HomeMy WebLinkAbout113170 MWH AMERICAS INC - INSURANCE CERTIFICATE (6)MWHGLOB-01 BARBERNI
,44C41-'lRO' CERTIFICATE OF LIABILITY INSURANCE
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DATD
8/30/230/2014
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 endorsement(s).
PRODUCER
Willis of Colorado, Inc.
c/o 26Cantu rryyBlvd
P.O. Box 3o5191
Nashville, TN 37230-5191
CONTACT
NAME:
PHONE g77 945-7378 FAX, (888) 467-2378
acNOExt:( )INCNo:
E-MAIL
ADDRESS:
INSURER(5) AFFORDING COVERAGE
NAIC X
INSURER A: Travelers Property Casualty Company of America
25674
INSURED `I Z•1�
MWH Global Inc. \ i
INSURER B:
MWH Americas, Inc.
INSURER C
INSURER D
MWH Constructors, Inc.
380 Interlocken Crescent, Ste 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.
INSR
LTR
I TYPE OF INSURANCE
ADDL
INSD
UBR
MID
POLICYNUMBER
MMADD/YYEYY
MWDDNYY
LIMITS
A
X
COMMERCIALGENERALUABILRY
EACH OCCURRENCE
$ 1,000,00
CLAIMS-MADE T OCCUR
X
VTC2K-CO-5643B790-IND-14
08/31/2014
08/31/2015
PREMISES Eat NI oxunence
S 300,00
MED EXP(My one parson)
$
PERSONAL B ADV INJURY
$ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,00
POLICY T JET LOG
PRODUCTS - COMP/OPAGG
$ 2,000,00
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,00
A
X
ANY AUTO
X
VTC2JCAP5643B808TIL14
BODILY INJURY (Per person)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
fOW1/20]1408/31/2015
BODILY INJURY (Per accident)
$
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per accident
$
J(
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 5,000,00
AGGREGATE
$ 5,000,00
A
EXCESS LIAB
CLAIMS -MADE
X
ZUP-11P74763-14-NF
08/31/2014
Oa/31/2015
DIED I X RETENTION$ 10,000
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
N/A
VTC2JUB5643B81A14
08/31/2014
08/31/2015
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,00
E.L. DISEASE - EA EMPLOYEE
$ 1,000,00
It es, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1,000,00
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACOR0101, Additional Remarks Schedule, may be attached 11 more space is required)
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
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD