ACCEPTED CTR066167 GL,AL,WC,PROFESSIONAL LIAB 04.01.24-04.01.25.pdf

PDF 2 MB Posted

Attached to
Master Agreement AZ|CTR066167
Contract number
CTR066167
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for AECOM Technical Services, Inc., issued by Marsh Risk & Insurance Services. The insurance covers multiple policies across various lines including Commercial General Liability, Automobile Liability, Professional Liability, and Workers' Compensation. The primary insurers include ACE American Insurance Company and Illinois Union Insurance Company, with coverage effective from 04/01/2024 to 04/01/2025. The certificate holder is the Arizona Department of Transportation, located in Phoenix, AZ.

The contract pertains to transportation research services with an emphasis on practical application for the Department. The research topics include Planning, Policy, Administration and Communication; Environmental Impacts of Transportation; Intelligent Transportation Systems (ITS); Traffic Engineering, Traffic Safety, and Transportation System Management. The policies provide coverage with limits of $2,000,000 for general liability and professional liability, $1,000,000 for automobile liability, and include provisions for additional insured status, waiver of subrogation, and primary and noncontributory insurance conditions. The contract reference number is CTR066167, and the services will be performed by AECOM from their Phoenix, AZ location.

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Text version

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

04/01/2024

X

A

2,000,000

SCF C50718852 (WI Retro)

22667

EON G21654693 005

A

2,000,000

04/01/2025 X

Illinois Union Insurance Co

ARCHITECTS & ENG.

CN101348564-STND-GAUE-24-25

2,000,000

N/A

Marsh | U.S. Operations

04/01/2025

LOS-002695542-04

04/01/2024

X

2,000,000

04/03/2024

See next page-

212-948-0533

04/01/2025

PROFESSIONAL LIAB.

2,000,000

Defense Included

2,000,000 2,000,000

A

LosAngeles.CertRequest@marsh.com

04/01/2025

04/01/2024

04/01/2024

27960

ISA H1073888A

Per Claim/Agg

5,000

WLR C50718748 (AOS)

"CLAIMS MADE"

2,000,000 and Operations; Materials, Construction, and Maintenance; Bridges, Structures and Roadways.

RE: For RFP/RFQ Purposes. Client Ref No: CTR066167. Provide transportation research services with an emphasis on practical application at the Department on a broad range of research topics associated with Planning, Policy, Administration and Communication; Environmental Impacts of Transportation; Intelligent Transportation Systems (ITS); Traffic Engineering, Traffic Safety and Transportation System Management

AECOM Technical Services, Inc.

AECOM

Phoenix, AZ 85020 7720 North 16th Street, Suite 100

2,000,000

ACE American Insurance Company

X

CA License #0437153

Marsh Risk & Insurance Services

Los Angeles, CA 90071

633 W. Fifth Street, Suite 1200

Attn: LosAngeles.CertRequest@Marsh.Com

HDO G47343045

N/A

N

Phoenix, AZ 85007

Arizona Department of Transportation

1655 W. Jackson St., MD 100P

04/01/2024

A

1,000,000

866-966-4664

X

C

04/01/2025

F0950 Accepted

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Marsh Risk & Insurance Services� coverages, but only as respects work performed by or on behalf of the named insured and where required by written contract. This insurance is primary and non-contributory over State of Arizona, its departments, agencies, boards, commissions, universities and it officers, officials, agents and employees are named as additional insured for GL & AL any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to the GL & AL coverages.

Los Angeles

Certificate of Liability Insurance25

Waiver of Subrogation is applicable where required by written contract with respect to GL, AL and WC.

AECOM Technical Services, Inc.�

AECOM�

7720 North 16th Street, Suite 100�

CN101348564

Phoenix, AZ 85020

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