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AMEC Foster Wheeler - Insurance CertificatesA�CCIRLY CERTIFICATE OF LIABILITY INSURANCE DATE 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 have ADDITIONAL INSURED provisions or 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 1- 908 -566 -1010 Construction Risk Partners a TLT Group Company Campus View Plaza CONTACT NAME: Lauren Bowman PHONE FAX 'MC. .908 - 566 -1010 ,C No: 908 -566 -1020 E -MAIL amecfw@constructionriskpartners.com ADDRE P INSURERS AFFORDING COVERAGE NAIC# 1250 Route 28, Suite 201 INSURER A: ACE AMER INS CO 22667 Branchburg, NJ 08876 INSURED INSURER B: ZURICH AMER INS CO 16535 Amec Foster Wheeler Environment & Infrastructure, Inc. INSURER C: ACE PROP & CAS INS CO 20699 INSURER D: AMERICAN ZURICH INS CO 40142 180 Grand Avenue, 11th Floor INSURER E: PREMISES Ea occurrence INSURER F: Oakland, CA 94612 COVERAGES CERTIFICATE NUMBER: 50158870 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G27851162 05/01/17 05/01/18 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE a OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICYEfl JEC LOC PRODUCTS - COMP /OPAGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY BAP 9483148 -06 05/01/17 05/01/18 MBINED COEa aden.cci .d.nSINGLELIMIT t $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X $ Comp $1,00 X Coll $1,00 C X UMBRELLA LIAB X OCCUR XOO G27240665 05/01/17 05/01/18 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ 10,000 $ D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? NIA WC 3504866 -16 WC 3867133 -10 05/01/17 05/01/17 05/01/18 05/01/18 I PER X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yyes, describe under DESCRIPTIONOF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 H Architects & Engineers Prof EOC1008375 -02 05/01/17 05/01/18 Any One Claim /Agg 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project Description: City of Gilroy NPDES Compliance, Estimated Contract Price: $99,999.99 City of Gilroy, its agents, officers, officials, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. Should General Liability, Automobile Liability, Professional Liability and Workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions. UANUt:LLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 USA W_QL-.� (Z - ACORD 25 (2016/03) Sklein 50158870 ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: HDO G27851162 001 Endorsement Number: 65 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of Gilroy, its agents, officers, officials, employees and volunteers. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional in only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 P5260029002 ge X • A6 OR r 7� �./ CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDNYYY) 04/24/2015 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 1- 908 -566 -1010 Construction Risk Partners, LLC CONT=A NAME: PHONE FAX Extlffi A/C "a): E-MAIL ADDRESS: Campus View Plaza INSURERS AFFORDING COVERAGE NAILS 1250 Route 28, Suite 201 INSURER A: ACE AMM INS CO 22667 Branchburg, NJ 08876 INSURED INSURER e: ZURICH AKER INS CO 16535 Amec Poster wheeler Environment & Infrastructure, Inc. INSURER C: ACE PROP & CAS INS CO 20699 INSURER D: AMERICAN ZURICH INS CO 40142 180 Grand Avenue INSURER E: AIG SPECIALTY INS CO 26883 INSURER F: Oakland, CA 94612 COVFRAnF9 CFRTIFICATF MIIYRFD• A365RR26 DQVIQIr1M Mt IaaDCD. 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. I�R TR TYPE OF INSURANCE ADDL B POUCY NUMBER POLICY EFF M�Dr POLICY WDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 024556347 05/01/15 05/01/16 EACH OCCURRENCE $ 2,000,000 I g eau $ 100,000 MED EXP (Any one on) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY a JECT ITI LOC GENERAL AGGREGATE S 4,000,000 PRODUCTS - COMP/OP AGG S 4,000,000 $ OTHER: e AUTOMOBILE LIABILITY BAP 9483148 -04 05/01/15 05/01/16 CEa OMBINEDSINGLELIMIT aid n $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS I (Per INJURY Per t ) S X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE (Par accident) $ $ X Camp $1,00 X Coll $1,000 C X UMBRELLA LIAB E OCCUR XOO 627240665 05/01/15 05101116 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 �DED CESS LUIS CLAIMS -MADE RETENTIONS 10,000 S D D AND EMPLOYERS' LIABILITY AND EMPLOYERS' LIT Y/N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? a NIA WC 3504866 -14 wC 3667133 -08 05 /01 /15 05/01/15 05/01/16 05/01/16 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) R describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 B Architects & Raginears Prof IPR 1008375 -00 05/01/15 05/01/16 Any One Claim /Agg 1,000,000 E Pollution CPL 12456119 05/01/15 05/01/16 Occ /Agg Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be atiadrad R more spacs Is required) RE: Contract Services Start Date: 1/31/2014. Project Description: Consultant Agreement Services. City of Gilroy, its officers and employees are included as Additional Insured in accordance with the policy provisions of the Commercial General Liability and Automobile Liability policies. Should Commercial General Liability, Automobile Liability, Professional Liability and Workers, Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Mayra Cervantes 7351 Rose— Street AUTHORIZED REPRESENTATIVE CA 95020 I 1 USA %) 1833-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD lbowmani 43658826 N L' O N M 00 o� N i m P5260028002 Construction Risk Partners, LLC Campus View Plaza 1250 Route 28, Suite 201 Branchburg, NJ 08876 201304273336 Electronic Service Requested 3 -DIGIT 950 23983 0.5234 AT 0.403 1' I1 Jill IIIIIIIIII Jill 111111111111111111111111111 City of Gilroy 82 7351 ROSANNA ST GILROY, CA 95020 -6141 EBIX BPO This document was brought to you by CertificatesHow, chosen certificate vendor for Construction Risk Partners, LLC. - If you have questions regarding the content of this document, please contact - the Construction Risk Partners at (908)566 -1010. - To find out how you can send and receive all of your certificates of insurance- either by email, high speed fax or standard mail, email customercare8confirmnet.com- or visit our website at www.confirmnet.com- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. N M M N 7 Z w Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 -r P5260028002 ./"eCORLJ CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDDNYYY) 04/24/2015 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 WANED, 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 1- 908 -566 -1010 Construction Risk Partners, LLC CONTACT NAME: PHONE FAX No): Campus View Plaza E-MAIL ADDRESS: INSURER (S) AFFORDING COVERAGE NAIC 0 1250 Route 28, Suite 201 INSURER A: ACE IRIS CO 22667 Branchburg, NS 08876 INSURED INSURER B: ZURICH AMER 11TS CO 16535 Amec Foster wheeler Environment & Infrastructure, Inc. INSURER C: AM PROP & CAS INS CO 20699 INSURER D: AMERICAN ZURICH INS CO 40142 180 Grand Avenue INSURER E: AIG SPECIALTY INS CO 26883 $ 100,000 INSURER F: MED EXP (Any one person) Oakland, CA 94612 COVERAGES CERTIFICATE NUMBER: 43654124 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 TYPE OF INSURANCE ADDL SURR POLICY NUMBER POLICY EFF MMIOD POLICY EXP MIDD LIMA A g COMMERCIAL NERAL LIABILITY G24556347 05/01/15 05/01/16 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE 7 OCCUR DAMAGE TO RE PREMISES a oomi rence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 g POLICY � JEST LOC PRODUCTS - COMPIOPAGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY BAP 9483148 -04 05/01/15 05/01/16 COMBINED SINGLE LIMIT ec e Ea nt S 1,000,000 BODILY INJURY (Per portion) S g ANY AUTO g ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acddert) $ X HIRED AUTOS g NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ X Cosa $1,00 X Coll $1,000 C g UMBRELLA LIAB g OCCUR ROO G27240665 05/01/15 05/01/16 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ 10, 000 $ D D WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN ANY PR PRI BER�EXRTNERIIE ECUTNE NIA wC 3504866 -14 WC 3867133 -08 05/01/15 05/01/15 05/01/16 05101116 g PTATUT OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) I1 describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Architects & Engineers Prof IPR 1008375 -00 05/01/15 05/01/16 Any One Claim /Agg 2,000,000 E Pollution CPL 12456119 05/01/15 05101/16 Occ /Agg Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N mom spec Is required) RE: Project Description: City of Gilroy NPDES, Estimated Contract Price: $200000. City of Gilroy, its agents, officers, officials, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. Should General Liability, Automobile Liability, Professional Liability and Workers* Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern bow notice of cancellation may be delivered to certificate holders in accordance with the policy provisions SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 USA W,.0 2. 01988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD lbowmanl 43654124 N O N 00 (71 en N i