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HomeMy WebLinkAboutInsurance Certificate: CH2M Hill Engineers Inc P5260020002 • ' s • 1� ACO® .. DATE(MMIDDNYTY) ,, CERTIFICATE OF LIABILITY INSURANCE • 06/172022 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 a:+:: • w BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING"INSURER(S), AUTHORIZED N REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER., p • IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. • `'I . If SUBROGATION IS WAIVED,subject to the terms-and conditions of the.pollcy,'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 N CONTACT N Marsh Risk & Insurance services PHONE FAX CIRTB_Support@jacobs.com IAIC.No.Ext) (AlC.No)!1-212-948-1306 E-MAIL •633 W. Fifth Street ADDRESS: W INSURER(S)AFFORDING COVERAGE NAIC S Los Angeles, CA 90071 - INSURER A:ACE AMER'INS CO 22667 INSURED • - INSURER B: • CH2M HILL ENGINEERS, INC. INSURERC: 0/0 Global Risk Management - INSURERD: . 1000 Wilshire Blvd., Suite 1140 INSURERS: . Los Angeles, CA 90017 INSURER F. COVERAGES CERTIFICATE NUMBER:65804674 REVISION NUMBER: - . ' 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 LIMITS INSD WVD POLICY NUMBER 'IMMIDDIYYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY }DO'G72496176 07/01/22 '07/01/23 EACH OCCURRENCE - $ 7,000,000 • AMAGE TO RENTED CLAIMS-MADE X OCCUR PR M SES Ea occurrence) $ 500,000 X CONTRACTUAL LIABILITY • - MED EXP(Any one person) $ 5,000 • 'PERSONAL&ADV INJURY $ 7,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 • X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H25568230 07/01/22 07/01/23 COMBINEDSINGLELIMIT - $ 2,000,000 (Ee acGdenfl • X ANY AUTO • BODILY INJURY(Per person) $ ' OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED - PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY (Per accident) UMBRELLALIAB , OCCUR .EACH $ _ _ • - EXCESS LIAR CLAIMS-MADE . AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION SCF 068914619 (WI) 07/01/22 07/01/23 X STATUTE ER ` H AND EMPLOYERS'LIABILITY YIN A ANYPROPRIETOR/PARTNER/EXECUTIVE .WLR C6891453A (AOS) 07/01/22 07/01/23 E.L.EACH ACCIDENT . $ 1,000,000 • OFFICER/MEMBEREXCLUDED? n NIA A (Mandatory In NH) WCU 068914577 (OH)* 07/01/22 07/01/23 El.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 • DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 013 07/01/22 07/01/23 PEA CLAIM/PER AGG 2,000,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace la required) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Kim Neal. 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 POLICY SHALL BE PRIMARY AND NON-CONTRIBUTORY AND IS LIMITED TO THE LIABILITY RESULTING FROM THE NAMED INSURED•S OWNERSHIP AND/OR OPERATIONS. • . GENERAL LIABILITY INCLUDES.CONTRACTUAL LIABILITYSUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. FOR STATE ,. *THE TERMS, 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.* ' CERTIFICATE HOLDER CANCELLATION . • SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE-CANCELLED BEFORE CITY OF ASHLAND THE-EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED -IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: SCOTT A. FLEURY ' 20 EAST MAIN 3TREETAUTHORIZED REPRESENTATIVE ' ' • • ASHLAND, OR 520 . . 97 ' i USA ' . .© 88- 192015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD - - • . Cert_Renewal - . - 65804674 ' P5260028002 s DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/17/2022 co NAME OF INSURED: CH2M HILLENGINEERS, INC. O Additional.Description of Operations/Remarks from Page 1: N • W Additional Information: +$2,000,000 SIR FOR STATE OF: OHIO • • SUPP(05/04) P5260028002 Marsh Risk&Insurance Services 633 W.Fifth Street Los Angeles,CA 90071 . 202206203307 Electronic Service Requested N MIXED AADC975 195220,•5738 MB 0.482 ���Illldll� iiuuIu�lu�l� l�iihIh��"�II'I�'Il�lii�l'I�I' CITY OF ASHLAND 266 20 E MAIN ST W ASHLAND, OR' 97520-1814 - W This document was brought to`you by•Certi£icatesNow. - If you have questions regardingthe, content of this document, please contact:- the Producer/Agent listed onthe certificate of"insurance or the Insured listed on the notice of cancellation/reinstatement. If you,.have any questions regarding this Certificate of Insurance, please. email - CIRTS_Support@jacobs.com.- To find out how you can send and. receive all of your certificates of insurance- either by email, high speed fax or' standard.mail, email customerc are@coafirmnet.com- or visit our website at "www.confirmnet.com- cc: John Mazunik (EMAIL):,. Kim Neal (EMAIL) The•data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow-www.ConfirrnNet.com-877.669.8600 .