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HomeMy WebLinkAboutBack-Up DocumentsCORPORATE RESOLUTION WHEREAS, CH2M HILL CQtatructora, Inc, , Inc. desires to enter into an agreement/amendment with the City of Miaml for the purpose of performing the work described in the agreement/amendment to which this resolution is attached; and WHEREAS, the Board of Directors at a duly held corporate meeting has considered the matter in accordance with the By -Laws of the corporation; Now, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS that the Operations Manager (type title of officer). Michael Kirchner , is hereby authorized (type name of officer) and instructed to enter into this agreement/amendment, in the name and on behalf of this corporation, with the City of Miami upon the terms contained in the proposed agreement/amendment to which this resolution is attached and to execute the corresponding agreement/amendment. DATED this g011- day of /41 Corpo e Secretary A Ra' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 09/10/2014 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 E3Y 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 poiicy(ies) must be endorsed. If SUBROGATION IS WAIVED; subject to the terms and conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement{s). PRODUCER MARSH USA INC. 1225 17TH STREET, SUITE 1300 DENVER, CO 80202-5534 1511412345-5EX2P-14115 034941 CA CONTACT NAME: ��HCONe , Extt• INC, No): /MASS, INSURER'S) AFFORDING COVERAGE NAIL INsuRERA'Greenwich Insurano()Company 22322 INSURED CH2M HILL CONSTRUCTORS, INC. 9161 SOUTH JAMAICA STREET ENGLEWOOD,CO 80112 INSURER U. National Union Fire Ins Co Pittsburgh PA i9495 INSURER C: XL Insurance America, Inc. 24654 INSURERD: ZurichAmorioanInsurance Co 10536 INSURERE I INSURERF: COVERAGES CERTIFICATE NUMBER: SEA-002494349-31 REVISION NUMBER,7 THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTI 'STANDING 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, EXCLUSION/5 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, , INSR LTR TYPE OF INSURANCE ADM I MR SUER POLICY NUMBER POLICYEFP MOD POLICY EXP (MMIDDIYYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X R0E6E10025503 05/01/2014 05101/2016 EACH OCCURRENCE $ 1,500,000 lirESQ a a nccun'encet $ 1,500,000 ( CLAIMS -MADE 1 X l OCCUR MED EXP (Any one persoh) $ X $500,000 SIR PERSONAL &ADVINJURY $ 1,500,000 GENERAL AGGREGATE $ 5,000,003 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PFRO- Lam . PRODUCTS • COMPIOP AGO $ 5,000,000 $ A A AUTOMOBILE X LIABILITY A AU EDULED NON-OWNED UTbQED X RA0500025403(AOS) RAD500025603 (MA) tStk$ 0< 5 0510112016 0510112015 COMBINED SINGLE LIMIT (ka eccldenS 2,000,000 1$0DILYINJURY (Per parson) $ BODILY INJURY (Per accident) $ Q2eftnSAMAGE (Pcel B X UMBRELLALIAB EXCESS LIAO X OCCUR CLAIMS-MADk � , BE31131547 fi 05/0112014 05(0112016 EACH OCCURRENCE $ 5,000,000. AGGREGATE $ 5,000,000 0E0 I ROTENT ON'$ $ C o WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRia.:°CIPARTNER/EXECUTIVE fYIN OFFICERIMEMBUR EXCLuoeve I N I (Mandatary In NH) If yes desedSe under DESCRIPTION OF OPERATIONS belt* N! A X RWD500025203(AOS) RWR600025303(W). r41.11. r r 05/01/2014 05/01/2014 05/01/2015 05/01/2015 X W STATU- I0TH- TORY LIMITS ER E.L, EACH ACCIDENT 1,000,000 $ El, DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 $ D PROFESSIONAL LIABILITY" E0C3829021A2 05101/2014 05/0112016 Each Claim &Aggregate 82,000,000 Each Policy Period baseman ON OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If 'Yore space Is required) THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICIES AS REQUIRED BY WRITTENCCNTRACT OR AGREEMENT. COVERAGE PROVIDED BY THE ABOVE GENERAL LIABILITY POLICY SHALL BE PRIMARY AND NON-CONTRIBUTORY AND ISLIMITE0 TO THE LIABILITY RESULTING FROM THE NAMED INSURED'SOWNERSHIP AND10R OPERATIONS. WORMERS' COMPENSATION POLICY INCLUDES A WAIVER OF SUBROGATION, "FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE FOXY PERIOD FOR ALL OPERATIONS Of Tile INSURED, 719E LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE, ' RETROACTIVE DATE: NIA CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI, FL ATTN: FRANKGOMEZ • PROPERTY & CASUALTY COORDINATOR DEPARTMENT OF RISK MANAGEMENT 444 SW 2ND AVENUE MIAMI, FL 33130 1 ACORD 25 (2010/05) 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 of Marsh USA Inc, Sharon A. Hammer OO 1588-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • END91V3eIVIENT It 027 T.1110 t)tidOr:0004, Off ove12G1;A,rYi,, Kay: 011 2014 fotnis'tt pot :of • P0110y1,10,:fP.§(1t)..M110 10.0H21\11 11.111.:00MPAN.M$,.L7W, Prolg..1).001.14.4r0400:0111/00.ny' . Tht EN1Pc,)8§'E.MeNT OtiANOgs THE pouay., PI4EAE READ IT .ARErlJ141i,Y 0A100.1.ATION litiTIP1.0010010:01*0 riNDOR$OvItNir fri.the:;.0vent ooveregel..0 tonoolted or.non.renewed.:'01rpny st:10oriiy permitted: reeon orifoovajl0 nbriLy;re0.40.00,..Dr tOverego. Is oangelled'fOr.4000.poynlent:Of proninmodye.noeciwilten iotoe wU be mailed -or:smelled tc per0On.0 entity aQpor,cliti.tattle.,notiflOtk.11:;soh04010 4hown:1)010.*. N.Onlber,-Of Name of Person or. VritIty '11/41:ONO kfOfe,10:1... . i0.11/40.0.h600 - NOtfato :enot•ijletIon.: Pr he ropo :owrentsched.sIe inOntOrie.d. by Mrsh USA, trfo,. olti"tutoWiod 10 XL tristirotioo no -1980 1110n Ili:c1t40 0110.to 1.110 days Of:rtot100 ofon0011:01Of1t r1P.11, ren.0wO.or.rnentetiO teictuOlqn ih.o0vof0 0.0'610y$ 10011-0..PO4)9$.0. c1 thls Orl..tkr-.0.01i0 00,...tilOno1/411/41 01101 mean 0010.1y.nOnItneikel c the Paiiqy tri4 Ash -not . .it.110000 ophot(01, otipg6to:ofpotiqitiorialOo44 Wieferlehiettudejhln ciovditOethst Mean ..atieoreete...In the N110- Wilts.:;4t) 4-0.000 In th400dtit1010..o6401466.0rdd. town -Hof or Met pplioellon.of Poky Ox61001On . . . . `.0000106101.Oled .A11.0.therfOrns...Ond .0.6n.11t10,60 the:N.11ot refrt0In'On0114noeti, fe.44 (Antliot'6d ptive MANUS. :2(.)14)(1..o.krner100, Inc, .A11. Nolits....Reserved, :1V1q•not '[Jo coptoel With:out.poilfitsplon. WORKER 0 PMAT1ON A PLOYERE LIABILITY INSURAh.I.OE POUcy .WC:99 OP tie 13 11410 514 :Q1105WIRNT ORMOE$ TH:5 POL,I.OY, PLIAS..Rt-AO IT 0'.44.ke17141,Y. OHANOE IWINFORMATION.PAOE This tirldOrsornoht ito'd IrtMettosproVIdod ;order ths.f011bwIng:: WO:RKERV COMPENSATION MI OtiViPti5YMISLIOLLItY.:4NOVRANCEPOLIVY IN$UR ram irraironot t4001 OOmpony. Narobs't 10480 . , . . PO1loy Motor:. RW0600026203 EhtfOrssmorit Nutniper:. „an ElltiStiktb rtOto; May 1i ••0141:. • . • vffsolVe hir is th sarno-ss stotsd .111 the Ihfortfiailat 14400-.0t topUoy Ni tos:i.trod tintrAticirow, 0.1-.12M 141,1.1.0MPAN15, 046, 101 L JorfitiOO:$trOat. " Entnewood, 00:0011Z roil NUMBER: 93-0e4g008 kjo aored tht thO:p0110y. Ig amondottagloUoww, OANOELLATION NOTIPION11014Tc QTIJE ENI3OREEMENT This 6hddit0.1116rit ITIOdifi6S iiitsUremoo prOkiotl tlrid611 f6e= followiq WORKERS' OOVIRENSATIONI Amp EIVIPLOYERS' LIAMLITY INeURANON .00LICY th thevrnt.obVerooe o'srloollod or non wowed yotditutorify porrr%toa.retason, othorinon rpnpg ri10.1t .p.rOmittril, Or if th ;Is a ItAterlairOdUOt10 111•00volVyo, ladVanood:y4itteri notice will be Moiled .or 0.110116)...t0.110r$On($) eintityfipSymocortilro tolhtifithrisohodulo shOvyri bew NON 'Ot Pih*t1:(0). or Rrithy(:' . . , . • Meitilha ikldrow .,,, ... .. Num .or : 0,mts:'.Ativoits4 P.Wth.o':1YOK.01irrOtit.:0110.01i) ft)0)ntoloott 01Pillatili Q$A,. in 6t1.1 tofolOtre. 16n 1641r01.40.4101:66 thn 1.5 (14:010.i""0"th:o .P) dy of tipt!oo, o1otioonotWi•:000,,(0160=I P.. .. .. . 00 dayo 'Or* ..•at Tialliiid0OtIon.ln 06 \ (4.4.0,. . For 4i.(4:ipqr0.066 roo'ori toldy:floo.rthewol fho..1:40116Yoki 0011 not imokici6 oOrottoil-.0 -Notkg4 .6r .6-orwitonI Rnw MitrIi roit11:16tion Ih'.doktorgto IiII moon wd.sotspisoitt. iho.PtAlgyittiottO., tirifr0.06sitt th ddi1hi cr if inird ttntior nrh•olopplioation of t Poltoy.ox61.o$Ion. not .contoff)0oti at POfi0.1gOon0O ot.hpr fOritA Mitiori rokrmi thO tan10, 99.0.10:190 0.0.0 2001XLAiltfiliA,.1rit fiNOOrft3SNI4 t NO, 32 ThloAndotoothoq, Ofroava IgOthtti: Mav 1,2014 offri0 pact of peiley octs U 21131.60.. bow* .0N2M MILL OOMPANIV.ii, By NATIONAL VNIPN.FifiN INO.t.ifiANOE OOMPANY OI PrrTSOLNIGH,1% THIS RNOORSEIVIENT .0HAN On THE POLIOY. PLEAs2 REA0-IrOAREOKLY: Ltivirte0 A0VIOA 'OP .OANO4LATION .140- 047.111-es, 01100 'MAN .1Ht INSLIROD Title polieyla emended eelollo03.1 .In The .oVijittkittt oartotdo• this poltey for any rooaort oitmr tottn.00n.payrnoritof proninmood ls 1116 corloollogon Offoothie -dotalo ,pttOi- to tiro spOitoy4o:tootraVOn 000; 2 jh Fist Netted iristiced le older pri 00OfIrtg oontroofvol Oblic4P11. to POOP( Vkori tie ,:pOltoy 1$ :ciente:led ;.thdroirafter, tin 'dortifiaate -146146431"i pad has ProvidS0 to the urr elittor direotly,or.troogh its tordker of reaord, to) thei nthi � ifv. linom on..41-o eettifiooto, A Ooptgoi tramp nt 00oh estop and tho Footol Sortifoo oddrotto of oa6h:000tt'oroity;r (b) the 41-0411 oddrOOt �fc 000toot at OOtth ouOri.ortlity; and. th thetJtoe, tdeiAved title . Info rnieflon after th0 IirtNrnio (.1 lama d feeelvee tiOtioe .oftanIron Of IMO .p.4114 and rirlor to tile etieeollotkoolfeotive (tete, 'la on Olootronto aprontishootthat 14 .ioqopobie-tOliteInur filp Ins.moi' pieVIdo eclviem Ofbeheelletiorr (thei.,Adoineeil it() Jacob 'Cordheeto tkIders 00.4 (201 clays 'utter rum ed liteOrifd eijoh Inforoititioh to the Ihtttrerpovidoil, hvv tha if.aopp.otila numlur Ot.001,06 :riot:00W a1v jhn ih Osittle,Wil be provided to. evoliterliflooto :Holder(0"ri.:$00.11 retzlooritibly. prokbh.4fOr ilia' Fir:at Nmod Inured ptovIdoe eath InfottrititdOn th the inttlitin eepofbf the tri6Ofoi' tflIfrig. or rolling the tpsfou the triforroetloo provid6d by th filet. f‘ditoloil )0.0'00*(4.00 ..serVesee; 00.00f 'that voe flOs 'LC I ufftd ftobilpetioha, undo ondoroo too rit Tne en it ctOes .riOt ONO,- lo Orly -Way, °Overlap() proVdod IThdot this1iii �IJ r.Ii artoOotiOn of ih pole'.6('the iefftiotI.Ve dete•itiefOOli herehell Ida otickutetrierit tiohti leny.ohtity not toured :under •, , Tie fetto4ro :DellitlifOriitPpill 10 titIO 0.400rOottOrit rit*f.N06100 '01'00 ITianOl 110 NArliott,tnWeri ahem oh the Oebtereliene Pop of tiltI POIloYt 2. irlOrer 00660 trit3 00A1rjOY $116.1*Iii tie:Nader bn th DotiotioftO Pa Of thin 00110Y. Art -Allot tarnlg, orlone orKI ,amoiosIone shall rOtrorivtlie ePme, 107232 (W)ll) Ai43,1,20. • 0(trIateriher ifoiver AUTHOR IZ4O fialliESRNTATIVE c'cozil CERTIFICATE OF LIABILITY INSURANCE DATE 09/08/2011DmYY) 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 THECERTIFICATEHOLDER._ IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions • of tho 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 MARSH USA INC. 122517TH STREET, SUITE 1300 DENVER, CO 80202-5634 15114-00006-CP5M-14/15 034941. CA CONTACT , NAME:HE IAIIC, No Ext): IA . No): E•NIAIL ADDRESS:. INSURER(SI AFFORDING OOVI;RAGE NA1C 0 INSURER A: Indian Harbor Insuranco Co. 36940. INSURED CH2M HILL CONSTRUCTORS, INC. 0191 SOUTH JAMAICA STREET ENGLEWOOD, CO 80112 • INSURER 8: INSURER O : INSURER D: INSURERS: INSURER t COVERAGES CERTIFICATE NUMBER: EA.002494364-3D REVISION NUMBER:3 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 SE 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. .INSRR' TYPE OF INSURANCE ADDL INS!) SUER MD POLICY NUMBER POLICY EFF IMM/DDIYYYYI POLICY EXP (MMDDIYYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY *\\** EACH OCCURRENCE $ -WAGE TO RENTED PREMIEES(Ea cccurrenCe) $ CLAIMS -MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 1 GEN'L AGGREGATE —II POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS -COMP/OP AGG $ AUTOMOBILE -.-� LIABILITY -- SCHEDULED AUTOS NON -OWNED AUTOS t{�\ ,+� J I/'� U ////yyyy 11 1 ,,.!""'"� COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per seddent) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS•MARE - EAOH OCCURRENCE $ ' AGGREGATE $ DFD ( RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? • I l (Mendatory in NH) If yea, describe under DESCRIPTION OF OPERATIONS below NIA V' WC STATU- OTH- TDRY LIMITS ER EL EACH ACCIDENT $ E,t., DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT A CONTRACTORS POLLUTION LIABILITY PEC003468103 05/01/2014 051'01/2015 Each Claim & Iotal For $6,000;000 All Claims ' DESCRIPTION OF OPERATIONS 1 LOCATIONS IVEIIIOLES (Attach ACORE 101, Additional Remarks Schedule, If more space is regnlrad) RETROACTIVE DATE: NIA CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI, FL ATTN: FRANK GOMEZ • PROPERTY & CASUALTY COORDINATOR DEPARTMENT OF RISK MANAGETi1ENT 444 SW 2NDAVENUE MIAMI, FL 33130 • ACORD 25 (201D/06) SHOULD ANY OF THE ABOVE DESCRIBED POLICILS OE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACOORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA lac. Sharon A. Hammer <' ✓'� ©1988-2010 ACORD CORPORATION. All rights resolved, The ACORD name and logo aro registered marks of ACORD