Loading...
HomeMy WebLinkAboutNLW COI CityofBremerton 16485215 thru 6.1.2020contract 6083ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 HDR ENGINEERING, INC. 1917 SOUTH 67TH STREET OMAHA NE 68106 * Lexington Insurance Company 19437 XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX ARCH & ENG PROFESSIONAL LIABILITY PER CLAIM: $1,000,000 AGGREGATE: $1,000,000 A 061853691 6/1/2020 6/1/2021 NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE 6/1/2021 1429583 5/20/2020 N N 16485215 16485215 XXXXXXX CITY OF BREMERTON ATTENTION: CHANCE BERTHIAUME 345 6th St. Suite 100 BREMERTON WA 98337 ****SEE ATTACHED**** CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) ACORD 25 (2016/03) KITSAP CREEK, A TRIBUTARY TO CHICO CREEK, IS THE OUTLET OF KITSAP LAKE THAT RUNS THROUGH A 200 FOOT LONG 72 INCH DIAMETER CULVERT 35 FEET BELOW THE SURFACE OF NORTHLAKE WAY NW IN THE CITY OF BREMERTON (CITY). CURRENTLY, THE CULVERT INHIBITS SALMON AND TROUT PASSAGE DURING MIGRATION, EVEN AFTER A 1990’S INSTALLATION OF WEIR PLATES (BAFFLES) TO TRY TO ASSIST THE PROCESS. THIS PROJECT WILL EVALUATE OPTIONS TO ELIMINATE THE CURRENT BARRIER, AND DEVELOP A PRELIMINARY DESIGN. THE POTENTIAL FISH BARRIER REMOVAL WOULD OPEN 1,082 SQUARE METERS OF SPAWNING AREA, AND 104,170 SQUARE METERS OF REARING AREA FOR COHO, CHUM, STEELHEAD, AND CUTTHROAT TROUT. OPTIONS TO EVALUATE ARE: 1) THREE SIDED BOX CULVERT, 2) ARCHED CONCRETE CULVERT, AND 3) BRIDGE DECK AND ABUTMENTS. CONSTRUCTION METHODS TO BE EVALUATED ARE: 1) OPEN CUT EXCAVATION, 2) PIPE BURSTING, AND 3) MICRO TUNNELING. THE SALMON RECOVERY FUNDING BOARD MANUAL 18 CONTAINS THE STANDARDS FOR WHICH THE DELIVERABLES FOR THIS SCOPE OF WORK ARE BASED. Certificate Holder ID: 16485215