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WOOD ENVIRONMENT AND INFRASTRUCTURE SOLUTIONS, INC.
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Last modified
3/27/2024 8:17:18 AM
Creation date
7/5/2018 11:16:14 AM
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Contracts
Company Name
WOOD ENVIRONMENT AND INFRASTRUCTURE SOLUTIONS, INC.
Contract #
A-2018-143
Agency
PUBLIC WORKS
Council Approval Date
6/5/2018
Expiration Date
6/30/2021
Insurance Exp Date
7/1/2021
Destruction Year
2028
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114.�-10 <br />CERTIFICATE OF LIABILITY INSURANCE <br />ATE(MMo,nazo,s/2019 YY) <br />r <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Southwest, Inc. <br />Houston TX Office <br />CONTACT <br />NAME: <br />AX <br />(A/CNNo.Ext): (866) 283-7122 (A/C No): (800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />5555 San Felipe <br />Suite 1500 <br />Houston TX 77056 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: ACE American Insurance Company <br />22667 <br />JWGUSA Holdings, Inc. <br />Wood Group USA, Inc. <br />and its Subsidiaries and Affiliates <br />INSURERB: AIG Specialty Insurance Company <br />26883 <br />INSURERC: Lloyd's Syndicate No. 2003 <br />AA1128003 <br />17325 Park ROW <br />Houston TX 77084 USA <br />INSURER D: ACE Fire Underwriters Insurance Co. <br />20702 <br />INSURER E: <br />INSURER F: <br />4:UVtKAULb GEKIIt-IGAIt NUMBER: 0/UU/4t5Dybl3 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />INS <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMIDDIYYYY <br />'POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />HDOG <br />EACH OCCURRENCE <br />$2,000,000' <br />CLAIMS -MADE X❑ OCCUR <br />DAMAGE TO RMTrI7IT__ <br />PREMISES Ea occurrence)$2,000,000 <br />MED EXP (Any one person) <br />$ 5 , 000 <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />GENT AGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$4,000,000 <br />POLICY [�] PRO ❑ LOC <br />JECT <br />PRODUCTS - COMPIOP AGG <br />$4,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />ISA H25150132 <br />05/01/201807/01/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$2,000,000 <br />BODILY INJURY (Per person) <br />X ANYAUTO <br />BODILY INJURY (Per accident) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />PROPERTY DAMAGE <br />ONLY AUTOS ONLY <br />Per accident <br />UMBRELLALIAB <br />EACH OCCURRENCE <br />EXCESS LIAR <br />HOCCUR <br />CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION <br />A <br />WORKERS COMPENSATION AND <br />WLRC65890069 <br />01/31/2019 <br />0710112019 <br />X STATUTE OTH- <br />EMPLOYERS'LIABILJTY YIN <br />Work Comp- ADS <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />D <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />NIA <br />RWCC65890100 <br />01/31/2019 <br />07/01/2019 <br />OFFICER/MEMSER EXCLUDED? <br />(Mandatory In NH) <br />Work Comp- WI <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />c <br />Archit&Eng Prof <br />PSDEF1800726 <br />07/01/2018 <br />06/30/2019 <br />Any One Claim <br />$5,000,000 <br />Professional Liability <br />Aggregate Limit <br />$5,000,000 <br />SIR applies per policy terns <br />& conditions <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED AMEC COMPANIES. <br />Re: NPDES Inspection and Database Management and As -Needed Services City of Santa Ana, its officers, employees, agents and <br />representatives are additional insured on the General Liability policy as required by written contract. Coverage is primary and <br />non-contributory where required by written contract. <br />REVIEWED BY: EUNICE HEREDIA (PG OF ) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92702 USA <br />1_Qdn A-7l ylf0 y JL <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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