COI - JWGUSA Holdings, Inc. - Expires 2022-07-01V,S
CERTIFICATE OF LIABILITY INSURANCE
ATE(MM/DD2YYYY)
06/, 8/201
r
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(les) 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
Aon Risk Services Southwest, Inc.
Houston TX Office
CONTACT
NPHONE AME:
(A/C. No. Ext): (866) 283-7122 aC No.): (800) 363-0105
E-MAIL
ADDRESS:
5555 San Felipe
Suite 1500
Houston Tx 77056 USA
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: AIG Specialty Insurance Company
26883
JWGUSA Holdings, Inc.
and its subsidiaries and Affiliates
17325 Katy Freeway
INSURERB: American International Group UK Ltd
AA1120187
INSURER C: American Guarantee & Liability ins Co
26247
Houston Tx 77084 USA
INSURERD: Zurich American ins Co
16535
INSURER E: ACE American Insurance Company
22667
INSURER F: ACE Fire underwriters insurance Co.
120702
COVERAGES CERTIFICATE NUMBER: 570087917208 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. Limits shown are as requested
INSR
LTR
TYPE OF INSURANCE
ADD
INSD
yWVD
POLICY NUMBER
POLICY EFF
MM/DD/YYY
POLICY EXP
MM/DD/YYY
LIMBS
X
COMMERCIAL GENERAL LIABILITY
GL04841508501
777172621
671011ZOZ2
EACH OCCURRENCE
S2,000,000
CLAIMS -MADE OCCUR
PREMISES Ea occurrence)$100,
000
MED EXP (Any one person)
$ 5 , 000
PERSONAL & ADV INJURY
$2 , 000 , 000
GEN'LAGGREGATE LIMiTAPPLIES PER:
GENERAL AGGREGATE
S4,000,000
POLICY E PRO-F� LOC
JECT
PRODUCTS - COMP/OP AGG
S4,000,000
OTHER:
E
AUTOMOBILE LIABILITY
ISA H2555047A
07/01/202107/01/2022
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
BODILY INJURY ( Per person)
X ANY AUTO
OWNED SCHEDULED
BODILY INJURY (Per accident)
AUTOS ONLY AUTOS
HIRED AUTOS NON -OWNED
PROPERTY DAMAGE
ONLY AUTOS ONLY
Per accident
C
X
UMBRELLA LIAB
X
OCCUR
AUC484608601
07 01 2021
07 O1 2022
EACH OCCURRENCE
$1, 000 , 000
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$1, 000 , 000
DEO X RETENTION 410,000
E
WORKERS COMPENSATION AND
WLRC67807674
07 01 20 1
07 1 022
X I PER STATUTE I OTH-
ER
EMPLOYERS' LIABILITY Y/N
work Comp- AOS
E.L. EACH ACCIDENT
S1,000,000
F
ANY PROPRIETOR / PARTNER / EXECUTIVE
El
N ! A
SCFC67807716
07/O1/2021
07/Ol/2022
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
work Comp- WI
E.L. DISEASE -EA EMPLOYEE
$11000, 000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
S1,000,000
B
Archit&Eng Prof
PSDEF2100726
07/01/2021
07/01/2022
Aggreagate Limit
$5,000,000
Claims Made- Prof. Liab.
Any one Claim
$5,000,000
SIR applies per policy terms
& condi
ions
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
see attached addendum for Additional Named Insured wood Companies. RE: Project Description: City of Gilroy NPDES compliance
services for fiscal year 2020-2021, Estimated contract Price: $31,300. 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 now notice of
cancellation may be delivered to certificate holders in accordance with the policy provisions of each policy.
CERTIFICATE HOLDER
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS."-.
City of Gilroy AUTHORIZED REPRESENTATIVE
7351 Rosanna Street
Gilroy CA 95020 USA
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
CANCELLATION
AGENCY CUSTOMER ID: 570000021966 '
LOC #:
ACORO®
ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon Risk Services Southwest, Inc.
NAMED INSURED
JWGUSA Holdings, Inc.
POLICY NUMBER
see Certificate Number: 570087917208
CARRIER
See Certificate Number: 570087917208
I NAIC CODE
EFFECTIVE DATE:
1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Additional Named Insured
JWGUSA Holdings, Inc.
wood Group USA, Inc.
wood Environment & Infrastructure Solutions,
AMEC Construction Management, Inc.
AMEC E&E, P.C.
AMEC Engineering and Consulting of Michigan,
Amec Foster wheeler Energia, S.L.U.
Amec Foster wheeler Industrial Power Company,
Amec Foster wheeler Kamtech, Inc.
Amec Foster Wheeler Martinez, Inc.
Amec Foster wheeler North America Corp
Amec Foster wheeler Power Systems, Inc.
Amec Foster wheeler USA Corporation
Amec Foster wheeler Ventures, Inc.
BMA Solutions, Inc.
C E C Controls Company, Inc.
Cape software, Inc.
Foster wheeler Intercontinental Corporation
ingenious, Inc.
John Wood Group PLC
John wood Group, Inc.
Kelchner, Inc.
MACTEC Engineering and Consulting, P.C.
MACTEC Engineering & Geology, P.C.
MASA Ventures, Inc.
Mustang International, Inc.
Rider Hunt International USA, Inc.
RWG (Repair & Overhauls) USA, Inc.
Swaggart Brothers, Inc.
wood Design, LLC
wood Group Alaska, LLC
wood Group Asset Integrity Solutions
wood Group PSN, Inc.
wood Group UK, Ltd
wood Massachusetts, Inc.
wood Programs, Inc.
Inc.
Inc.
Inc.
ACORD 101 (2008/01) m 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD