HomeMy WebLinkAboutAD07-097 - Insurance Certificate - Davis Langdon, An AECOM Company- Liability Coverage - 04/01/2016 P HATE(MMIDDIYYYY)
E ACC>R CERTIFICATE OF LIABILITY INSURANCE
�.- 03121r2016
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 endorseent(s).
PRODUCER.. CONTACT
Marsh Risk&Insurance Services NAME:
PHONE FAX
CA License#0437153 rAlc.No.Extl AIC Not,
777 South Figueroa Street E-MAIL
Los Angeles,CA 90017 ADDRESS:
___ INSURERS AFFORDING COVERAGE NAIC#
06510-*AVIS-04.16-17 San Fr 04 2019 INSURER A:Zurich American Insurance Company 16535
_._ _ ... _w..__... _
INSURED NIA NIA
Davis Langdon,An AECOM Company INSURER B: _.._.._.............__._.
300 California Street,Suite 600 INSURER C:Illinois Union insurance Co 27960
San Francisco,CA 94104 INSURER D
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: LOS-001831924-44 REVISION NUMBER:3
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 ..m POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MMIDD)YYYY MMIDDIYYYY
A X COMMERCIAL GENERAL LIABILITY GLO 5965891 08 04/0112016 04/010017 EACH OCCURRENCE $ 3,000,000
CLAIMS-MADE A OCCUR DAMAGE fO RENcurr
PREMISES Ea occurrence '� 1,000,000
MED EXP(Any one person) $ 5,000
PERSONALSADVINJURY $ 1,000,000
_.__.._..__ _.-...__ .-.__..... ...........__. _.-..._._ .._ __,..._
GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000
POLICY JECT PRC? � LOC PRODUCTS-COMPIOP AGG _$ _. 2,000,000
X PRO-
OTHER: $
A AUTOMOBILE LIABILITY BAP 5965893 08 '04f01)2016 '04/0112017 COMBINED SINGLE LIMIT $ 2,000,000
_,_ Ea accident
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED ''At3ODILY INJURY(Per accident) $ ...
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
UED RETENTION$ $
WORKERS COMPENSATION ...PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? N NIA ._._.._. _--_m._._.._-.._._.....,..__....._.___._
(Mandatary in NH) E L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C ARCHITECTS&ENG. EON G21654693 04/01/2016 04101/2017 Per Claim IAggregate $5,000,000
PROFESSIONAL LIAB. ""'CLAIMS MADE" Defense Included
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1.01,,Additional Remarks Schedule,may be attached if more space is required)
RE:Job#-0272-IG61;Kern Event Center
THE CITY OF KENT IS NAMED AS ADDITIONAL INSURED FOR GL COVERAGES,BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED
INSURED. SEVERABILITY OF INTEREST/CROSS LIABILITY WORDING IS INCLUDED FOR GL&AL COVERAGES. SUCH INSURANCE,AFFORDED SHALL BE
PRIMARY INSURANCE AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER&ADDITIONAL INSURED SHALL BE EXCESS AND NOT CONTRIBUTORY
INSURANCE FOR GENERAL LIABILITY COVERAGE.
CERTIFICATE HOLDER CANCELLATION
CITY OF KENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATTN:TAMMY WHITE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2204TH AVENUE SOUTH ACCORDANCE WITH THE POLICY PROVISIONS.
KENT,WA 98032
AUTHORIZED REPRESENTATIVE
of Marsh Risk&Insurance Services
James L.Vogel
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD