HomeMy WebLinkAboutCH2M Hill Inc
CERTIFICATE NUMBER
SEA-001005483-03
PRODUCER
MARSH USA, INC.
1225 17TH STREET, SUITE
DENVER, CO 80202-5534
MKE
I
LJUL 1 620G7
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B AMERICAN ZURICH INSURANCE CO.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RI\3HTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
. POLiCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
) AFFORDED BY THE POUCIES DESCRIBED HEREIN.
,
COMPANIES AFFORDING COVERAGE
5114 -00124-ALL-
;"..90IYjPANY
ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HilL, INC.
135 SOUTH 84TH STREET, SUITE 325
MILWAUKEE, WI 53214-1456
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY RE:QUIREMENT, TERM OR CONDITION 01" ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFiCATE' MAY ElEISSUEDOR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MMIDDIYY)
GENERAL LIABILITY 105/01/08 GENE~~LAGGREGATE $ 5,000,000
A ~"~"'''- """"" "^""~ GL03784726-03 05/01/07 PRO Due 'rs - COMPIOP AGG $ 5,000,000
:: CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,500,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,500,000
X FIRE DAMAGE (Anyone fire) $ 1,500,000
MED EXP (Anyone person $
AUTOMOBILE L1ABIUTY $ 2,000,000
COMBINED SINGLE LIMIT
A X ANY AUTO BAP8378516-12 05/01/07 05/01/08
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY- EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCES S LIABI L1TY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X
EMPLOYERS' LIABILITY
B WC8378566-13 (AOS) 105/01/07 05/01/08
A THE PROPRIETOR! ~ INCL WC8378565-12 (WI & MA) 05/01/08 EL DISEASE.POLlCY LIMIT
PARTNERSIEXECUTNE 105/01/07
A OFFICERS ARE: EXCL WC3784761-02 (HI & ID) 05/01/07 05/01/08 EL DISEASE-E,O\CHEMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICUESISPECIAL ITEMS
PROJECT NO. 355062.o1.BD.
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR TO THE AUTOMOBILE LIABILITY AND AS PER THE
BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
CITY OF OSHKOSH
ATTN: DAVID PATEK
DIRECTOR OF PUBLIC WORKS
215 CHURCH AVENUE
OSHKOSH, WI 54903
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE Vv1LL ENDEAVOR TO MAIL ----3Q DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OFTHIS CERTIFICATE.
MARSH USA INC.
BY: Sharon A. Hammer
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