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HomeMy WebLinkAboutWSP USA Inc. - Certificate of Liability InsuranceACo ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11 1 5/1/2023 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. CONTACT NAME: AJG Service Team Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 300 Madison Avenue .(Arc Nc, Ext): 212-994-7100 Avc Ne : 212-994-7047 E-MAIL 28th Floor ADDRESS.: GGB.WSPUS.CERTREQUESTS@AJG.COM New York NY 10017 mQiiPpat n ars:nci Nrdr-rnvraar.r nrerca INSURED WSP USA Inc. One Penn Plaza New York, NY 10119 INSURER ALiberty Insurance Corporation WSPGLOB-01 INSURER B : Zurich American Insurance Compaq INSURER D_ INSURER E : COVERAGES CERTIFICATE NUMBER: 207043770R REVISION NUMBER: 42404 16535 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 TYPE OF INSURANCE ADDL SUBRPOLICY POLICY LTR POLICY NUMBER MM/DNYYY M DYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y GLO9835819-10 5/1/2023 5/1/2024 EACH OCCURRENCE 3,500,000___ CLAIMS -MADE OCCUR PRE, SES Ea occur encel 3,500,000 MED EXP (Any one person) 10,000 PERSONAL & AD_V INJURY_ 3,500,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 7,000,000GEN'L X POLICY D PROJECT 0 LOC PRODUCTS - COMP/OP AGG 4,000,000 OTHER: A AUTOMOBILE LIABILITY AS7-621-094060-033 5/1/2023 5/1/2024 COMBINED SINGLE LIMIT Ea accident 5,000,000 BODILY INJURY (Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident) UMBRELLALIAB OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIABCLAIMS -MADE DIED - RETENTION $ A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN. ANYPROPRIETOR/PARTNER/EXECUTIVE N WA7-62D-094060-013 WA7-62D-095609-073 WC7-621-094060-913 5/1I2023 5/1/2023 5/1/2023 5/1/2024 511/2024 5/112024 X STATUTE ERH E.L. EACH ACCIDENT 2,000,000 OFFICER/MEMBER EXCLUDED? N/A Mandatory in NH) E.L. DISEASE - EA EMPLOYEE_ 2,000,000_ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIRTY ( 30) DAYS NOTICE OF CANCELLATION. Project No.: 160413C I Lewis Street Overpass Constructability Review I Client project No.: 19037 The city shall be named as an insured under the Commercial General Liability insurance policy with respect to the work performed for the City. City of Pasco 525 N 3rd Avenue Pasco WA 99301 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 01988- 2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 5/1/2023 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 Arthur J. Gallagher Risk Management Services, LLC 300 Madison Avenue 28th Floor New York NY 1001 1.Vn1:4' AJG Service Team PHONE FAX AfC, No. Ext); 212-994-7100 fA/C. Not: ADDRESS: GGB.WSPUS.CERTREQUESTS JG.COM INSURER(p AFFORDING COVERAGE INSURER A: Liberty Insurance Corporation INSURED WSPGLOB-01 WSP USA Inc. One Penn Plaza New York, NY 10119 INSURERS: Zurich American Insurance Company INSURERC: INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER:1220060433 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 ADD L UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE Wv0 POLICY NUMBER DD/YYYY MWDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y GLO9835819-10 5/1/2023 5/1/2024 EACH OCCURRENCE 3.500,DOD CLAIMS -MADE T OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 3,500,000 MED EXP (Any one person). 10,000 PERSONAL &ADV INJURY 3,500,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 7,000,000GENT X POLICY PROJECT LOC PRODUCTS - COMP/OP AGG 4,000,000 OTHER: A AUTOMOBILE LIABILITY AS7-621-094060-033 5/1/2623 5/112024 COMBINED SINGLE LIMIT Ea accident 5,000,000 X BODILY INJURY (Per person) ANY AUTO 1AUTOSOWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) PROPERTYDAMAGE Per accident HIRED NON -OWNED ONLY AUTOS ONLY UMBRELLALIAS OCCUR EACH OCCURRENCE AGGREGATEEXCESSLIABCLAIMS -MADE DED RETENTION S A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N WA7-62D-094060-013 WA7-62D-095609-073 WC7-621-094060-913 5l1/2023 5/1l2024 5/1/2023 5/112024 5/1/2023 5/1/2024 X SEATUTE ERH E.L. EACH ACCIDENT 2,000,000 OFFICER/MEMBEREXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE 2,000,000MandatoryinNH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) THIRTY (30) DAYS NOTICE OF CANCELLATION. RE: Project Number: 31404486.000 ( Project Description: PROVIDE CONSTRUCTION MANAGEMENT AND CM SERVICES FOR THE CITY OF PASCO'S ZONE 3 STORAGE RESERVOIR I AID-22-094391 CITY OF PASCO, WASHINGTON is Additional Insureds as respects General Liability policy, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. The insurance provided in the General Liability policy is primary and any other insurance shall be excess only, and not contributing. Waiver of Subrogation applies to Additional Insureds, as respects General Liability policy, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. 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 PASCO, WASHINGTON 525 N THIRD AVE PASCO WA 99301 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher Risk Management, Services; LLC 300 Madison Avenue, 28th Floor. New York NY 10017 MDG2023 00032655 01 II"III'IIII'III'Illl"IIIIIIIIIi IIil"IiI'IIIIII'lll"II'I'III CITY OF PASCO, WASHINGTON 525 N THIRD AVE PASCO, WA 99301