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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