODUCTS - COMP/OP AGG $4,000,000 Per LoctProject Agg $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY 12 LEA BL2723 6/30/2018 6/1/2019 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS i BODILY INJURY (Per accident) ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY(Par. PROPERTY DAMAGE Per accident $ $ B UMBRELLA LAB X OCCUR 0311-4188 6/30/2018 6/1/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE $ DED I 1 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 12 WEA AB3MQI 6/30/2018 6/1/2019 OTH- X STATUTE ER Statutory E.L. EACH ACCIDENT $1,000,000 1. ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under $ 1,000,000 -- DESCRIPTION OF OPERATIONS below 6/30/2018 6/1/2019 FJ.. IDS FASF - POLICY LIMIT Each Claim Limit/Agg $ 1,000,OCC $5,0001000 D Contractors Prof/Poll Liab _ _ PCAB50048870418 SIR-$25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, Engineer, Engineer's Consultants and their respective officers, employees and Burlington Northern Santa Fe Railroad (BNSF) are included as an additional insured required by written contract as respects General Liability Policy shown. Waiver of Subrogation is included as respects General Liability policy as required by written contract or agreement. Stop Gap Coverage for the following states: OH, WA, WY. CERTIFICATE Hot nFR RANr[FI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 215 Mason St. 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 �,7/ V 19HS-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD