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Home My WebLink AboutInsurance Certificate: RH2M Hill Engineers, Inc Y51(AMI'_INM12 1 ® DATE (MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 06/19/2018 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. p IMPORTANT: H 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 LIC #0437153 1-212-948-1306 CONTACT r NAME: Marsh Risk 6 Insurance Services PHONE FAX M CIRTS_Support@jacobs.com EiINo.faill:-- A!C No: 1-212-948-1306 633 W. Fifth Street -ADDRESS: ltJ INSURERS AFFORDING COVERAGE NAIC M Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 INSURED INSURER B. CH2M HILL ENGINEERS, INC. INSURER C 9191 South Jamaica Street INSURER D:__ INSURER E : Englewood, CO 80112-5946 INSURER F: COVERAGES CERTIFICATE NUMBER: 53097040 REVISION NUMBER: T)IIS 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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDDIYYYY A X COMMERCIAL GENERAL LIABRITY HDO G71096750 07/01/18 07/01/19 EACH OCCURRENCE $ 7,000,000 - DAMAGE TO RENTED _ _ l CLAIMS-MADE ~X , OCCUR PREMISES IEa_o9wrenwi_ $500,000 X CONTRACTUAL LIABILITY MED FXP (Any one person) $ 5,000 PERSONAL BADVINJURY f 7,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE j 10,000,000 - POLICY [J JE Q n LOC PRODUCTS -COMP/OP AGG $ 10,000,000 OTHER. _ - - A AUTOMOBILE LIABILITY ISA 825158684 07/01/18 07/01/19 COMBINED SINGLE LIMIT S 2,000,000 La accident X ANY AUTO BODILY INJURY (Per person) OWNED SCHESDULED BODILY INJURY (Per accidwlt) S AUTOS ONLY AUTO HIRED NON-OWNED PROPERTYDAMAGE S _ AUTOS ONLY AUTOS ONLY Per_wadenl $ UMBRELLA LIAR OCCUR EACHOCCURRENCE S EXCESS LU9 CLAIMS MADE AGGREGATE $ DED RETENTION $ $ PER A AND EMPSLOYERSER8'LSAUIBILITLrrY YIN WLR C6479033A (AIDS) 07/01/18 07/01/19 X STATUTE--- EERY AND EMP A ANYPROPRIETOR/PARTNERIEXECUTIVE N/A WCU C64789533 (LA, OH, T T/01/18 07/01/19 E.L. EACH ACCIDENT _ $ 1,000,000 OFF ICERIMEMBEREXCLUDED7 07/01/19 1,000,000 A (Mandatory in NH) SCF C64789570 (WI) 07/01/18 E.LDISEASE - EAEMPLOYEE $ I es, desc;ibe under 1,000,000 ,000,000 SCRIP ION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY SON G21655065 009 07/01/18 07/01/19 PER CLAIM/PER AGG 2,000,000 "CLAIMS MADE" AGGREGATE DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Ramada Schedule, may be atiaehsd if mon space Is mqulred) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Sunshine Ball. RS: Wastewater Treatment Plant Outfall Relocation Preliminary Design and Permitting (Phase 1) . The City of Ashland, Oregon, and its elected officials, officers and employees are included as an additional insured on the General Liability and Automobile Liability policies as required by written contract or agreement. Coverage provided by the above General Liability and Auto policies shall be primary and non-contributory and is limited to the liability resulting from the named ineured•s ownership and/or operations. •$2,250,000 SIR for states of: LA, OH, TX. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: Paula Brown 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 USA ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2018103) The ACORD name and logo are registered marks of ACORD Cert_Renewal 53097040 P52aM12M~w12 Y " DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/19/2018 NAME OF INSURED: CH2M HILL ENGINEERS, INC. m N w 0 N *THE TERNS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* In P M z w SUPP (10/00) l~ -