received blackwell sanders peper martin u.s. e.f!a.yosemite.epa.gov/oa/eab_web_docket.nsf/filings...
TRANSCRIPT
Daryl G. Ward DIRECT: (816) 983-8369
LAW FIRM
RECEIVED BLACKWELL SANDERS PEPER MARTIN U.S. E.F!A.
4801 MAIN STREET SUITE 1000 KANSAS CITY, MO 64112 ?T! al!r 7 . 3 . ph] 3: g 7 P.O. BOX 219777 KANSAS CITY, MO 64121-6777
TEL: (816) 983-8000 FAX. (816) 983-8080
E-MAIL: dward@blackwek&ders.com
August 2 1,2006
VIA COURIER
Ms. Eurika Durr Clerk of the Board, Environmental Appeals Board U.S. Environmental Protection Agency 1341 G Street, N.W., Suite 600 Washington, D.C. 20005
Re: In the Matter of Tri-County Public Airport Site The Raytheon Aircraft Company, Petitioner Petition Number: 106(b) 06-01
Dear Ms. Durr:
Enclosed please find one original and five copies of Raytheon Aircraft Company's Status Report.
A sixth copy of the motion is also enclosed. Please stamp the sixth copy and return it in the self-addressed stamped envelope enclosed.
Yours truly,
Daryl G. ward
DGW Enclosures
KC-1423411-1 K A N S A S CITY, M I S S O U R I S T . L O U I S , M I S S O U R I O V E R L A N D P A R K , K A N S A S - O M A H A , NEBRASKA
S P R I N G F I E L D , M I S S O U R I - BELLEVILLE, I L L I N O I S W A S H I N G T O N , D .C . L O N D O N , U N I T E D K I N G D O M
A F F I L I A T E S : L E E D S M A N C H E S T E R M E M B E R O F T H E W O R L D S E R V I C E S G R O U P
I , ! ,, ,, '..<..) . , . I
"3 '.,.I
- ,,. ,.:3 c , n p.
IN THE ENVIRONMENTAL APPEALS BOARD 'cn !q
-73 , c 3 -a
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY . rl [.Cl I'?"; ., . .- : ,.,r.,, .(
WASHINGTON, D.C. I-- u, 3 : '4 m -.L. .!> * a
IN THE MATTER OF: 1
TRI-COUPITTY PUBLIC AIRPORT SITE, ) RAYTHEON AIRCRAFT COMPANY ) CERCLA § 106(b) Petition No. 06-01
) )
RAYTHEON AIRCRAFT COMPANY'S STATUS REPORT
Petitioner, Raytheon Aircraft Company ("RAC") submits this Status Report to notify the
Environmental Appeals Board ("the Board") that the U.S. Environmental Protection Agency
("EPA")'s has issued a notice that RAC's Removal Action Report ("Report") is complete.
On May 22,2006, the Board directed EPA "to file a status report with the Board
explaining the status of its review of RAC's [Report] and providing an estimate of when it
anticipates notifying RAC that it has approved or disapproved its Report." EPA filed the
required status report with the Board on June 2,2006, indicating that EPA's "program office has
completed its review of the Report" and that as the final step, Assistant Regional Counsel
Pemberton would review the report.
In a letter dated July 6,2006, EPA notified RAC that the Report would be complete upon
RAC's submittal of (1) a signed certification paragraph and (2) copies of well abandonment
logs.' (Please see Exhibit 1 .) RAC supplied the requested items on July 10,2006. (See Exhibit
2.) On July 21,2006, EPA issued its Notice of Approval of the Report. (See Exhibit 3.)
' EPA's July 6, 2006 letter also requested documentation of: (1) RAC's ability to complete the work required by the UAO; and (2) insurance coverage as required by the UAO. On August 8,2006, RAC provided the requested insurance documents and noted the completion of work, as evidenced by EPA's approval of the Report, negated the need for documentation regarding RAC's ability to complete the work. (See Exhibit 4.)
The Report was the last task required of RAC by the UAO. Therefore, RAC respectfully
moves the Board to deny EPA7s Motion to Dismiss, in which EPA argues that RAC's petition
was premature because EPA had not yet approved the Report. In the event EPA responds to this
request by arguing that RAC7s petition remains premature until EPA issues a notice of
completion, RAC respectfully moves the Board to order EPA to issue the notice of completion
or, in the alternative to show cause why such an order cannot be issued.
Date: August 2 1, 2006
Respectfully submitted,
Beverlee ~ . % o ~ e r 4. udbm
Daryl G. Ward BLACKWELL SANDERS PEPER MARTIN LLP 4801 Main Street, Suite 1000 Kansas City, Missouri 641 12 Telephone: (8 16) 983-8000 Facsimile: (8 16) 983-8080
Attorneys for Petitioner Raytheon Aircraft Company
UNITED STATES ENVIRQN'MENTAL PROTECTION AGENCY
REGION VIS 901 NORTH 5TH STREET
KPiNE$,S CITY, KANSAS 661 01
Manage$% Environmental Engineering Raytheoh AIrcr& Rmpany P.Q. Rak 85 Wichih KLWXS 6'7201 -00x5
Re: N~tSase of Di'sappmvaVR&qum for Do~mnttttiah Tri-Caufity Fublio Airport Site, Muds Cbn~ky~ Kansas
lie Envbonmentnl Prote~tj~n Agency (BPA;) has completed it& rwiew oithe Wmga 1 Removal Aotian Report, dated November 2,2005. For appraval, the report need's to 'indlude the fsllowing:
1. Certificatidn paragraph signed by a p a w t#ho ~upervised or directed the preparaean ofthe Remou;al Aotion Report as equired by parzgraph 33 (b) afdpUnilatera1 Admixli&ati.-~re Order @JAG) for Removal Respanse Rotion, Da~ket No. CERCiX-0*f-200403 I I .
2. C~pies o-f fhe well &andomnent logs/repo& submitted to the Kansas Department of Health and Environment,
Please submit the WQ i r m &mxibed above, as aWchmen&/aa]?plendices ko tbe ~6paft mdet separate Cover to corqpieta &@ I%eaoyitI Adon Report,
The BPA note$ t!iat arm of the Rern~xd Action Rep~Ilt (i.e., ph~to nos. 5'1,52, 37, atra 9 9 refef ta debris frem 'b11i1chg 5 14 m&of the S-pW Plug Buildihg, *hioh is dso- r&aed to iin,kis$riod documents as an engine r~pdr or m&tmce building- The EPA does not b y e ~uff i~iex~t ipfcmwtiqn to dete&e qhqfh~r or not fhe debfls refereaced in fhe~eport is b m building 514. This coniment does not require my ohmges to ?he report.
The EPA requests ihe followiag d6txmenB as asquired by thc UAOI
1 . Demonstration of Ra,yrheon2s abJ1iQ to conrpkte the work required under paragraph 66 ~f the UAQ. This demonstration was required within 30 days after the approval of the removal action work plan. The EPA sent the letter of approval on June 22,2005.
2. Insurance-related documents that demonstrate Raytheon Aircraft yy- . i. ;;-.: . . ...C olripany and their contractors or subconkactors maintained the required i '. -. : 5 .
. .! . . . .. . . . policies and limits of coverage under paragraph 67 of the UAO. This
submittal was required seven days prior to commencing any onsite work under the UAO.
. . . ...-,,.
I "".Sf youXavFany questions, please call me at (913) 551-7769 or Scott Pernberton of
- - .-EPA's-Office of Regional Counsel at (91 3) 55 1-7276,
Sincerely,
Kenneth Rapplean Remedial Project Manager MissourXansas Remedial Branch Superfbnd Division
Cc: Jean Underwood, Kansas Department of Health and Environment David Way, Sl~aw Environmental, hc. I/
a S h a ~ ' Shaw Environmental, lnc. . -
A World cf Solutions '
July 10,2006
Kenneth Rapplean Superfund Division Region VII U.S. Environmental Protection Agency 90'1 North tith street Kansas City, Kansas 661 01
Re: Response to Environmental Protection Agency Notice of Disapproval Hangar 1 Removal Action Report Unilateral Administrative Order (UAO) for Hangar 1 em oval Response Activities Tri-County Public Airport Site, Morris County, Kansas CERCLA-07-2004-0311
Dear Mr. Rapplean:.
Raytheon Aircraft Company received review comments and a Notice of Disapproval letter from the U.S. Environmental Protection Agency (EPA) on July 10, 2006, for the Hangar 1 Removal Action Report (RAR) dated November 2, 2005 for the Tri-County Public Airport Site. As indicated in the referenced comment letter, EPA requests completion of the certification as required by paragraph 33 (b) of the UAO, and c o p ies of the well abandonment logs/reports submitted to the Kansas Department of Health and Environment. In this regard, included are the following Appendices to be included in the RAR:
1) Appendix F - Certification Paragraph
2) Appendix G - Well Abandonment Reports
As indicated in EPA's comment letter, submittal of the two Appendices are all that is required for EPA to approve the RAR.
- - - - - - - - - - - . -. - - - - - . - - - - - . - - - . -
1950 SOUTH FLORENCE c WICHITA, XS 67209 0 Direct 316 043 3444 0 F Z X 316 913 1321 c THE SHAW GROUP INC
Mr. Rapplean July 10, 2006 Page 2
Shaw Environmental, Inc.
If you have any questions, please feel free to contact me at (316) 944-5225 or John Baker of RAC at (31 6) 676-7695.
Sincerely, Shaw Environmental, I ~ c .
&% David Way Project Manager
Reviewed by: SP
c: John Baker - RAC Pam Bailey - RAC Steve Persons - Shaw Beverlee Roper- Blackwell Sanders Rick Bean - Kansas Department of Health and Environment
N:\NID-WORMBEECMHen'ngton\RA Docs\TCPA Hangar 1 RAR Comment Response 071008.doc
Appendix F Removal Action Report Certiifiation
Removal Action Report Certification
Under penalty of law, I certify that to the best of my knowledge, after appropriate inquiries of all relevant persons involved with the preparation of this report, the information submitted is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Dave Way w
Project Manager Shaw Environmental, Inc.
Date
Appendix G Well Abandonment Reports
WATER WELL PLUGGING RECORD Farm . W 5 F KSA82a-1212 -7:s .? .? >- *
> . a i ;%$-;
, ' ' . - . -
LQ~ATIQN OF WATER WELL:
County::?< ,';$, ;. ? :. L -- s
-* d . * &I-/. * . Distance and direction from nearest town or city street address of well if located'within city?
~raction
--. : ' '4; . %
Section ~ u i b e r
.- .. .-? -5 .,
Township Number
?. I "
Range ~ u h b e r
< .* E/W . .
John M, 'Baker Manager, Bnviromental Enghefing Bytbon Aircraff Company P-O? B.QX 85 Wichita: Kansas ti72Ol-OD85
: Mwce ~fp lppr~~;r l , Kasgw l Rmaval A&n Report Dafed No~~rnbes 2,2@05, Tri-Couatyhblia &lporfSite Malzis QwIy, EUBW
Tb~%vir~~enfalR~fcc~o.a.Agmy @P&) snseiid the two, if~ms zequimd htmr Iyy ' 6 , . 2 ; I T , f i , r she $ w ~ a i ~ ~ f s B a Eap:ga- X r S ~ n 1 o ~ a l A 4 . ~ I4q.m. i ic la were tr.msd%ted. b J a Jettm dam M y $0,. z@@$, fiomi9haw B4p,bmmtaIa iao. The .?wo $km w g t a s . & ~ l ~ ~ ~ ~
1. Tha m y a l A.d&mhp~rt:~ertification pwqpph s&ped hy Dave W*y.af'Shaw Envirmenial; .&ajGd fa.
2, Tkq .@$ks ofthe ~@$.~6~pIug&rzgrcc;ord (KSA 8&1212$~for.mon~twing wells MW-12, MX- 12&, &IW-;44.@d dw-M that.werei sulm~iged to the Kansas ~eparbnont ofXca'lth:.m~rl.
. Emkonmenb
The ituin.9 suFrmifteted 4 1 1 beadd& tq t k ~ q o r t as:
Cc: fern TJfidaovaod, Kansas DaparLmeni ofBca1t.h and Environment David Wa): Shaw Envjronmental, hc.
RECYCLED %FIBER
Raytheon Aircraft Company P.O. 85 Wich~ta, Kansas 67201 -CQ85 USA
August 8,2006
Kenneth Rapplean Superfund Division Region VII U.S. Environmental Protection Agency 901 North 5" Street Kansas City, Kansas 661 01
Re: Response to Environmental Protection Agency Request for Documentation Hangar 1 Removal Action Unilateral Administrative Order (UAO) for Hangar 1 Removal Response Activities Tri-County Public Airport Site (Site), Morris County, Kansas CERCLA-07-2004-0311
Dear Mr. Rapplean:
Raytheon Aircraft Company (RAC) received review comments from the U.S. Environmental Protection Agency (EPA) on July 10,2006, for the Hangar 1 Removal Action Report (RAR) for the above referenced Site. RAC responded to EPA comments to the RAR on July 10,2006, and received EPA Notice of Approval for the Hangar I Removal Action Report on July 27,2006.
In the referenced EPA comment letter, EPA requested documentation concerning insurance coverage under paragraph 67 of the UAO. Attached are Certificates of Insurance for the following companies that conducted work on the project:
1) Raytheon Aircraft Company, 2) Shaw Environmental, Inc., 3) Remediation Services, Inc., 4) Waste Management and Rolling Meadows, and 5) Clean Harbors, Inc.
EPA also requested documentation concerning RAC's ability to complete the work. The work is complete as evidenced by EPA's approval of the RAR. Because the project required excavation. disposal, confirmatory soil sampling, and nothing else, no further work remains to be completed. RAC's completion of the work, as submitted in the EPA- approved RAR, fulfills this requirement.
Mr. Kenneth Rapplean U.S. Environmental Protection Agency
. Au.g.u.st 8,. 2006 . . Page 2
The submittal of the information provided here completes the project. RAG expects EPA will issue RAC a letter of completion for UAO, CERCLA-07-2004-0311. If you have any questions, please call me at 31 6-676-7695. 1 look forward to receipt of completion at your earliest convenience.
Sincerely,
RAYTHEON AIRCRAFT COMPANY
J John M. Baker Manager, Environmental, Health & Safety
Cc: Beverlee Roper, Blackwell Sanders Steve Persons, Shaw
- . . 4-28-06; 4:lSPMiTRAVEL A I R INSUFANCE
CERlWICATE OP INSURANCE CATE NO. 6010
Avzation
DATE May 1,2006
CERTIFICATE HOLDW: NAMED lmURED: Ra&eonfi& Qmpany ~ n y ~ ~ e ~ ~ i r c r a f t campany Raytheon Ai~naft Services. [nc. Rxytheon Aircraft Services, Inc.
This c 4 f b that lasuren, as specified hcnmder, tw pxoviding the following insmmm, subject to policy term, conditions, limitatit1113 and exclusions:
INSURANCE COMPAlW% Underwriters at Lloyds, London and I or F0reipInsu-w as a reinsumme of Marshall Insumce Group, Ltd.
TYPE OP COVERAGE: Comprehensf~e Aviation Liability
POLICY PmOD: May 1,2000 to May 1,2007
Auto Liability: $1,000,000. Each Oc-cb Comb'icd Single Limit Bodily Injury and Property Damage oovening b e d whidies on premises owned or operated by he NumdInsond.
RemisesUpcratiom $5,000,000. Each Oc-see Cambincd Sb$e Limit Bodily pry and Property Damage. Coverage appties to any and all locations timed, used, or operated by the Namcdhrntd .
This certificate does not provide covmge for Prohots or Completed Openlions or P o h t i o ~ o u s ~ C o n ~ t i o n and unless stated otherwise on this certificate, dl other policy krms and ooaditians nmatn-ed.
The unddgucd has been authorized by the Insurers to issue this CertZcabe on their behalf as a matter of convtnioncc. This i s to certay that the poiidas of imuancc listed above have been issued to thc Insured named above for tha policy period in- wthwithstanding any req&ement, tearr, or condition of orry contract w other doc~tcnt with respect to which this d m O e may be issued or may pertain. 'Ihe immnce afIbrded by the policies described hcnh is wrbject to all the terms, ~(ohzsions, and caxW0~9 of suchpoLicies. Limits shownmay bave been rsdaced by paid claimn The under&& is not an insme~ and hss no liability of any sort under the politics. This ertificata is issued as a matter of information only and d m no rig& upoa tho certifiato holder. This doea not extend or atter the coverage Dorded by the policy(ies] shown hereon
Am Risk Scwiccr, Iru. d Konru Mid-Gneincnt Airpart. P. 0. Box 9210 - :995 Midfield Rotd Wichi~a, K.r~nr 67277-9210 rel: 316.943.9331 -lax: 316.942.4713 - 888.459.8128 www.aon.m
CERTIFICATE OF INSURANCE CERTIFICATE NO. 5014
CERTIFICATE HOLDER NAMED -. R a y t h a o n m - RaytbeonAircraftCompany --Services,& RaytheanMSemjoes,Inc.
Tblscertifies~Insarera,ssspecir6]edh~der,~providiogIhefoll~~sclbjbcttopolicg~, oooditions, limitations and exchiom:
I N S U R A N ~ C Q M P ~ : Undawritas at Lloyds of London and various companies.
TYPEOPCOWGB: Comp- Aviation Liability
Auto Liability: $1,000,ooo. Each Ocamncc combiucd S'ngk: Limit Bodily Injury a d Pmpty Damage coming ~vehictesonpremisesosrraedoroperatedby~ NamedZPslaab
PranlsesQperations: d5,004OW). Each Occorrcwr CambinedSingleLimit~injarp;udPDopettyDallM&e. CavaageappliestoanyandallMonstxwne4nsed or operatedlrJrtbNamedImm4.
The mdersigned bs9 been imilmrizd by the Innuar to isslle (hiP CMiticate w t . behalf as a matter of co-. This is to artlf). tbat thtpdicies afhsnmw listed abwc have been i d to the Iosual namcd abow6prtheppl i cgper iod~nathwi fhs tandingersg~~arcondi t ionafanpoont tac tor obwdoeMlentwithrespacttowhlchthiscettificatamaybeissoedormaypertai~ TheinwranmMbythe poticjcs dc&bcd berein is snbject to an tht tamd, txc3usions, and codihs of such p o l i d Limits may h a v c b e a n ~ b y p a i d d a ~ ? l a e M d e r s i g a e d i s w t a n ~ a o d h a a n o ~ ~ d a n g s o a n n d e r ~ polidas. This eeaiticaie is i d as a matter of idxmlion d y and confers w righ$. npon the d a t e holder. This~catcdoesnotamesd extuxdoraltertbs~ttff5rdedbythepoEicy(i i)&own~n.
Arm Avidtion, A Divin'm of Aon Risk Sewicu, Inr. Mid-Continent Airport P.O. Box 9210 Wichira. Kansiu 67277-3210 tcl: (888) 450-8128 or(316)943-9331- fax: 016) 942-6713
COVERAGES THE POLICIES OF INSURANCE LISTED BELO'N HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR M E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMEM. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VlHICH THlS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1s SURJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
DATE ACORGM CERTIFICATE OF LlABlLlTY INSURANCE Page 1 of 3 I 08/0,/ ,0, ,
TYPEOFINSURANCE POLICY NUMBER
A x GENERALUABILIIY RG2691004133154 COMMERCIAL GWERALL!ABILTP( '
CLAIMS MADE C€CUR I
PRODUCSS 877-945-7378
willis North merica, Inc. 2 6 Century ~lvd. P. 0. Box 3 0 5 1 9 1 Nashville, !l'N 3 7 2 3 0 5 1 9 1
INSURED ' 9h.w ETrviromental P Infrastructure, kc. 9hsw Znvironmental, Inc. See Below for List of Other Insureds 4171 Eesen Lane Baton Rouge, LA 7 0 8 0 9
THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFOEMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CWTlFlCATE DOES NUT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1 INSURERS AFFORDING COVERAGE ( NAICY
I INSURER& Liberty Mutual Fire I~ran~n~gqr.nn --- /22035 -001
IFISURERB. Liberty Mutual Ineurznce Company : 2 3 0 4 3 - 0 0 7
NSUHCHLI Westchaster Fir8 Insurance Coxpany ! 2 1 1 2 1 - 0 0 2
NSURER D:
POLICY EFFECTIVE DATE (MhVDONYl
POLICY DATE I LMITS
9/1/2004 9/1/2005
G M L AGGREGATELIMITAPPLIES PER:
LOC
I
I RAGE LIABIUTY
9/1/2004 9/1/2004
B A
c
B B
EACHOCCURRENCE I $ 5 , 0 0 0 , 0 0 0 AGGREGATE 5 , 0 0 0 , 0 0 0
EACHOCCURRENCE DAVME TO RENTED
_~~&13E~ i~aaccu rence )
ME0 EXP (Any one person)
I PERSONALdADVlNJURY
PROPERM DAMAGE (Per accident)
AUTO ONLY - EA ACCIDENT I
I
DESCRIPTION OFOPERATtONYLOCATlONSNUtICLES/EXCLU51ONS ADDED BY ENDORSEMENTBPECUL PROVISIONS
Shaw Environmental I n c .
% 1.500,OOO $ 5 00 .0 00 S 25 ,000 S 1 . 5 00.000
1 GMERALAGOREQATE .
- AUTOMOBILE LIAWLIN
S
8 I
ANY WTO I i i
Named I n s u r e d s :
? .. . 2 , OO-QLOO_O S 4 , 0 0 0 , 0 0 0
$ 2 , OoO, 000
S
S
9/1/2005 9 /1 /2005
I ,
AS7691004133024
OTHER THAN EAACC I $
EXCESS UABIUPI
-;;] OCCUR U CLAIMS WADE - ' DEDUCTIBLE
X,RETEKTION $ 10.00
I I CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF M E ABOVEDESCRIBEDPOUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. ME ISSUING INSURER WILL ENDEAVOR TO Mr lL 30 DAYS mm NOTlCe TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHUL
PRODUCTS-COMPIOPAGG
COMBINEDSIPIGLELIMIT (ERam""'
HIRE0 AUTGS ! NON-OWNED AVTOS
AUTO ONLY: AQQ
CUW781343
IMPOSE NO OELlGAllON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Raytheon Company Attn: Environmental Engineering REPRESENTATIVES. P.O. Box 85 Wichita, KS 6 7 2 0 1
ACORD 25 (2001/08) Col l :1706341 Tpl: 406030 Cert:7584779 ' O ACORD CORPORATION 1988
1 BODILY iWURY I (Perpernon)
I j BODILY INJURY (Per accideni)
X
- -
$
WORKERSCOMPENSATIONAND EMPLOYERS' LLABlLllY
lWA769D004133014 UlpulmCroRlwMIMIClmYE Iwc76gl0041332l4 OFFlCEWMEMBER EXUUDED? / ~ 5 4 7 6 9 ~ 0 0 4 1 3 3 0 3 4
I E ~ S P ' P " E % N S M O W I OMER
ANYAUTO AS2691004133234 ALLOWED AUTOS
SCHEDULED AUTOS
DESCRIPTION OFOPERATIONSILOCATIONSNEMCLES(EXCLUSI0NS ADDED BY ENWRSEMENT/SPEClAL PROVISIONS
The Shaw Group Inc.; Shaw International, Inc.; Stone & Webster, Inc.; Stone & Webster Construction, Inc.; B . F . Shaw, Inc.; shaw Sunland Fabricators, Inc.; Shaw Global Energy Services, Inc.; Shaw SS9 Fabricators, Inc.; Shaw Maintenance, Inc.; Shaw Constructors, Inc.; Shaw NAPTech, Inc.; Shaw Energy Delivery Services, Inc.; Shaw Field Services, Inc.; S&W Engineering NY, PC; Shaw Environmental, Inc.; Shaw Environmental and Infrastructura, Inc.; Shaw Coastal, Inc.; Shaw Beneco, Inc.; EWCON/OWT, Inc.; Shaw Infrastructure, Inc.; Stone & webster Consultants, Limited; Stone e Webster Management Consultants, Inc .
DATE wlllls CERTIFICATE OF L~AB~LITY INSURANCE page z ~f 3 I oa,oz;zoos
The Shaw Group Inc. and its majority owned subsidiaries are Namad Insureds under the insurance policies lieted on this Certificate. The & w e list is a representative list of the major eubeidiaries of The Shaw Group Inc. and should not be considered complete.
PRODL~CER 877-945-7378
willis North America, Inc. 26 cantwy ~lvd. P. 0. Box 305191 Nashville, TN 372305191
'NsuREo Ithsw E~xvi ronrnenta l & Infrastructure, I ~ c . ghaw Envirormental, Inc. See Below for Liak of Other Insureds 4171 E s s e n Lana
I Additional Insured Statusx The General Liability and Automobile Liability policies include a Blanket Additional Insured endorsement. This endorsement confers additional insured statue to persons and/or entitiee if specifically required by a written contract executed prior to a lose but only to the extent of the Named Insuired's obligations to indemnify, defend and/or hold harmlese as specified by the written contract, subject to policy limits or to the extent allowable by law, if leee.
THIS CEaTlFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDFR. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
The General Liability and Automobile Liability policies grant coverage to "additional insuredsM on a primary basis, subject to each policy's terms, conditions and exclusions, when required by contract executed prior to a loss.
INSURERS AFFORDING COVERAGE
N6UFICnA Liberty Jlutusl Fire Ineurancs Cowany
HJBURERB. Liberty Mutual insurance Company
INSURERC Westchester Fire Insurance Company . B a t o n Rouge, LA 70809 1 INSUAERO
1 Waiver of Subrogation:
NAlCt
23035-001
23043-007
21121-002
I
The General Liability, Automobile Liability and Workers' Compensation policies, through blanket endorsements, automatically waive the rights of subrogation, where allowable by law, possessed by the insurer against any person and/or entity to the extent that the Insured had, prior to a claim, a written contract to waive such rights.
INSURER E:
I Project: Tri-County Public Airport Site, Hanger 1 Removal, Shaw Job # 111511.
Additional Insured: Raytheon Company
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to ths certificate holder in lieu of such endorsement(s).
If SUBROGATION IS b'lAIVED, subject to the terms and conditions of the policy, certain palicies may require an endorsement. A statement on this certificats does not confer rights to the 'certificate holder In lieu of such endorsement@).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing lnsurer(s), authorlzed representative or producer, and the certificate holder, nor does It affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
DATE I ACORD, CERTiFlCATE OF LIABILITY INSURANCE 1 0, 3 1 os/o,/zoo,
4 1 7 1 E s s e n Lane B a t o n R o u g e , LA
DRODUCW 877-945-7378
W i l l i s N o r t h A m e r i c a , I n c . 26 C e n t u z y ~ l v d . P. O. a o x 3 0 5 1 9 1 H a e h v i l l e , TN 3 7 2 3 0 5 1 9 1
'NsuRED Bhaw E n v i r o n m e n t a l & I n f z a s t r u c t u r e , Inc. Shaw E n v i r o n m e n t a l , Inc. see B e l o w f o r List of O c h e r I n s u r e d s
I I ( INSURER E: 1
THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlilCATE HOLDER. THIS CERTIFICATE DOES NOT AhlEND, EXTEPID OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I
INSURERS AFFORDING COVERAGE I NAIC#
INSURER& A m e r i c a n I n t e m a t i o c a l S p e c i a l t y L i n e e In! 2 6 8 8 3 - 0 0 1 !
INSURER e:
CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DFSCRIBED POUCIES BECANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WlLL ENDEAVOR TO MAIL 30 DAYS WRllTEN
COVERAGES THE POLIC~ES O F INSURANCE LISTED BELOW HAVE BEEN ISSUED T O T H E INSURED N A M E D ABOVE FOR THE POLICY PERIOD INDICATED. NOP.VITHSTANDING ANY REOUIREMENT. TERM O R CONDITION O F ANY CONTRACT O R OTHER DOCUMENT 'NITH RESPECT T O WHICH M I S CERTIFICATE MAY BE ISSUED O R
NOTICE TO tHE CERTlflCATE HOLDER NAMED TO M E LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE 10 OBUGATION OR UAalLITY OF ANY KIND UPON M E INSURER. ITS AGENTS OR I Ray t h e o n C o m p a n y Attn: E n v i r o n m e n t a l E n g i n e e r i n g
REPRESENTATIVES.
P.O. Box 85 W i c h i t a , KS 6 7 2 0 1
ACORD 25 (2001/08) Coll:1706331 Tpl:392091 Cert:7584768 ' OACORD CORPORATION 1988
MAY PERTAIN, THE INSIJRANCE AFFCRDED BY THE POLICIES DESCRIBED POLICIES. AGGREGATE U M l T S S H O W N MAY H A V E BEEN REDUCED B Y PAID
Shaw ~nvironmental Inc.
HEREIN IS SUBJECT T O A L L T H E TEAMS, MCI.USIONS A N D CONDITIONS OF SUCH CLAIMS.
POLICY NUMBER p-
i
PDUCY EF ECTIVE - ~ ~ D D W Y I -
8/31/2004
PROVISIOHS
INSR POLICY EX IRATION I DAE~MLD~W 1 UMNS
- EACH - OCCURRENCE - -- - --- DAMAGEI?,RENEO" ! c . 0 ~ ~ ce,
1 MED EXP (Any one person)
I PERSONAL 6 AOV INJURY
GENERALAGGREGATE
PROWCTS - COMPDF' AGO
COMBINED SINGLE LIMIT (Ea accident)
BODILY INJURY (Per pnmm)
i RODILY INJURY : [Pe.rucc!dent)
PROPERN DAMASE ! [Per accident)
I AUTO ONLY -EAACCIOEMT
/ OTHERTHAN j AUTO ONLY: AGG
1 EACH OCCURRENCE
, AGGREGATE
, E L EACH ACCIDENT
E.L DISUSE- EA EMPLOYLE
E.L DISEASE. POLICY LIMIT 9/1/2005 i $S,000,000 E a c h C l a i m A
.
ADD'
S .
$
S
S
$
$
S
S
b
$
' $
$
S
$
$
$
L S - - -- - -- - s
1$5,000,000 A n n u a l A g g r e g a t e
1
TYPE OF INSURANCE
GENERALLIAQILKY
-
-
r GARAGELIABILITY
ANY AUTO
COMMERCIAL GENERAL LIABILITY
I CUIIMSMADE OCWH
EXCESS LIABILITY
3 OCCUR CWMSMADE I I
GENtAGGREGATE LUITAPPI.IES PER! - PDLffiY n c % r - l LOG
AUTOMOBILE LlAQlLiTY .--- ! ANYAUTO
1 ALLOWNEDALlI'OS
WORKERS COMPENSATION AND EUPLOYERS'UABILTTY
ANY PF1OPRI~RIPARTNERIMECUTIVE OFFICEPA!EMBER U(GU15CD? tf sq dsscilbeunder S & E C I ~ PROVISIONS ww O l H E R C o n t r a c t o r P
P o l l u t i o n / P r o E e s s i s n a l E r r o r e & O m i a e i o n e L i a b i l ( C l a i m s - M a d e )
- - -
3779547
SCHEDULED AUTOS
MAE0 AUTOS
NONOWED AIJTOS
D E S C R I P m OFOPER*~~ONS/LOCA~OFISNEHICLE~~~XCLUSIONS ADDED BY ENDORSEMENTISPECIAL
DESCRIPTION OFOPERATlONSAOCATlONSNEWCLE~XCLUSIONS ADDED BY ENOORSEMEKFISPECIAL PROVISIONS ,
~ ~ l [ ~ ~ CERTIFICATE OF LlABiLlTY INSURANCE ..,. or / DATE
08/02/2006
Named Insureds :
p9M)UCiS 877-945-7378
Willie North America, Inc. 26 Century ~ l v d . P. 0. Box 305191 Nashville, TN 372305191
Shaw Enviro~mental o Infrastructure, Inc. shaw Environmental, Ina. See B e l ~ w Eor Lint oE O L h e r Tnaureda
The Shaw Group Inc.; Shaw International, Inc.; Stone & Webster, Inc.; Stone & Webster construction, Inc.; B.F. Shaw, Inc.; Shaw Sunland Fabricators, Inc.; Shaw Global Energy Services, Inc. ; Shaw SSS Fabricators, Inc. ; Shaw Maintenance, Inc. ; Shaw Constructors, inc. ; Shaw NAPTech, Inc.; Shaw Energy Delivery Services, Inc.: Shaw Field Services, Inc.; S&W Engineering NY, PC; Shaw Environmarital, Inc.; Shaw Environmental and Infrastructure, Inc.; Shaw Coastal, Inc.; Shaw Beneco, Inc,; EMCON/OWT, Inc.; Shaw Infrastructure, Inc.; Stone & Webster Consultants, Limited; Stone & Webster Management Consultants, Inc.
The Shaw Group inc. and ita majority owned subsidiaries are Named Insureds under the insurance policies lieted on this Certificate. The above list is a representative list of the major subsidiaries of The Shaw Group Inc. and should not be considered complete.
4171 Essen Lane I I N . ~ U H ~ H ~ Baton Rouge, LA 70809 INSURERCJ
I INSURER E
THIS CERTIFICATE IS ISSUED AS A h1ATTER OF INFORbIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlFlCATE HOLDER. TrflS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAlCI
INSL'RCRA:Arcerican International Specialty Liner In
INSURFIS: 252~_?:00&-
. . . . .
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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 endorsernent(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certlfcate holder, nor does it affirmatively or negatively amend. extend or alter the coverage afforded by the policies listed thereon.
- -
Page 3 of 3
ACORD 25 (2001108) Coll:1706331 Tpl:392091 Cert:7584768
1
I ACORD. CERTlFlCATE OF LlABlilTY lNSWL4NCE *.,. .f 3 DATE I 1 0 8 / 0 2 / 2 0 0 6 1 - I . .
PRODUCER 8 7 7 - 9 4 5 - 7 3 7 8 . . . . . .
w i 1 l i . a North b e r i c a , 8nc. 2 6 Csntury Blvd. P. 0. Box 3 0 5 1 9 1 Nashville, TN 3 7 2 3 0 5 1 9 1
lYSURED S b w Endro&ental & Infrastructure, Inc. Shaw Environmental, T ~ c . S e e a e l o w for List of O t h e r Insureds 4 1 7 1 xsaen Lane
i I I I
DESCRIPTIDN OFOPERATlONYLOCATlONSNEHlCLESN(CLUSI0NS ADDED BY ENDORSEMENTBPECIAL PROYISJONS Shaw Environmental Inc.
T H I S C E R T I F I C A E IS I S S U E D A S A MA' ITER-OF INFOFJh1ATION O N L Y A N D C O N F E R S NO R I G H T S U P O N I H E C E R I ~ F ~ C A T E
' HOLDER. THIS C E R T I F I C A T E DOES- ' -NOT AMEND; EXTEND OR A L T E R THE C O V E R A G E A F F O R D E D B Y THE P O L I C I E S B E L O W .
I N S U R E R S A F F O R D I N G C O V E R A G E 1 N A I C # I
INSURERA: Zurich American Insurance Company j 1 6 5 3 5 - 0 0 6 1
INSURERE Wastchester Fire Insurance Company / t 2 1 1 2 1 - 0 0 2
INSURER C: I
C O V E R A G E S THE POLICIES O F INSgRANCE LISTED BELOW HAVE BEEN ISSUED T O THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOl'flITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY a= ISSUED OR MAY PERTAIN. THE ~NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T O A U THE TERMS. EXCLUSIONS ANU CONDI'TIONS OF SUCH
I I C E R T I F I C A T E H O L D E R C A N C E L L A T I O N
SHOULD ANY OF THE hBOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Baton Rouge, LA 7 0 8 0 9
I DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO YAlL % DAYS WRmEN
NOTICETOTHE CEATlflCATE HOLDER NAMED TOTHE LEFT. BUT FaILURETO DO SO SHALL
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
I I IMPOSE NO OBUGATION OR UABIU7Y OF ANY KIND UPON THE INSURER. ITS AGENTS OR I
CLAIMS.
Raytheon Company At tn: Environmental Engineering P.O. Box 85 Wichita, KS 6 7 2 0 1
A C O R D 2 5 (2001108) O A C O R D C O R P O R A T I O N 1988
PO ICY FFECTIVE D ~ T E &VDDP/Y)
9 / 1 / 2 0 0 5
9/1/2005 9 / 1 / 2 0 0 5
POLICY NUMBER
Q L 0 3 8 6 6 6 0 7 0 0
TYPEOFINSURANCE G ~ N E R A L L I A B I L ~
INSR LTR
A
ADD'L INSRO
x
A A
B
3 --2.,000,000-,-
$ 2 5 . 0 0 0
$ 2 , 0 0 0 , 0 0 0 $ 4 , 0 0 0 , 0 0 0 $ 4 , 0 00 , 0 0 0
2, 000
$
S
S
POUCY EXPIRNON j DATE NWD , UM17S
9 / 1 / 2 0 0 6 ~EACH~CCURRENCE '
, S
S
S
S 5 . 0 0 0 . 0 0 0
I S 5 . 0 0 0 . 0 0 0 S
S
S
0 1 . 0 0 0 . 0 0 0
9/1/2006
X COMMEaCIAL GENERAL LIABIUlY
] CLAIMSMADE OCCUR
GEHL AGGREGATE LIMIT APPUES PER:
AUTOMOBILILIABILITY ' ~ ~ ~ 3 8 6 6 6 0 4 0 0
! AUTO ONLY - EA ACCIDEMT
OTHERTHAN € I A C C AUTO 0hlLv: AGG
PAMAGE RENTED ~ ~ ~ 1 ~ ~ 8 ~ a c c c u r e n c s )
ME0 EXP(Any nnn panon)
PERSONALdADVINJURY
GENERALAGGREGATE
PRODUCTS-COh4P:OP AGG
COUBlNEDSlNGLELlMlT X
- - -
! DEDUCTIBLE
R E T W D N S 10,000
9 / 1 / 2 0 0 6
! BODILY INJURY i (Per ponm) I
BODILY INJURY (Per acckhnl)
PROPERTY DAMAGE (Per accClen1)
ANYAUTO T A P 3 8 6 6 6 0 5 0 0
ALL OWNED AUTOS
SCHEDULED AUTOS
AGGREGATE
. -
W C 3 8 6 6 6 0 6 0 0 J,
i HIRED A m 6 NONOWED AUTOS
9 / 1 / 2 0 0 5
M Y PROPRI~OWP~TNERIMECUTIVE I
WORKERS COMPENSATION AND EMPLOYERS' LIABILWV
-
! 9 / 1 / 2 0 0 6 jx[%%?86kI 1'2%
j E.L. EACH ACCIOENT
GAAAGELIABIUTY
ANY AUTO
EXCWS U I B l U N
=CUR CLAIMS MADE
C U W 7 8 8 4 0 7 0
1s CERTlFlCATE OF LlABlllTY lNSURANCE p,, 2 O, 3 1 DATE
08/02/2006
f I INSURERE. 1 DESCRIPTION OF OPERATlONSnOCATIONYYEHlCLESlEXCLUSIONS AODED BY ENDORSEYENTISPECIAL PROVISIONS
Named Insureds :
877-345-7378 . . . . . . . . .
wiiiis &o=th' hmeric;, ~nc. 26 Century ~ l v d .
Shaw Envir~nstntal & Infrastructure, InC. Shaw Environmental, Inc. Sea Below for List of Other Insureds 4171 Essen Lane Baton R~uge, W 70809
The Shaw Group Inc.; Shaw International, Inc.; Stone & Webster, Inc.; Stone & Webster Construction, Inc.; B.F. Shaw, Inc.; Shaw Sunland Fabricators, Inc.: Shaw Global Energy Services, Inc.: Shaw sss Fabricators, Inc.; Shaw Maintenance, Inc.; Shaw Constructors, fnc.; Shaw NAPTech, Inc.; Shaw Energy Delivery Services, Inc.; Shaw Field Services, Inc.; SbW Engineering NY, PC; Shaw Wvironmental, Inc.; Shaw Environmental and Infrastructure, Inc.; Shaw Coastal, Inc.; Shaw Beneco, Inc.; EHcoN/OWT, Inc.; Shaw Infrastructure, Inc.; Stone & Webster Consultants, Limited; Stone & Webster Management Consultants, Inc.
THIS CERTIFICATE IS ISSUED AS A UA7TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
' "HOLDER; THlS"CERTIRCAT6 DOES ''NOT AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
The ghaw Group Inc. and its majority owned subsidiaries are Named Insureds under the insurance policies listed on this Certificate. The above list is a representative list of the major subsidiaries of The Shaw Group Inc. and should not be considered complete.
P. 0. Sox 305191 Nashville, TN 372305191 / INSURERS AFFORDING COVERAGE , NAlCl
INS'JaERRC ~ u i c h a e r i c ~ 1nsurmxc= cCq=5*y--, - . - - 1 16535-006
I Additional Insured Status: I
INSIIRERB: Westchester Fire In~urance Company
!NSUXEHC:
INSURBRD:
The General Liability and Automobile Liability policies include a Blanket Additional Insured endorsement. This endorsement confsrs additional insured status to persons and/or entities if specifically required by a written contract executed prior to a loas but only to the extent of the Named Insured's obligations to indemnify, defend and/or hold harmless as specified by the written contract, subject to policy limits or to the extent allowable by law, if less.
21121-003
The General Liability and Automobile Liability policies grant coverage to "additional insureds~ on a primary basis, subject to each policy's terms, conditions and exclusions, when required by contract executed prior to a loss.
I Waiver of Subrogation: I The General Liability, Automobile Liability and Workers8 Compensation policies, through blanket endorsements, automatically waive the rights of subrogation, where allowable by law, possessed by the insurer against: any person and/or entity to the extent that the Insured had. prior to a claim, a written contract to waive such rights.
1 Project: Tri-County Public Airport Site, Hanger 1 Rormal, Shaw Job # 111511. I
. . . . .
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsment(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requira an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issulng insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
I ACORQ, CERTIFICATE OF LlABlLlTY INSURANCE ,, I P8/02/2006 OATE I
I - . - . - -. . - . - -. - Nashville, TN 3 7 2 3 0 5 1 9 1 I INSURERS AFFORDING COVERAGE
INSURED Shaw Environmental & Infrastructure, InC. INSURWA: American International Specialty Lines in 2 5 3 8 3 - 0 0 1 Shew Environmental, Inc. I INSURER@: See Below Eor Liet of Other Ineureds 4171 zesen Lane I N ~ ~ R E R C : Baton Rouga, LA 7 0 8 0 9
INStiRER D:
.
I - I . . - -
COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR M E POLICY PERIOD INDICATED. NDTWITHSTANDING ' ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WlTH RESPECT TO WHICH THlS CERTIFICATE MAY BE ISSUED OR HAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED EY PAIDCLAIMS.
INSR OW TYPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVE F'OUCY EXPIRATION I
LT INSR W I T S
PRODUCER 877-945-7378 . . . . . . . . . . . . . . . . . . . . . .
~iliis ~or&h America, Inc. 26 Century ~lvd.
THIS CERTIFICATE IS ISSUED AS A PdATTER OF INFORhlATlON ONLY AND COElFERS NO RIGHTS UPON THE CERTIFICATE
' HOLDER."THIS CEATIFEATE 'DOES NOT AMEND; "MTEND OR' .
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ANY AUTO
ALLOWNED AUTOS
SChEDULED AUTOS
P. 0. BOX 3 0 5 1 9 1 I i
GENERAL UABILITY EACH OCCURRENGE $
COMMERCIALGENERAL LIABILITY , PfiEMISE3 1Ea cccurence)
I CIAIMSMADE OCCUR
I I 1 COMBINEDSINGLELIMK 1 (Ea accldent) I
I . - . . - - -. . .. . I
GENLAGGREGATE UMITAPPUES PER: I
[ BODILY INJURY (Per perscn!
ME0 EXP (Any one penon)
PERSONAL& ADV WURY
GENERALAGGREGATE - PROWCTS - COMPJOP AGO
C
5
$ . . .. . . . - $
- -
I
I J CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. M E ISSUING INSURER WILL ENOEAVOR TO BAIL 30 DAYS WRI?lEN
NOllCETO THE CERTIFICATE HOLDER NAMED TO THE LErT, BUT FAILURE! TO DO 3 0 SHALL
i HIREOAWOS
NON-OWNED AUTOS
A
I I IMPOSE NO OBLIGATION OR U A B l U N OF ANY KIN0 UPON THE INSURER, ITS AGENTS OR 1 ;
G A R A Q E U B I U N - ANY AUTO
eKCESS UABILllY
1 OCWR @ U M S - E
Raytheon Company Attn: Environmental Engineering
!
ACORD 25 (2001108) OACORD CORPORATION 1988 1
I BODILY INJURY (Per accldent:
8
PROPERTY D A M G E j (Pet~ccdenl)
DESCRIPTION OFOPERAT~OCATlONSNEHICLESiEXCLUSIONS ADOEO BY EN DORSEMWI/SPECIAL PROVISIONS
Shaw Environmental Xnc.
I I RETENTION $
WORKERS COMPENSATION AND EMPLOYERS' L l A B l U N
ANY PROPRIETOtVARTNEWU(ECUTIVE OFFlCERiMEMBER EXCLUDED? I f RS dwczlbe mdRr S&ECIAL ;ROVISIOKS MOW
OTHERContraators 1 Pollution/Profeasional ~rrors & cmiesions Liabil (CLeims-Kada)
S
$
AUTO ONLY - EAACCIDENT
OTHERTHAN A m 0 ONLY: AGG
EACH OCCURRENCE
AGGREGATE
5 $
5
$
$
CPPL3779547 9/1/2005
; I %~K&~H/ log / EL. EACH ACCIDENT
I E L DISEASE- EA EMPLOYEE
j EL DISEASE- ~ o L l c Y LIMIT
S
5
S --- g
9/1/2006 ! $5,000,000 Each C l a i m
i 8 5 , 0 0 0 , 0 0 0 Annual Aggregate
DESCRIPTMNOFOPERATIMISROCATIONSnrEHlC~CLUSIONS ADDED BY ENOORSEMENTEPECIALPROVISIONS
1 Named Insureds : 1
' OATE ~ l l l l s CERTIRCATE OF LlABll l iY INSURANCE ..,. , ,, 1 o,,02,20,,
The Shaw Group Inc.; Shaw International, Inc.; Stone & Webster, Inc.; Stone & Webster Conatruction, Inc.; B.F. Shaw, Inc.; Shaw Sunland Fabricators, Inc.; Shaw Global Energy Services, 1nc.r Shaw SSS Fabricators. Inc.; Shaw Maintenance, Inc.; Shaw Constructore, Inc.; Shaw NAPTech, Inc.; Shaw Energy Delivery Serrices, Inc.; Shaw Field Services, Inc.; S&W Engineering NY, PCr Shaw Environmental, Inc.; Shaw Environmental and Infrastructure. Inc.; Shaw Coastal, Inc.: Shaw Beneco, Inc.; EMcoN/OwT, 1nc.t Shaw Infrastructure, Inc.; Stone & Webster Consultants, Limited; Stone & Webster Management Consultants, Inc.
PRODUCER 877-945-7378
willis North America, Inc. 26 Century ~lvd. P. 0. Box 305191 Nashville, TN 371305191
INSURED haw ~n-zironmcntal h InErastructura. ~ n c . Shaw Environmental, Inc. See Below for List of Other Insureds 4171 Esasn Lane Baton Rouge, LA 70809
I
The Shaw Group Inc. and its majority owned aubaidiaries are Named Insureds under the insurance I policies listed on this Certificate. The above List is a representative list of the major subsidiaries of The Shaw Group Inc. and should not be considered complete.
WIS CERTlFICATE IS ISSUED AS A MAlTER OF IRFORPIIAmON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSUFICRA: American Internati~nal Specialty tines In
INSURER 8'
INSUHEH G:
NAlCft -
26883-001
INSURERD I . - - -- --- . -- -- . - - INSURERE:
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu oi such endorsernent(s).
If SUBROGATION IS WAIVED, subjecl 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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer@), authorized representative or producer, and the certificate holder, nor does it affirrnathely or negatively amend, extend or alter the coverage afforded by the policies llsted thereon.
- -
rage 3 of 3
.. . . . . . . . . . . . . . . . . . . . . . . .
ACORD 25 (2001108) Coll:1706324 Tpl:409884 Cert:7584760
.
suwanee G& 3$@4 IN_SUWRS AFFORDIN? COVERPIGE INSURED Remedlatlon Sanlces, lnicc' -
2735 South loth SWet -..,. - A.. --. -.- ' - -
lndependenee KS 67301 INSURER D: -, - -.- -- . . ... I _ ..,_._- INSORER E: i
ALL OWNED AWOS
SCI*IEYLEO AUTOS
HIRED AUTOS
NON-OWNETJ AUTOS
Acornm CERTIFICATE OF LIABILITY INSURANCE
DESCR(PTK3N OF OPERATIONS I LOCATIOPIS I V W I
04M812WS DAm (wPh"m)
Cenlncate Holder as Additional Insured & Loss Payee I.
$l,OD4000 Each Claim
PRODUCE$
Paragon Insurance Sen/lce, Inc. -2995 Horlran Park Drive ' : C
THIS CEWlFICATE IS lSSUED AS A M I T E R OF lNFORMATlON ONLY AND CONFERS NO RlGHTS UPON THE CERTIFICATE HOLDER. THlS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE MFDRDED BY THE POLICIES BELOW.
I - 101 S. Webb Rd. 1 IMP086 HO OBLEATIDN 011 LIAEILITY OP ANY KIND UPON THE B(SURD;L IT9 A O W G OR I
~ERTIFEA-7~ HOLDER -
CAMCEUATION
--. Rayheon AlrcraR Company
. P H ~ ~ L ~ ~ ~ ~ ~ F # ~ ~ W ~ D ~ ~ D ~ ~ , ~ U C I E S B E C A W C E L L E P B V O R T H E RATK KIN
DATE TMEReOf, THE ISSUNG INSURm WILL ENDEAVOR 70 MAIL M Y 9 W L H
~mcem THE C ~ A T S HoweR uAMeD X) WE LEFT. BUT FAILURE TO DO so WL.
Po BOX 2903 Wiohlta, KS 67201-2903
REPRESEHTAM~E~M~ES: ALrmORIZED KEPRESENTATNE
ACORD 25 (20011(18) @ ACORD CORPORATIQ~ 1 888 .
Suwanee GA 30024 w"iN'N Firemen's Fund Insurance Comparly -..- ,. - - ---,. .. . -. .,- .---A .--..-. INSURED COMPANY
Rernedlatlan S e ~ c a s , Inc. .-..- .-. 2735 South tDUI Street co~~nrrv
C - ,-.-- Independence KS 6730'l COMPAM
I D - COVERAGES
THIS IS 7 0 CERTIFY THAT ME WUCIEG OF INSURANCE USTED BELOW HAM SE!GN ISSUED TO THE INSURfD NAMED ABOVE FOR THE POLICY PERIOD '
INDICATED, NDTWITHSSANDING ANY REOUIREMENT. TERM OR' CONDITION OF ANY O O N M OR DTHEA WCUMEN'I WITH RESPECT TO WH1Cf.l ThlS CERTIFICATE MAY BE ISSUfo OR MAY PERTAIN. THE INSURANCE! AFFORDED BY THE POLICIES DCSCRIBEO HEREIN I$ SUBJECT TO ALL THE TERM. EXaUSIONS ANPCbNDITIONS OF S U M $ k l ~ L l M l T S S H O W N , 6 E E N REDUCED By PND CWMS. ,,.,:,- ..---.-. . I- ' . -
POUCY EFFECM POLICY WIRATION nATE(MUIODm) DATE(- LlMrrs
RIHPWG .s 54SlWt) . - - 04nYID6
BIANKET PEFS PROP
BLANKET acffi a PP
. .---
Contracton Equipment Pmpurty Leased or Rented; h a d Form ACV; Umlt of Llablllty $7W,0110 per Occurrencg $300,000 per Item Scheduled Equipment $1,3d9,79-i Cerdlfieaa Hokler as Addhionat Insured K Losa Payse
BOILER b MACHINERY
OTHER
A.d. -- s -
LOCAllON OF PRFJBSESILE3CR1PTlON OF PROPEXlY
CERTIFICATE HOLDER . '2A~CELLATION
Raytheon Aircraft Company 101 S. Webb Rd. 7
PO Box 2903 Wichita, KS 67201.2903
I
GHWLD ANY OP SHE ABOVE DESCRIBED P O U C I ~ n~ CANCELLED BEFORE rne EXPIRATION DATE THEREOP, trte ~P~IJINU COWANY YYKT ENDEAVOR TO MAIL
DAYS WiWEN NOTICE 70 THE CeRTIFICATE MlDER NAME0 TO THE LEFT.
BUT FMURE TO MI. SUCH NOTICE SHAU IMPDSE NO OBLIOAllON OR LUEILRY
y AUIHORUED REPRESENTATIVE
CL-3- Lv- mi? 4 m R D 24 (1105) @ ACORD CORPORAYI~N 1 9 ~
ACORD CERTIFICATE OF LIABILITY INSURANCE O A R q A b U 0 m
04/27/06 PRODUCER I THIS CERTIFICATE IS ISSUED ASA.IUIAlTER OF INFORMATION 1. . . . . . . . . . . . . . . . . , . . , . . . . . . . 1 . d l - Y A N n EnNFFRil NC!
b;ragon Insutance senrice Inc. 45 Horizon Park Drive S t e C
,..,. .-., --... ,..- .-J mms.ueoN THE CERTIFICATE HOLDER. T H e CERTIFICATE POES'NOT AMI?hlD, EX'fEi4D OR ALTE!R THE COVERAGE AFFORDED BY THE POLICIES BELOW.
suwariee GA 30024 F8~:770-831-3363 INSURERS AFFORDING COVERAGE NAfC i?
INSIRERA: Zvrich American Ins. Group 10315 7
ediation ervicee Inc. 5 8 5 So kh 18th rn,tAAime h~ t~8P
INWRERC: Z u r i c h N o r t h AmBTica INSURER D: ac.adt..r X-mnaa C-ny
IUstII,=1 L.
COVERAGES 1 THE P~LICIES OF INSUWCE LISTED BELOW HAW BEEN lSSUEDTOTHE MURED NAMED AEOVS FOR THE PDLCY PERIOD INMCATED. NOTWITHSTANOHG 7 1 AN; WQUIREMEW. TEAM O R C O N M T ~ OF ANY MHTRACT OR OTHER 0 0 C U H e N r W M RtEP5CT TO WMlCHMS OERTIFICATE MAY 86 OQUSD OR
MAY PERTAIN. M E I W t E AFFORDED BY THE POLICIES OESCRIEED HEREIN IS SUBCCl TO ALL lHli T E W . EXCLUSKSNS AND CON3lTlONS OF SUM
8 Contract Pollution CPL5398269-03 04/17/06 04/17/07 EacbClaim $1,000,000
WcWEIaS CWENSAnON AND W
A EMPLOYERS' UABILW
WPARTNSRIMECUTM WC5398266-03 04/17 /06 04/17/07 E.LEACHACCIDENT,.- S ~ O O O O O O % E ~ E R ~ U D E D ? sr. o~swe-m EMPLOYE^ s LOOOOO o
_,_ U s d m i a s lad* PROVlSIL1NS belcru E.L. DISEASE-POLICV ~ l H r f 1 i lOOOoOO
OTWER
BEEN REDUCED BY PAID CLAIM&
coucv NUMBER
GL05398269-03
~~~5398261-03
88053982 67-03.
PQCICIES. ACS®AIE L I m SHWNMAY HAVE TASR
m o r INWURANCE
(1ENUU1 UULUTY
c X' GQUMERC~GENERALLI~ IL I~Y
1 CLAIMS WE ICCR
.- -.-
G W L AGGREOAE LIMIT MT'LIES PEQ:
CERTIFICAlE HOLDER CANCULA-flON
04/17/06
' A
-..
04/17/07
-.. .,.... WMWS
j
;
mPTfl92
Raytheon Aircraft Company 101 9. Rebb Ad. PO Box 2903 Wichita KS 67201-2903
04/17/06
. *
04/17/06
i3CHOGCURRENCF -- ~ u ~ s i j s ~ ~ ~ r x r ; u m ~ ~ ,
Mmuc~c~ynn*v=-!.").
PERSOh%LAbDVII??URV
GENBR&AGGR@GATe
P R O ~ ~ T $ ~ W P W A W
e o ~ o v ~ ~ ~ z w o c e ~ ~ ~ r r
x Ides 90 Filin
EXCESSIUMBRELU UABIWTr
ooov~ a C L ~ A ~ ~ M A O ~
DEWClITIBCE
RIZGNTION % 25, ODD
AUTOMOBILE U A Q I W
ACORD 25 (2001108) QACORD CWrWRATION 1 a88 I
SOWDAW wTnaahOvEDE3URItlED PwlJCtES US F*NCGLLED BEFORB lHE EXPJRATIOII
DAl6 WIWOP.IW6 L58UIWG INSUR@R WILL ENDEAVOR TO MAIL 3 A DAY6 W W l E U
NOTICE TO W e CERTIFICATE HoweR NWED 10 11)s Lm, BVI FAILURE TO 00 50 BHAU IMPOM NO O W A n O H OR LlAQlUPl OF ANY klb4DVPDU lWh INBUR€& 11s AO-S OR
RSPRESWTATlV€S.
j~l,000,000 5 100,000 ,+-,-
15,000 -..--- 51,000,000 5 2,000 ,OQO 12,000,009
sl,OOO,OOO - - X - - - X -
I).
A~WMITO
' N L OWNED A m 5
SCHEDULED AUTOS
I-IIREDAUTOS
NON.OWNEOAUTO6
.- . -.. S
A,, . - s --- s
S -. 3 . -- S - S 5 , ooo,, 000 $ 5,000_,000 S
L ,...- $
04/17/07 . e .-...
04/17/07
W R Y IWURY {Pnf prrbM) A**-
BODILY INJURY 0% ncddool) -.- PROPERN M O P (PI rtbta0ru)
AUTO ONLY FA ACCIDENT - U T H W T W -ffi W T O ONLY1 AGO
EACH ODWRAENCE
. m ~ ~ r e .,- .".
--- -,..
ALTER W E COVERA[JEAFFORDEDBYTNe tOHClE9 BELOW. COMP~IES AFFORDNQ COVERAGE -- o.--.-.-
. .. - . - . - - - . . . . -. . . . . . . - . . -. .- - . .- - - . - . . . . . - . - -- . . -. .. -- I INORAEO. N~ITHSTANDING% REMIIX~MGN~. ~ E R M OR MNDtTlON OF ANY D O m C T OR OTHER DOCUMENTHIM RESPECT TO WHICH rnis I
CWTlhGaT6 U4Y 88 ISSUB) OR MAVPIRTIIN. TUB INSURANCX AFKWJEO BY THE WLGIES OESplBED HEREP( 18 SUBIECT TO ALL THC ltk4 - fXCLUSIONSM#3CONDmONS OF SUCH W1ICIES.LlMlTSSHDWN MAY M W BeW RPOUCEDBY PM> CLAIMS. --,.,-- ... . -
7 I I I I 1 LOCATION UP PREHBES/O~~CRI'PT~YN OF PROPERTY
b O E ~ A L C ~ Y ! O N Y O ~ E R mVER4QES
Cw.tr~omra C a i p u n r , P~~ h..d 0~ c.PW, 4 4 &zm ACV. L i d t a Pi
m LTR
A
A +---,
L R.yWsa Urr;i..Sb Ca-r 101 s. Wrnbb nd. m BP. zn03
I Wlchicm KS 6?Pb¶-2PO3
I
a MACHINERY a -
n~e OF IHEURUCE
'x] PRWEW . W S E S OF LO83
rouN r u w
MAC6076134
MAC6076834
PI___-_
- - - ...,...
- X - X -
BASIC
SFEClK
MATHCUM€
FLDOO
BRQAD
lNLnNUmARlNE
PolKY DATE (mmawq 0411 7/06
04/17/06 lY?E OF POLICY
CAUS~S OP 10SS - .--
LIMITS
s --...,+ s
s BO.ODO - 5
S .... P. .--- S .-. .. ... s . . -.,.....-
w u c y m ~ ~ n o I J DATE ~ M I O D ~ ~
04A71W
NAMED Cf RhS
OTHER
CRlME
TYPE OF POLICY
OUl7107
t w E R E o PRopWm
- -.. x - - -
-
BUILDING
PERSOW PROPEm
. a u s m s s INGOME
eX7wIEXPWSE
BCANKETBUILOINS
BLANKET PERS PROP
BWKET BLDC a pr
X. - x X
- - - -
- -
BUILDING Eg;;;; I3USPP 0ch4ul.d IIquipaanb S Z.OS~.OOO
X - t
0 -." S
I S ...-
= -.a ,
0
J UL-J1-2W UU: 45 <ti'ltUIHIIUN S t W l L t S INC b2W 351 bdlb r.klb/& - -
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lIeu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polictes may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder in lleu of such endorsement(s).
DISCLAIMER -
The Certificate of Insurance on the reversa side of this fnm does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder. nor does it afflmatively or negativsly amend, extend or alter the coverage afforded by the pollcles listed thereon.
.ACORU 25 (2001108)
TOTRL P. 06
CERTIFICATE OF INSURANCE Date: (Mkl!DDI\(Yj 7 / 3 ? m 6
PRODUCER Lockor: Cornpan~es of Housto~i 5847 San FeCpe. Svte 320 Housbn. TX 77057 866-260-3538 (Phone) 866-492-1055 (Fax)
INSURED: WASTE MANAGEMENT and
.MIS CERTIFICATE IS ISSUE0 AS A MATTER OF INFORMATION ONLV AND CONFERS NO RIGKTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE Insurer A: ACE ,4merican lns~irance Company
lndernn~ty Insurance Company of North America Rolling Meadows Insurer 6: 7351 Northwest Highway 75 Topeka, KS 6661 8
lnsurer C: Insurer D: Insurer E:
COVERAGES 'ME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T i INSURE0 NAIAEO AaGVE FOR THE ?OLICY PERtOD INDICATED. :NO~~THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wa7H RESPECT TO WHICH Tt!IS 1CERTlFlCATE MAY BE ISSUED OR MAY PERTAIN. THE INSUWCE AFFORDED BY THS POLICIES DESCRIBED HWElN IS SUWECT TO ALL THE TERMS. [EXCLUSIONS AN0 CONDrrlONS OF SUCH POLICIES. AGGREGATE LUMlTS S H W M4Y BE EXHAUSTED BY PAID CLAIMS. .
A
E F F E m DAE
11112005
POLICY NUMBER
HDO G21712978
x
TYPE O F INSURANCE GENERAL LIABILITY
GENERAL AGGREGATE
PRODUCTSCOMP. OP AGG
COMBINED SINGLE LIMIT - - - - - - - - - - -- - --
IS0 FORM CO W 01 10 01
x x
DATE EXPIRATION
11112006
$ 6,000,000
$ 6,000,000
$ 10,000,000
CCMNERCW GENERAL LIASILTTY
CCCURRENCE
xCUrNCLUOE0
-
1/11200S
1/112M)6
lIlR006
i/inooti
l/ lQW6
ENDORSEMENT - - - --
LIMITS
EACH OCCURRENCE
FIRE DAMAGE W W ~ E I
MED M P LPERPERSOH)
PERSONAL & ADV INJURY
A
A
$ ! 3 . 0 ~ , 0 ~
$ 5,000,000
$ 5,000,000
GEN'L AGGSEWTi LMIT APPLIES PER
ISA H07932704
XOOG22082334
WLR C44173803 (AOS)
WLR ~44181085 (CA)
SCF C44181058 (WI)
CHECK BLANKET W-R OF SWR00ATlC)NlS GRANTED IN FAWOF CZRTIFWTE HOLDER ON A U W M E S WHERE AH0 TO THE M E M RFOUIRA) BY W m N CONTRACT. 'OX
(XI Cc-KATE HOLDERIS NAMED AS AN ADDITWPL INSURED (O(CEPT FORWORKERS' CONPIELJ WHEFS AN0 TO M E WTEM RePUlRED BY WRITTEN CONTRACT,
m~~ ACCIDENT)
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION
EL EACHACCIDENT
EL DISEASE-EA EMPLOYEE
EL DISEASE-POLICY LlMrr
PROVISIONS: - - - - - --
x x
x
x x X
11112005
11112005
lllR005
vlnoos
lllnOo5
CERTIFICATE HOLDER:
L Raytheon AircraR Company P 0. Box85 Wichita, KS 67201
$ 15,~0,000
$ 15,000,000
STATUTORY
$ 3,Do0,M)o
$ OM)
$ 3,m,000
- - - - . - - -
PROJECT
LOCATION
ANYAUTO
AL L OWI(FD AUTOS
HIREDAUTOS
NON-OWNED AUTOS
MC=
OPERATlONSROCATIONSNEHELE$IEXCLUSK)NS ADDED BY - - - - - - - - -
CWMS MN)E
CANCELLATION: SHOULD ANY OF WE ABOVE OESCRfEED POLICIES BE CNCELLEDBEFOilE TiE EXPWATlON OATE THEREOF, THE ISSUING INSm WlLL ENDEAVOR TO MA& 30 CAvS W m E h ' NOTICE El THE CERTIFICATE HOLDER hAMED TO T M LEFT. BUT FAILURE TO CCI SO ~~ IMPOSE NO 00LIGAllON OR LIAQ1LI-N OF ANY KIN0 UPON SHE INSURER, RS AGENTS OR REPRESENTATIVES 'EXCEPT IOIlAYS NOTlCE FOR NON-PAVMih7
AUTHORIZED REPRESENTATIVE
AUTOMOBILE L lABIL l fY
A A
EXCESS LlABlL lNNMBRELLA
WORKERS COMPENSATION ----- and EMPLOYERS LIABILITY
I
x
REMARKS DESCRIPTION OF
OCCURRENCE
cs Idwin C O ~ T-TO9 P 081/001 F-389
HW 621714318
ISA M08218997
XOOG23672503
(C!~RTIFICATE MOLDER:
AUTHORIZED REPRESEKTAnVE;
cf3---p"A4-
1 I I I I
ADDED BY ENWRSEMENT/SPEClAL PROVTSIONS
Willis North America, hc. 26 Century Blvd Nashville, 'IT4 37214
INSURED Clean Harbors Environmental Sewlces, I ~ c . And its subsidiaries 1501 Washington Street Braintree, MA 02185
I I CERTIFICATE HOLDER CANCELMTlON
r I SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE I Raytheon Company 2574 Q Avenue Herington, KS 67449
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER TRlS CERTEFI€A'FE DOES NOT AMEND, EJCRND OR ALTER THE COVERAGE AFFORDED BY THE POLlCIES BELOW.
E n l R A n m DATE THEREOF. TEIE ISSUING COMPANY WILL ENDEAVOR TO MAIL
a DAYS WRl7TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TEE LEPT, BOT PAXL.UltX TO MAKL SUCH NOTICE S l i A U IMPOSE NO OBLIGATION OR LIABILITY OF ANY KMD WON TEE COMPANY, ITS AGENT3 OR FtEPRF.S!3NTAIWZS.
ACORD 25 (2001108)
NAIC#
2267.001
26247-003
INSURERS AFFORDING COVERAGE
-
COVERAGES
INWCATED NOmTHSTANDlNG ANY REQUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS C ~ ~ ~ ~ ~ ~ m i ~ MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
V
OACORD CORPORATION 1988
INSURER A
INSURER B
INSURER c
INSURER D
INSURER E
ACE American Insurance Company
American Guarantee and Liability Insurance
I l OTHER I I I I I I
REDUCED BY PAID POLICYEXPERATION
DATE m ~ r n I lM12005
11MIZ005
11M12005
111112005
MAY HAVE BEEN POUCY E F P E ~ V E D A ~ Z IWDNW
11M12004
111112004
111112004
11Ml2004
POUCIES. LIMITS SHOWN
POL~CY NUD~IER
62055761 8
H07959886
AUC427526200
WI C44000398 AOS C43986375
CO LIR
A
A
B
CLAIMS.
~ ~ 1 1 9 -0cc-a DAMAOB 70 RENiED PRHMtSeS (E4 o o c a m ~ ) MED=(h-ponorJ
-0NAL&ADvRJJmy
G ~ A ~ ~ Q A ~
p ~ m ~ ~ m p ~ ~
COm-mGtELnna
BODILY m y (ParPrnOn)
BODlLY INJURY (Pcrs~idcnc)
PROPER'NDAMAGE
AUTO ONLY -EA ACCIDENT
0 n r a R ~ m O N l . Y
EACH- AGGREGATE
-0CCmuNcE
AGGREGATB
XI T',,,vm 1 1 u WC SPhlu
K L M C H ACClDENr
BLDlPE*SmEUPLOYE6
EL DISEASE POLICY^
U(CLUS1ONS AND CONDITIONS OF SUCH
TYPE OPRYSlIRANCE GENERAL LIABILITY $2,000,000
$ 500,000
$ 10,000 $2,000,000 $3,000,000 $2,000,000
$5,000,000
$
$
$ $ $ $ $ $10,000,000 '
$~0,000,(300 $
$ 2,000,000 $ 2,000,000 f 2,000,000
7
x X
mmON s
C O ~ A L O e n W A L L l h B ~ T T Y
CLAMSMADE OCCm rn XCU Contractual
A A
WORKERS COMPENSATION AND EhfPLOYERS1 LIABILITY ANY P a O P R E K W P A R T t 4 l 3 ~ V B OPFI~ERMM~ rixameor uycs-Uod+r SPECIAL PROWIONS b&%v
GBN'L AGGREGATE I.JMT NPLIESPER
I POLICY 1 x( 22 I [ Lac AUMMOBICE LIABILITY
X - - -
y
- -
MJy'%JrO
ALLOWNEO AUTOS
S ~ U L E D A V T O S
HIRED AUTOS
NOKOWN~D N ~ ) S
MCS.50
GARAGE WABILMT ANY A m 0
EXCESS LlABltlTY 3 OCCLR MIMSMADE
DeWCntaB
IMPORTANT
If the certificate holder is an ADDITIONAL MSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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 m lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it af f i t i ve ly or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
@ A m CORPORATION 1988
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER; THIS. 6ERXlPICATE DOES. NOT AMEND, E m N D -OR.. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
. ..
1 INSURERS AFFORDING COVERAGE
Willis North America, Lnc. -..26tkntury-Blvd
Nashville, TN 37214
INSURED Clean Harbors Environmental Servlces, Inc. and its subsidiaries 42 Longwater Drlve Nowell, MA 02061
INSURER D
INSURER E
I I I I I DESCRIPTION OF OPERATIONWLOCATIONSN WCLIiSBXCLUSIONS ADDED BY ENDORSEMEWXSPECIAL PROVISIONS
INSURER h
MURER B
INSURER C - -
C!ZRllFTCATE HOLDER CANCELLATION
1 ( SHOULD M Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ?Re f
.
COVERAGES THIS IS TO CERTIFY THAT ME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWIT'HSTANDINQ ANY REOUIREfdENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THS
Raytheon Company 2574 Q Avenue Herington, KS 67449
ACE American Insurance Company
American Guarantee and Liability Insurance
Indemnity Insurance Company of North Amer
EXPIRATlON DATE TfIEEXEOP. THE ESUiNC COMPANY WIIl. ENDEAVOR TO MAIL
2 DAYS W l U l l T N NOTICE TO llE CERTIFICATE ITOLDER NAMED TO TKE m, BUT FAILURE TO MAILSUCH NOTICE SHALL IMWSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TEE COMPANY, ITS AGENTS OR R E P R P S E N T A ~
22667-001
2624%003
43~75-003
CERTIFICA~ MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE!
AUTHORIZED FU?PRESEWATIVE
POLICIES DESCRIBED REDUCED BY PAID CLAIMS.
POUCY EXPIRATZON IU1OWiWDlvvY
111112006
111112006
111112006
11M12006 11M12006 I11112006
(BACORD CORPORATION 1988
MAY HAVE BEEN POLICY EFRElWE DA'IZ IMKlDDNY)
1 1 1 ~ ~ 0 0 5
111112005
llNi2005
111112005 11L112005 11Nl2005
POLICES. LVHlTS SHOWN
POLICY NUMBER G20558052
H07960281
AUC4275262-01
WI C44001767 AOS C44001743 CAIAZ C44001755
I
CO LIR
A
A
B
HEREIN IS SUBJECT TO ALL THE TERMS,
Lm(llS E A C H ~ C ~ ~ D - 0 8 ~ ~ PBBMISES fioocunrna} - ~ ( ~ ~ ~ n )
PWSOW&ADVMlURY
G E N Q V U . A ~ ~ * f E
p R o D ~ O m * p A G G
C o m - S m a E ,
BODILY INJURY leu penan)
BODILY INJURY (Pu nuidsnl)
PROPE.RTY DhMAGE
AUTO ONLY - M ACC036NT oTnaRmANAvrO(mLY
EACHACclDBNf
A ~ R ~ C ~ A - r a -0fC-a
AGGREGATE
W C W A W OTH TOIIYLMTS ER
$21000,000 $ 500,000
$ 10,000
$2 000 000 $3,000,000 $2,000,000
$ ~ , ~ ~ O , O ~ O
$
$
$ $ $ $ $ $1 0,000,000 $~o,ooo,ooo 4
EXCLUSIONS AND CONDITIONS OF SUCH
TYPE OF INSURANCE GENERAL LIABILITY
x x
RBTENnON s
COLPd?jRClAL~RAL L U B m
CLAIMS MADE I F cdra~hral
C
A ELENXMXTDEW aLDrsBAsE-BA H M P L o m
EL DlSEASEPOUCYUhUI
wvORmRS COMPENSATIOh' AND EMPL0ueRs1 L m I n ANY mmmmm- O P P I ~ W F J U L O D R D 7 If yu d a d b a undu SPECLALPROViSlONSbdDw OTHER
$ 2,000,000 $ 2,000,000
$ 23000#000
C6N'LACCWGKlS L W A P P B PER:
I POLICY I XI 1 I c ALITOMOBILE LJABILITY
X' - - -
7
ANYALRo
AUOWHBDAVIOS
SCHEDUUDAUTOS
HOIEDAVTOS NON-OWNQ AUTOS
MCS-%3
GARAGE LIABILITY - - ANY AUTO
EXCgSsLUBlLrrY X] OCCUR MIMSMADE
DBDUCWLE
... -
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certiticate does not confer rights to the certificate holder in lieu of such endorsement(s),
If SUBROGATION IS WANED, 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 endorsernent(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this fonn does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 ~ 0 0 1 1 0 8 ) OACORD CORPORATION 1988 i I
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing was mailed via first class US mail, return receipt requested, this 21" day of August 2006 to:
J. Scott Pemberton Senior Assistant Regional Counsel Environmental Protection Agency 901 N. Fifth Street Kansas City, Kansas 66101