HomeMy WebLinkAbout113170 MWH AMERICAS INC - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE 8/31/2010
DA8/17/2009 YY'
PRODUCER Lockton Companies, LLC Denver
8110 E Union Avenue
Suite 700
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80237
(303) 414-6000
INSURERS AFFORDING COVERAGE
NAIC #
INSURED MWH Americas, Inc. (Formerly:
INSURER A: Traveler's Indemnity Company
1308383 Montgomery Watson Americas, Inc.)
INSURER B: Travelers Property Casualty Co of -America
25674
370 Interlocken Blvd., Suite 300
Broomfield, CO 80021
2009
INSURER C: St. Paul Fire & Marine ins. Co.
INSURER D: LEXINGTON INSURANCE COMPANY
INSURER E:
COVERAGES M W HC1I.O1 V X THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINGno
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRADD'
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE (MM/DD/YY
DATE MMIDD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1.000,000
A
X COMMERCIAL GENERAL LIABILITY
VTC2KCO5643B1871ND09
8/31/2009
8/31/2010
DAMAGETORENTED
PREMISES Ea occurence
$ 500,000
CLAIMS MADE X❑ OCCUR
MED EXP (Any one person)
$ Excluded
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PROECT n LOC
J
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
B
X ANY AUTO
VTC2JCAP5643B083TIL09
8/31/2009
8/31/2010
(Ea accident)
BODILY INJURY
ALL OWNED AUTOS
(Per person)
$ XXXXXXX
SCHEDULED AUTOS
BODILY INJURY
X HIRED AUTOS
X NON -OWNED AUTOS
(Per accident)
$ XXXXXXX
PROPERTY DAMAGE
$
(Per accident)
XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
$ XXXXXXX
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 5,000.000
AGGREGATE
$ 5.000.000
C
X OCCUR CLAIMS MADE
QK0830061
8/31/2009
8/31/2010
$ XXXXXXX
UMBRELLA
$ XXXXXXX
X
DEDUCTIBLE FORM
$ XXXXXXX
RETENTION $
B
WORKERS COMPENSATION AND
VTC2JUB5026L18109 (AOS)
8/31/2009
'7
8/31/_010
X WC STATU- OTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$ 1,000,000
B
ANY PROPRIETOR/PARTNER/EXECUTIVE
VTRJUB5643BO9509
8/31/2009
9/31/2010
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
B
OFFICER/MEMBEREXCLUDED? NO
(AZ,MA,OR,WI)
If yes, describe under
E.L. DISEASE - POLICY LIMIT 1
$ 1,000,000
SPECIAL PROVISIONS below
OTHER
D
Professional Liability
015448968
10/1/2009
10./1/2010
S1,000,000 each claim
S 1,000,000 aggregate
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder and any other entity are Additional Insureds as respects General Liability, Auto Liability and Umbrella Liability if required by written contract. Coverage is primary/nun-contributory if
required by written contract. Cancellation also reads: Ten (10) days for non-payment RE: Halligan Reservoir Enlargement. MWH Job No. 1700639.
CERTIFICATE HOLDER CANCELLATION [M4551921 [M4551901
3541032 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL-JENXXV0RX0(MAI L 60 DAYS WRITTEN
City of Fort Collins, Purchasing NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,XIKDQ7i@OiiEAfl(D(0{9479bdX
Attn: Cliff Hoelscher p�{gXyq}�gDggpiqp�{pgpflypiy IpR>Xisp�JlXXpa"p]R
P.O. Box 580 WY06XW474➢ .
Fort Collins, CO 80522 AUTHO D PRESENTATIVE
C
ACORD 25 (2001/081 For questions regarding this certificate, contact the number listed in the 'Producer' section abov and specify the client code'MWHGLgt'. C67ACORD, CORPORATION 1QRR
Named Insured: MWH Americas, Inc., MWH Constructors, Inc., MWH Global, Inc., MWH Soft, Inc. et. al.
Carrier: TRAVELERS INDEMNITY COMPANY Policy Number: VTC2KCO5643B1871ND09 Eff: 8/31/09-8/31/10
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. WHO IS AN INSURED - (Section II) is amended to include any person or organization that you agree
in a "written contract requiring insurance" to include as an additional insured on this Coverage Part,
but:
a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and
b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your
subcontractor in the performance of "your work" to which the "written contract requiring
insurance" applies. The person or organization does not qualify as an additional insured with
respect to the independent acts or omissions of such person or organization.
2. The insurance provided to the additional insured by this endorsement is limited as follows:
a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed
the limits of liability required by the "written contract requiring insurance", the insurance provided
to the additional insured shall be limited to the limits of liability required by that "written contract
requiring insurance". This endorsement shall not increase the limits of insurance described in
Section III - Limits Of Insurance.
b) The insurance provided to the additional insured does not apply to "bodily injury", "property
damage" or "personal injury" arising out of the rendering of, or failure to render, any professional
architectural, engineering or surveying services, including:
i. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders or change orders, or the preparing, approving, or failing to
prepare or approve, drawings and specifications; and
ii. Supervisory, inspection, architectural or engineering activities.
c) The insurance provided to the additional insured does not apply to "bodily injury" or "property
damage" caused by 'your work" and included in the "products -completed operations hazard"
unless the "written contract requiring insurance" specifically requires you to provide such
coverage for that additional insured, and then the insurance provided to the additional insured
applies only to such "bodily injury" or "property damage" that occurs before the end of the period
of time for which the "written contract requiring insurance" requires you to provide such coverage
or the end of the policy period, whichever is earlier.
The insurance provided to the additional insured by this endorsement is excess over any valid and
collectible 'other insurance", whether primary, excess, contingent or on any other basis, that is
available to the additional insured for a loss we cover under this endorsement. However, if the
"written contract requiring insurance" specifically requires that this insurance apply on a primary basis
or a primary and non-contributory basis, this insurance is primary to 'other insurance" available to the
additional insured which covers that person or organization as a named insured for such loss, and we
will not share with that "other insurance". But the insurance provided to the
Miscellaneous Attachment : M455192
Master ID: 1308383
Named Insured: MWH Americas, Inc., MWH Constructors, Inc., MWH Global, Inc., MWH Soft, Inc. et. al.
Carrier: TRAVELERS INDEMNITY COMPANY Policy Number: VTC2KCO5643B1871ND09 Eff: 8/31/09-8/31/10
additional insured by this endorsement still is excess over any valid and collectible 'other insurance",
whether primary, excess, contingent or on any other basis, that is available to the additional insured
when that person or organization is an additional insured under such 'other insurance".
4. As a condition of coverage provided to the additional insured by this endorsement:
a) The additional insured must give us written notice as soon as practicable of an 'occurrence" or an
offense which may result in a claim. To the extent possible, such notice should include:
i. How, when and where the 'occurrence" or offense took place;
ii. The names and addresses of any injured persons and witnesses; and
iii. The nature and location of any injury or damage arising out of the 'occurrence" or offense.
b) If a claim is made or "suit' is brought against the additional insured, the additional insured must:
i. Immediately record the specifics of the claim or "suit' and the date received; and
ii. Notify us as soon as practicable.
The additional insured must see to it that we receive written notice of the claim or "suit' as soon
as practicable.
c) The additional insured must immediately send us copies of all legal papers received in connection
with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense
against the "suit', and otherwise comply with all policy conditions.
d) The additional insured must tender the defense and indemnity of any claim or "suit' to any
provider of 'other insurance" which would cover the additional insured for a loss we cover under
this endorsement. However, this condition does not affect whether the insurance provided to the
additional insured by this endorsement is primary to 'other insurance" available to the additional
insured which covers that person or organization as a named insured as described in paragraph
3. above.
5. The following definition is added to SECTION V. - DEFINITIONS:
"Written contract requiring insurance" means that part of any written contract or agreement under
which you are required to include a person or organization as an additional insured on this
Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal
injury" is caused by an offense committed:
a. After the signing and execution of the contract or agreement by you;
b. While that part of the contract or agreement is in effect; and
c. Before the end of the policy period
Miscellaneous Attachment: M455192
Master ID: 1308383