Loading...
HomeMy WebLinkAbout113170 MWH AMERICAS INC - INSURANCE CERTIFICATE (2)IIIII CERTIFICATE OF LIABILITY INSURANCE �i to/uzolz Da8E(MM/DD12 8/22/20t2 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 endomement(s). PRODUCER Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 I L/• CONTACT NAME: INC, PHONE FAX Exl : A No E-MAIL ADDRESS, DIN COVERAGE NAIC e INSURER A: The Travelers Indemnity Company 25658 INSURED MWH Americas, Inc. 1308383 3701ntedocken Blvd., Suite 300 Broomfield, CO 80021 2009 INSURERS: T.iai,sPropem Casualty Coaf API 25674 INSURER C: Sr. Paul Fire and Marine Insurance Company 24767 IN E ! Lexington Insurance Company 19437 NS RERE: INSURER F : COVERAGES MWHGL01 TX CERTIFICATE NUMBER: 3541032 REVISION NUMBER: XXXXXXX 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 ILM TYPE OF INSURANCE ADDL IN SUSR 4WD pOLICV NUMBER POLICY EFF MMID POLICY EXP MM/ D LIMITS A GENERAL LIABILITY N NI VTC2KC05643BI87INDI2 8/31/2012 8/31/2013 EACH OCCURRENCE 1000000 DAMAGERENTED 300000 X COMMERCIAL GENERAL LIABILITY CI-AIMS-MADEXOCCUR MED EXP (Any oneperson) Excluded PERSONAL & ADV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000,000 " GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s 2,000,000 POLICY X iPEPI f I L $ B AUTOMOBILELIABILITY N N VTC21CAP5643BO83TIL12 8/31/2012 8/31/2013 EOgBINdEeDISINGLELIMIT s 11000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO ALL OWNED AUTOSULEO BODILY INJURY IPer accident $XXXXXXX X Pe�acclEentDAMAGE $ XXXXXXX HIREDAUTOS X ANO- UT03 ED $XXXXXXX C X UMBRELLA LIAB X OCCUR N N ZUP-IIP74763-12-NF 8/31/2012 8/31/2013 EACH OCCURRENCE s5000,000 AGGREGATE s 5,000,000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTIONS S XXXXXXX BLIMWORKERS B COMPENSATION AND ANY PROPRIETORNARTNER/EXECUTIVE YIN EXCLUDED? � (ManMbry in NH) N yes moon. umer DESCRIPTION OF OPERATIONS Gebw NIA N VTC2JUB5026LI8112(AOS) VTRIU65643609512 (WI) 8/31/2012 $/31/20I2 8/312013 8/31/2013OFFICERIMEMBER X T RYTAIN OTH- EL. EACH ACCIDENT s 1,000,000 E.LDISEASE EA EMPLOYEE 1000,000 E.L. DISEASE POLICY LIMIT 1000000 D Professional Liability N N 015449003 10/1/2011 10/1/2012 $1000,000 each claim $1 000,000 agERegate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(ANach ACORD 101, Additional Remarks Schedule, if more space la required) Certificate Molder and any other entity are Additional Insureds as respects General Liability, Auto Liability and Umbrella Liability if required by written contract. Coverage Is prima non-contributory, if required by written contract. Cancellation also reads: Ten (10) days for non-payment. RE: Halligan Reservoir Enlargement. MCI Job No. 1700639. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3541032 AUTHORIZED REPRESENTATIVE City of Fort Collins City of Fort Collins, Purchasing Attn: Cliff Hoelscher P.O. Box 580 Fort Collins, CO 80522 ACORD 25 (2010/05) (D198812010 ACORD CORPOKATION. All rights reserved The ernwn ..ar..e ar.H 1..,... ——nlefnend m.,ka of ernwn Named Insured: MWH Americas, Inc., MWH Constructors, Inc., MWH Global, Inc., MWH Soft, Inc. et. al. Carrier: TRAVELERS INDEMNITY COMPANY Policy Number: VTC2KCO5643B1871ND12 Effective Dates: 8/31/12 - 8131/13 CG D2 46 08 05 Commercial General Liability 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. 3. 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, Certificate ID: J541032 Named Insured: MWH Americas, Inc., MWH Constructors, Inc., MWH Global, Inc., MWH Soft, Inc. et. al. Carrier: TRAVELERS INDEMNITY COMPANY Policy Number: VTC2KCO5643B1871ND12 EFFECTIVE DATE: 08/31/12 - 08/31/13 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, Certificate ID: 3541032 POLICY NUMBER: VTC2JCAP5643B083TIL12 COMMERCIAL AUTO EFFECTIVE DATES: 08/31/12 - 08/31/13 NAMED INSURED: MWH AMERICAS, INC; MWH CONSTRUCTORS, INC.; MWH GLOBAL, INC. ET AL INSURANCE CARRIER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name of Person(s) or Organization(s): ANY PERSON OR ORAGNIZATION THAT YOU ARE _ REQUIRED TO INCLUDE AS ADDITIONAL INSURED ON THIS COVERAGE FORM IN A WRITTEN CONTRACT OR AGREEMENT THAT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS AND THAT IS IN EFFECT DURING THE POLICY PERIOD (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Ins. Services Office, Inc., 1998 Page 1 of 1 Miscellaneous Attachment : M455190 Master ID: 1308383, Certificate ID: 3541032 Named Insured: MWH Americas, Inc., MWH Constructors, Inc., MWH Global, Inc., MWH Soft, Inc. at. al. Carrier: TRAVELERS INDEMNITY COMPANY Policy Number: VTC2KCO5643B1871ND12 EFFECTIVE DATES: 08/31/12 - 08/31/13 COMMERCIAL GENERAL LIABILITY 2. This insurance does not apply to damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: a. Rupture, bursting, or operation of pressure relief devices: b. Rupture or bursting due to expansion or swelling of the contents of any building or structure, caused by or resulting from water; c. Explosion of steam boilers, steam pipes, steam engines, or steam turbines. temporarily occupied by you with permission of the owner, caused by: fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water, is not an "insured contract", 5. This Provision B. does not apply if coverage for Damage To Premises Rented To You of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I - Coverages) is excluded by endorsement. 3. Paragraph 6. of LIMITS OF INSURANCE (Section Ill) is deleted and replaced by the following: C. BLANKET WAIVER OF SUBROGATION Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay under COVERAGE A. for the sum of all damages because of "property damage" to any one premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water. The Damage To Premises Rented To You Limit will apply to all "property damage" proximately caused by the same "occurrence", whether such damage results from: fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water; or any combination of any of D. these causes. The Damage To Premises Rented To You Limit will be the higher of: a. $300,000; or b. The amount shown on the Declarations for Damage To Premises Rented To You Limit. 4. Paragraph a. of the definition of "insured contract" (DEFINITIONS - Section V) is deleted and replaced by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnities any person or organization for damage to premises while rented to you, or Page 2 of 6 CIS 03 16 07 04 Miscellaneous Attachment: M455193 Master ID: 1308383, Certificate ID: 3541032 We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work"; or "your products". We waive this right where you have agreed to do so as part of a written contract, executed by you before the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising Injury" offense is committed. BLANKET ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (referred to below as "additional insured") with whom you have agreed in a written contract, executed before the "bodily injury" or "property damage" occurs or the "personal injury' or "advertising injury" offense is committed, to name as an additional insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the following provisions: 1. Limits of Insurance. The limits of insurance afforded to the additional insured shall be the limits which you agreed to provide in the written contract, or the limits shown on the Declarations, whichever are less. 2. The insurance afforded to the additional insured does not apply to: .air► TRAVELERS) WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00)- 01 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. INSURED: MWH GLOBAL, INC., MWH AMERICAS, INC., MWH CONSTRUCTORS, INC., ET AL INSURANCE CO.: TRAVELERS POLICY NO.: VTC2JUB50261-18112 (AOS)/ VTRJUB5643BO9512 (WI) EFFECTIVE DATES: 08/31 /12 - 08/31 /13 Miscellaneous Attachment : M455194 Master ID: 1308383, Certificate ID: 3541032 POLICY NUMBER: VTC2JCAP5643B083TIL12 EFFECTIVE DATES: 08/31/12 - 08/31/13 COMMERCIAL AUTO NAMED INSURED: MWH AMERICAS, INC; MWH CONSTRUCTORS, INC.; MWH GLOBAL, INC. ET AL INSURANCE CARRIER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA This coverage applies only in the event of a total Recovery Against Others To Us is deleted and theft of your covered "auto". replaced by the following: No deductibles apply to Personal Effects Coverage. 5. Transfer Of Rights Of Recovery Against H. NOTICE OF AND KNOWLEDGE OF Others To Us OCCURRENCE We waive any right of recovery we may SECTION IV - BUSINESS AUTO have against any person or organization CONDITIONS, A. 2. Duties In The Event Of to the extent required of you by a Accident, Claim, Suit Or Loss, subparagraph written contract executed prior to any a. is deleted and replaced by the following: "accident" or "loss", provided that the a. In the event of "accident", claim, "suit" or "accident" or "loss" arises out of "loss", you must give us or our authorized operations contemplated by such representative prompt notice of the contract. The waiver applies only to the "accident" or "loss" including: person or organization designated in such contract. (1) How, when and where the "accident" J. or "loss" occurred; (2) the "insured's" name and address; and (3) to the extent possible, the names and addresses of any injured persons and witnesses. Your duty to give us or our authorized representative prompt notice of the "accident" or "loss" applies only when the "accident" or "loss" is known to: 1. You, if you are an individual; 2. A partner, if you are a partnership; or K. 3. An executive officer or insurance manager, if you are a corporation. BLANKET WAIVER OF SUBROGATION SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of CA T3 53 01 04 0da6f°,irs Attachment: M455191 Master ID: 1308383, Certificate ID: 3541032 UNINTENTIONAL ERRORS OR OMISSIONS SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions; 2. Concealment, Misrepresentation, Or Fraud is amended by adding the following: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. MENTAL ANGUISH SECTION V - DEFINITIONS, Definition C. is amended by adding the following: "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease.