Laserfiche WebLink
AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page <br /> <br />2 of 2 <br /> <br /> <br />AGENCY <br />Willis Towers Watson Midwest, Inc. <br />NAMED INSURED <br />HDR Engineering, Inc. <br />1917 South 67th Street <br />Omaha, NE 68106 POLICY NUMBER <br />See Page 1 <br />CARRIER <br />See Page 1 <br />NAIC CODE <br />See Page 1 EFFECTIVE DATE: See Page 1 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />Project: The City of Everett, Washington (City) recently decided to embark on this replacement of Reservoir No. 3 as <br />quickly as possible because of the reservoir cover’s rapidly deteriorating structural condition. The objective of this <br />project is to design and prepare plans, specifications, and estimate (PS&E) for the construction of a minimum of two <br />ground storage reservoirs (GSR) totaling a minimum of 20 MG storage to meet current seismic code requirements. <br /> <br />General Liability policy applies to Offsite operations. <br /> <br />Additional Insureds: City of Everett, its officers, employees and agents. <br /> <br />Employers Liability for the Monopolistic States of ND, OH, WA & WY is provided in the Workers Compensation policy. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 23337361 BATCH: 2745145 CERT: W26698720