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
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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