COI - Wood Group USA, Inc. - Expires 2022-07-01ACC ®
CERTIFICATE OF LIABILITY INSURANCE
DAT (O6/ 8/ 202�YY)
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
Aon Risk Services Southwest, Inc.
Houston Tx office
CONTACT
NPHONE AME.
(A/C. No. Ext): (866) 283-7122 FAX
No.: (800) 363-0105
E-MAIL
ADDRESS:
5555 San Felipe
Suite 1500
INSURER(S) AFFORDING COVERAGE
NAIC ##
Houston Tx 77056 USA
INSURED
INSURER A: AIG Specialty Insurance Company
26883
wood Group USA, Inc.
fka Amec Foster wheeler
17325 Park Row
INSURER B: American International Group UK Ltd
AA1120187
INSURER C: American Guarantee & Liability Ins Co
26247
Houston Tx 77084 USA
INSURER D: Zurich American Ins Co
16535
INSURER E: ACE American Insurance Company
22667
INSURER F: ACE Fire underwriters Insurance Co.
120702
COVERAGES CERTIFICATE NUMBER: 570087917210 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
LTR
TYPE OF INSURANCE
iNSD
WVD
POLICY NUMBER
POLICY EFF
MWDD/YYYY
POLICY F=XP
MM/DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
GL0484608501
07717=
EACH OCCURRENCE
$2,000,000
CLAIMS -MADE X❑ OCCUR
PREMISES Ea occurrence)$100
, 000
MED EXP (Any one person)
$ 5 , 000
PERSONAL & ADV INJURY
$1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$4, 000, 000
POLICY PRO ❑ LOC
JECT
PRODUCTS - COMP/OP AGG
$4,000,000
OTHER:
E
AUTOMOBILE LIABILITY
ISA H2555047A
071011202107/01/2022
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY ( Per person)
X ANYAUTO
BODILY INJURY (Per accident)
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED AUTOS NON -OWNED
PROPERTY DAMAGE
ONLY AUTOS ONLY
Per accident
C
X
UMBRELLA LIAB
X
OCCUR
AUC484608601
07 Ol 2021
07 OI 2022
EACH OCCURRENCE
$1,000,000
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
$1,000,000
DIED I X RETENTION $10,000
E
WORKERS COMPENSATION AND
WLRC67807674
07 Ol 2 21
07 22
X I PER STATUTE
OTH•
ER
EMPLOYERS' LIABILITY Y / N
work Comp- ADS
E.L. EACH ACCIDENT
$19000, 000
F
ANY PROPRIETOR / PARTNER / EXECUTIVE
El
N / A
SCFC67807716
07/01/2021
07/0I/2022
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
work Comp- wI
E.L. DISEASE -EA EMPLOYEE
$1,000,000
11 yas, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
B
Archit&Eng Prof
PSDEF2100726
07/01/2021
07/01/2022
Aggreagate Limit
$2,000,000
Claims Made- Prof. Liab.
Any one Claim
$2,000,000
SIR applies per policy terms
& condi
ions
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED AMEC COMPANIES. RE: City of Gilroy Project No. 18-RFP-PW-405 Corporation
Yard Stormwater Compliance Improvement Project. 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 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 of each policy.
CERTIFICATE HOLDER CANCELLATION
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 Gi 1 roy AUTHORIZED REPRESENTATIVE
7351 Rosanna street
Gilroy CA 95020 USA c34.'a�a A�ste�c�d
L
w
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000021966
LOC #:
AC RO L7�
ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon Risk Services Southwest, Inc.
NAMED INSURED
wood Group USA, Inc.
POLICY NUMBER
See certificate Number: 570087917210
CARRIER
see Certificate Number: 570087917210
I NAIC CODE
1 EFFECTIVE DATE:
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) ® 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD