HomeMy WebLinkAbout113170 MWH AMERICAS INC - INSURANCE CERTIFICATE (3)ACORD. CERTIFICATE OF LIABILITY INSURANCE ton2ol4
DA/29/2D
9/29/2013
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: N 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 endomemengs).
PRODUCER Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas Cityy M0 64112-1906
(816) 960-9000
CT
FX
ID No
(AIC, No Ez[ : AC.
E-MAIL
INSURER A: Lloyd's of London AF Bev -ley)
INSURED MWH AMERICAS, INC.
1357413 370 INTERLOCKEN BLVD. p 31 �10
STE. 300 1
BROOMFIELD CO 80021
INSURER B:
INSURER C
INSURER F
INSURER F
COVERAGES MWHGL05 CERTIFICATE NUMBER: 12595676 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.
IN R
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP MWDDNYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
NOT APPLICABLE
DANIA T RENTED
COMMERCIAL GENERAL LIABILITY
o men
XXXXXXX
MED EXP (Any oneperson)
X(XXX) X
CLAIMS -MADE F7OCCUR
PERSONAL S ADV INJURY
s XXXX)M
GENERAL AGGREGATE
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
XXXXXXX
S
17 Y P
AUTOMOBILE
LIABILITY
MBINEool, SINGLE LIMIT
s XXXXXXX
ANY
NOT APPLICABLE
BODILY INJURY (Per person)
$ XXj[X M
pAUTO
AAUTOYSIMEO SUTE00ULED
AAUTOS�ED
BODILY INJURY (Per accident
$ XX)C)C)M'
HIRED AUTOS
PE,centl RTY AGE
(Per
$ XXXXXXX
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
s )OOCX XX
EXCESS LIAR
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
s XX)OQOiX
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERSLIABILITY YIN
AN PROPRIETORIPARTNERI ECUTIVE ❑NIA
OFFICER EMMR EXCLUDED?
(Maeeatan I. NH)
NOT APPLICABLE
I WC S ATT- OTH-
E.L. EALHACCIDENT
XXXXXXX
E.L. DISEASE - EA EMPLOYEE
�r{r�ryy�y
XXXXXXX
D S tleLaYOe.,
DESCRIPTION OF OPERATIONS Wi.
E.L. DISEASE -POLICY LIMIT
1XXXXXXX
A
PROFESSIONAL
LIABILITY
N
N
GLOPRI301286
10/12013
10/1/2014
EACH CLAIM:$1,000,000
AGGREGATE: $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IjADach ACORD 101, Additlonal Remarks Schedule, If more space is required)
RE: Halligan Reservoir Enlargement. MWH Job No. 1700639.
12595676
City of Fort Collins
City of Fort Collins, Purchasing
Attn: Cliff Hoelscher
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
The ACORD name and logo are registered marks of ACORD
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