HomeMy WebLinkAbout113170 MWH AMERICAS INC - INSURANCE CERTIFICATE (4)MWHGLOB-01 BRITTONMA
ACORO' CERTIFICATE OF LIABILITY INSURANCE
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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 pollcy(les) 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 endorsements .
PRODUCER
Willis of Colorado, Inc.
Go 26 Century Blvd
P.O. Box 305191
Nashville, TN 37230.5191
CONTACT
NAME:
PHONE 877 945-7378 FA%
A/C No Ext:( ) aC No: (888) 467-2378
E-MAIL
ADDRESS:
INSUREft(S)AFFORDING COVERAGE
NAICp
INSURER A: Travelers Indemnity Company
25658
INSURED
INSURER B: Travelers Property Casualty Company of America
25674
MWH Global Inc.
MWH Americas, Inc.
INSURERC:St. Paul Fire and Marine Insurance Company
24767
INSURER D :
MWH Constructors, Inc.
3801nterlocken Crescent, Suite 200
Broomfield, CO 80021
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
IICY
LTR
TYPE OF INSURANCE
ADDLSUBR
POLICY NUMBER
MMIDDIIYErn
EXP
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL UABIUTY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE ❑X OCCUR
X
VTC2K-CO-5643B790-IND-13
8/3112013
8/31/2014
PREMISES Ea occurrence
$ 300,00
MED EXP (Any one person)
S
PERSONAL B ADV INJURY
S 1,000,000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S 2,000,000
GENT
POLICY JEa FX LOC
PRODUCTS - COMP/OP AGG
S 2,000,000
S
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
S 1,000,000
B
X
ANY AUTO
X
VTC2JCAP5643B808TIL13
8131/2013
8/3112014
BODILY INJURY (Per person)
S
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident
E
NON-OMED
HIREDAUTOS AUTOS
PROPERTY DAMAGE
Peraccident
E
E
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
S 5,000,00
AGGREGATE
$ 5,000,000
C
EXCESSLIAB
CLAIMS -MADE
X
ZUP-11P74763-13-NF
8/3112013
8/3112014
DED XI RETENTION$ 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED?
NIA
VTC2KUB5643B81A13
8131/2013
8131/2014
I PER I OTH-
X STATUTE ER
E.L. EACH ACCIDENT
E 1,000,000
E. L. DISEASE - EA EMPLOYEE
S 1,000,000
(Mandatory In NH)
If yyes, descdDe under
DESORIPTION OF OPERATIONS telm
E. L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may Ee attached if more apace is required)
THIS CERTIFICATE VOIDS AND REPLACES THE PREVIOUSLY ISSUED CERTIFICATE DATED: 06/25/2014
Re: MWH Job No 1700639
City of Fort Collins is included as an Additional Insured as respects to General Liability, Automobile Liability and Umbrella.
General Liability policy shall be Primary and Non -Contributory with any other insurance in force for or which may be purchased by Additional Insured.
City of Fort Collins
City of Fort Collins Purchasing
Attn: Link Mueller
P.O. Box 580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
//e/9WL
IS T966-ZU14 ACUKU CORPORATION. All rights reserved.
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