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HomeMy WebLinkAboutInsurance Certificate: CH2M Hill Engineers, Inc. ACORO® CERTIFICATE OF LIABILITY INSURANCE 05/28/202"�' 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 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). w PRODUCER LIC #0437153 1-212-948-1306 CONTACT Marsh Risk & Insurance Services PHONE FAX Lc. CIRTS_Support@jacobs.com No: 1-212-948-1306 EMAIL 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 Los Angeles, CA 90071 USA INSURERA:ACE AMR INS CO 22667 o0 INSURED INSURER8: INDEMNITY INS CO OF NORTH AMER 43575 M CH2M HILL ENGINEERS, INC. � INSURERC: Z C/O Global Risk Management INSURERD: _ W 555 South Flower Street, Suite 3200 INSURERE: L08 Angeles, CA 90071 USA INSURER F: COVERAGES CERTIFICATE NUMBER:752017695 REVISION NUMBER: THIS 18 TO CERTIFY THAT THE POLICIES OP 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 LTR TYPE OFINSURANCE 1 R POLICY EFF POLICY EXP POLICYNUMBER (MMIDD MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G48977145 07/01/25 07/01/26 EACH OCCURRENCE $ 7,000,000 DAMAGE TO CLAIMS-MADE Fx-]OCCUR PREMISES Ea o REN rrence $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 7,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 10,000,000 X POLICY D jERCO7 LOC PRODUCTS-COMPIOPAGG $ 10,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA B11371504 07/01/25 07/01/26 COMacd BINED SINGLELIMR $ 2,000,000 Ea M 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 godent)_,____ _ UMBRELLALUI6 OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WLR C72792919 (AOS) 07/01/25 07/01/26 X PER R AND EMPLOYERS'LIABILITY TH A ANYPROPRIETORIPARTNER/EXECUTNE NIA WCU C72792932 (OH)* 07/01/25 07/01/26 E.L.EACH ACCIDENT 8 1,000,000 OFFICERIMEMBEREXCLUDED7 A (Mandatory In NH) SCF C72792920 (WI) 07/01/25 07/01/26 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If Yen describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY SON G21655065 016 07/01/25 07/01/26 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) LOCATION: Englewood, CO. CONTRACT ADMINISTRATOR: Rim 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 LIABILITY SUBJECT 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 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: SCOTT A. FLEURY 20 EAST MAIN STREET AUTHORIZED REPRESENTATIVE ASHLAND, OR 97520 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752017695 g SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/8A2025 NAME OF INSURED: CH2M HILL ENGINEERS, INC. Additional Description of Operations/Remarks from Page 1: m v w C M z m Additional Information: *$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04)