HomeMy WebLinkAboutInsurance Certificate: URS Energy & Construction (2) CERTIFICATE OF LIABILITY INSURANCE °A'B`M"°°°""""
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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 CONTACT
MARSH RISK&INSURANCE SERVICES NAME:
345 CALIFORNIA STREET,SUITE 1300 PHONE NC No):
CALIFORNIA LICENSE NO.0437153 E-MAIL
SAN FRANCISCO,CA 94104 ADDRESS:
INSURERS AFFORDING COVERAGE NAICI
URSCOR-ALL.PROF-12-13 BEL Hosier NOC INSURER A: National Union Fire Ins Co Pittsburgh PA 19445
INSURED URS Energy&Ca1Construction.Inc.
INSURER B: Zurich American Insurance Company 16535
10900 NE Bib.Street.Suite 500 INSURER c: Illimis National Ins Co 23877
Bellevue,WA 98004 INSURER surance Company Of The State Of PA 19429
INSURER E: Lexington Insurance Company 19437
INSURER F: Lloyd's Of London&British Companies 15792
COVERAGES CERTIFICATE NUMBER: SEA-002290786-06 REVISION NUMBER: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 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 TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP
LTR POLICY NUMBER IMMflDDrYYYYI (MMnDDrYYYYI LIMITS
A GENERAL UABIUrY X GL4870829 090112011 11101/2012 EACH OCCURRENCE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY DAMA T RENT 1,000,000
PREMISES Ea omun n $
CLAIMS-MADE El OCCUR MED UP(Anyone parson) E 10.000
X XCU,BFPD PERSONAL&ADV INJURY $ 2,000,000
X Contractual Liability GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2.000,000
POLICY F- JFCT X PRO LOG E
B A01 OMOBILE UABILm X BAP938521502 001/2011 1110112012 COMB114ED SINGLE LIMIT 2600000
Ea acct n
X ANY AUTO BODILY INJURY(Par person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per eccidem) E
NON-OWNED PROPERTY DAMAGE $
HIREDAUTOS AUTOS Per accirksu
E
UMBRELLA LUIS OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $ -
CEO I I RETENTION$ $
A WORKERS COMPENSATION SEE ATTACHED-ACORD 101 0110112012 0110112013 X MSTATU- OTH-
AND EMPLOYERS'LIABILITY
D ANY PROPRIETORIPARTNER/EXECUTIVE YIN SEE ATTACHED-ACORD 101 0110112012 0110112013 2,000,000
OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $
C (Meadetury im NH) SEE ATTACHED-ACORD 101 0110112012 01101/2013 E.L DISEASE EA EMPLOYEE E 2.000,000
If y¢5 describe antler 2,000.(100
DESCRIPTION OF OPERATIONS bokrw E.L.DISEASE-POLICY LIMIT $
E Prof.Liab wlLmtd Contactual 015438088 0510112011 1110112012 Each Claim $1,000,000
F Claims Made I Reno 11-17-1938 PE11051501PE7105490 090112011 11101/2012 Aggregate $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required)
Re:Engineering Services for Ne Hosier Dam Stability Analysis
The City of Ashland,Oregon,and its elected officials,officers and employees are included as Additional Insureds as respects the General Lability and Automobile Liability policies.where
required by written conbac.
Such insurance shall be primary insurance with respects to the interest of the additional Ins red's and any other insurance maintained by the additional insured shall be excess and
not contributing with the
insurance required hereunder.
CERTIFICATE HOLDER CANCELLATION
City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 East Main Sired THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Ashland.OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTRORRED REPRESENTATIVE
of Marsh Risk&Insurance Services
Lynne Harrington
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: URSCOR
_ LOC#: San Francisco '
ADDITIONAL REMARKS SCHEDULE Page 2 of 2
AGENCY NAMED INSURED
MARSH RISK&INSURANCE SERVICES URS Energy&Construction,Inc.
10900 NE ah.Street.Suite 500
POLICY NUMBER Bellevue,WA 98004
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
The Workers Cmlpalsation coverage shown does not apply in monopolistic slates. In the Series of ND,OR WA and WY Wakens'CanpeaSabon coverage is provided by the State Fund. In Nose Slates,the
above-
referenced policies provide Stop-Gap Employers'Uabiity only. Workers CompmszeDn policies apply as ridiculed below..
Insurer A: NadaMl Union Fire Ins Co Pittsburgh,PA NAIL!19445100
WC 021417576 -CA
Insurer D: Insurance Company Of The State Of PA NAICt 19429100
WC 021417500-MA,WI(Stop Gap-ND,OH,WA WY)
WC 021417581 -AK AL AR,AZ.CO.DE,GA,10,KS,KY,MD.ME,M0,MS,MT,NC,NH,NM.NV,OK,OR PA RI,SC,SD.TN,UT,VA,VF,WV
WC 021417585-MN
WC 021417578-NY
Insurer C: Illinois Nabmal Ins Co NAlb 23017001
WC 021417577 -FL
WC 021417582 CT,DC,Hi,IA,IL IN,LA,MI,NE,NJ '
WC 021417579-T%
ACORD 101 (2008/01) m 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
t�ycdy MARSH Marsh Risk B Insurance Services
v 345 California Strael,Suite 1300
San Francisco,CA 94104-2679
Califomia Insurance License 00437153
888-769-3873
urs.renewal carts @mars h.com
w .marsh.wm
August 27, 2012
To Whom It May Concern:
Attached is a Certificate of Insurance which provides evidence of. the current insurance
policies in place for URS Corporation for the period 5/1/2011 to 11/1/2012. Marsh will issue
another Certificate of Insurance evidencing Insurance coverage for the
11/1/2012 renewal term in the near future.
If you have any questions, please do not hesitate to contact us between 7AM - 6PM (PST) at
the following:
Telephone: 1-888-769-3873
E-Mail: urs.renewalcertsAmarsh.com
Sincerely:
Marsh Certificate Team
MARSHSMCLENNAN
LEADERSHIP,KNOWLEDGE,SOLUTIONS...WORLDWIDE. COMPANIES
INSURER CANCELLATION TERMS
NAMED INSURED: POLICY NO:
URS Energy&Construction,Inc. Various
HOLDER NAME: City of Ashland
CANCELLATION TERMS:
30 Days Notice of Cancellation will be provided by the carriers in accordance with the
policy terms and conditions in the event the policies are cancelled or non-renewed, for
any reason other than non-payment of premiums.
CANCELLATION TERMS APPLY TO THE FOLLOWING COVERAGES:
GL,AL,WC and Professional Liab.