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HomeMy WebLinkAboutInsurance Certificate: Ch2M Hill Engineers, Inc. 0 DATE(MMIDDIYYYY) AC40RD CERTIFICATE OF LIABILITY INSURANCE 05/28/2026 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 y' NAME: w Marsh Risk & Insurance Services PHONE FaX 1-212-948-1306 O CIRTS_Support@jacobs.com E-MAIL AfC No: 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 USA INSURERA:ACE AMER INS CO 22667 INSURED INSURERB: INDEMNITY INS CO OF NORTH AMER 43575 °v CH2M HILL ENGINEERS, INC. INSURERC: Z W C/O Global Risk Management INSURER D: 515 South Flower St., Suite 4800 INSURERE: Los Angeles, CA 90071 USA INSURERF: COVERAGES CERTIFICATE NUMBER:752688825 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. ADDL —POLICY EFF POLICY INSR TYPE OF INSURANCE INSD SUER POLICY NUMBER MMIDNYYY MMI DI EXP LTR LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G4938788A 07/01/26 07/01/27 EACH OCCURRENCE $ 7,000,000 DAMAGE TO RE CLAIMS-MADE [X]OCCUR PREM SES Ea occuE ence $ 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 a PEA D LOC PRODUCTS-COMP/OPAGG $ 10,000,000 OTHER: I 1 1 $ A AUTOMOBILE LIABILITY ISA H08891990 07/01/26 07/01/27 COMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY P AUTOS ONLY Per accident) $ _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B AND EMPS YERS'LIATIONILIT WLR C7280918A (AOS) 07/01/26 07/01/27 X STATUTE ERH AND EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIVE N NIA SCF C72809191 (WI) 07/01/26 07/01/27 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBEREXCLUE (Mandatory In NH) E.L.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 017 07/01/26 07/01/27 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space is 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 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 Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752688825 SUPPLEMENT TO CERTIFICATE OF U DATE 05/28/2026 NAME OF INSURED: CH2M HILL ENGINEERS, INC. a w O r� N w SUPP(10/00) DATE(MMIDDrr M) 05/28/2026 AC`401?0 CERTIFICATE OF LIABILITY INSURANCE AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED R S THE AUTHOR 2POLICIES ED THIS CERTIFICATE IS ISSUED AS A MATTER OF ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY a BELOW. THIS CERTIFICATE OF I AND THECE CERTIFIC NOT ATE HOLDER.CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE ( }, REPRESENTATIVE OR PRODUCER, provisions or be endorsed. IMPORTANT: If the certificate holder is an to the termsINSURES the the licy policy,certain policies DmaOyNequirNe an endorsement. A statement on w If SUBROGATION 15 WAIVED,subject � this certificate does not confer rights to the certificate holder in lieu of such CONTACTndorsement(s). 1-212-948-1306 NAME: FAX 1-212-948-1306 ry PRODUCER LIC #0437153 PHONE AIC No: Marsh Risk & Insurance Services E-MAIL CIRTS_Support@jacobs.Com ADDRESS: NAIL 633 W. Fifth Street INSURERS AFFORDING COVERAGE 22667 rn INSURERA:ACE AMER INS CO Los Angeles, CA 94071 USA 43575 INSURERB: INDEMNZTY INS GO OF NORTH AMER INSURED �W ERC CH2M HILL ENGINEERS, INC. INSURER INSURER D: C/O Global Risk Management INSURERE: 515 south Flower St., Suite 4800 INSURERF: Los Angeles, CA 90071 USA 752684783 REVISION NUMBER: OD COVERAGES CERTIFICATE NUMBER: OVE FOR THE POLICY NT W THIS IS TO CERTIFY THAANDING ANY'ES OF REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT O TR CT R OT BED HEREHER IN IS SUBJECT TOTALO THE TERMS, INDICATED. NOTWITHST CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED LIMITS POLICY EFF POLICY EXP EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID,CLAIMS.Y EX ADDLSUSR POLICY NUMBER MMIDDIYYYY 7,000,000 I`R TYPE OF INSURANCE 07/01/26 07/01/27 EACHOCCURRENCE $ HDO G4938788A D MAGETORENTED $ 500_000 A X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 5,400 $ 7,400,000 X CONTRACTUAL LIABILITY PERSONAL&ADV INJURY _ GENERAL AGGREGATE $ 10,000,000 000 000 GEM%AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMPtOPAGG $ 14, , PRO- ❑LOC $ X POLICY❑JECT 07/01/26 07/01/27 COMBINED SINGLE LIMIT $ 2,Q00,000 OTHER: ISA H08891990 Ea accident A AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ _ X ANY AUTO BODILY INJURY(Per accident) $ OWNED SCHEDULED PROPERTYDAMAGE $ _ AUTOS ONLY AUTOS Per accident HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ -- EXCESS LIAa CLAIMS-MADE $ OTH- DED RETENTIONS 07/01/26 07/01/27 X PER ER WORKERSCOMPENSATION WLR C7280918A {ADS) 1,400,000 B AND EMPLOYERS'LIABILITY YIN scF C72809191 (WI) 07/01/26 07/41/27 E.L.EAEASE- AE $ A OFFICE /MEMB RIPARTNERIEXECUTIVE N 1 A E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In EREXCLUDED? 11000,000 (Mandatary in NH) E.L.DISEASE-POLICY LIMIT $ If yes,desc be under 07/01/27 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS below EON G21655065 017 07/01/26 A PROFESSIONAL LIABILITY ed if more space is DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AM=NISTRATORD iiiii,Additional Remarks Schedule,mayDarin Williams.e RE: WastewaterTreatment Plant Outfall Relocation LOCATION: Englewood, CO. CONTRACTof Ashland, Oregon, and its elected officials, officers and Preliminary Design and Permitting (Phase 1) The City the above General Liability and Auto policies shall be primary 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 CE WILL NOT EXCEED OR BROADEN IN ANY WAY and non-contributory and LIB=TBdPROVIDEDI1UNDERr THIS eCERTIFICATE OFhINSURAN named insured's ownership and/or operations. *THE TERMS, CONDITIONS, AND THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE C LLAT CONTRACT.* CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland ACCORDANCE WITH HDAT POLICY THEREOF, PROVISIONS.E WILL BE DELIVERED IN ATTN: Paula Brown AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland, OR 97520 USA O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752684783 ME SUPPLEMENT TO CERTIFICATE LATE INSURANCE ®ATE NAME a OF INSURED: 05/28/2026 CH2M HILL ENGINEERS, INC. W w a N h N W SUPP(10/00)