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<br />~EC-22-2003 11:54 AON RISK SVCS
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<br />PIIODuCEII
<br />
<br />Serial4!
<br />
<br />
<br />P,02/03
<br />
<br />1110112003
<br />
<br />THIS CERTlFlCA IS ISSUED AS A MAnER OFINFORMAnON
<br />ONLY AND CONFERS NO IIIClHTS UPON THE CERTIFICATE
<br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND 011
<br />ALTEII THE COVERASE AFFOIIDED BY THE POUCIES BELOW.
<br />
<br />COMPANIES AfFORDING COVERAGE
<br />
<br />COM~ANY TRANSPORTATION INSURANCE COMPANY
<br />
<br />212 792 5187
<br />
<br />AQn Risk Service., Inc. of New York
<br />199 W.lor Sir...,
<br />Now Yorte. NY 10038
<br />PHONE: 8&&.2&&.7475
<br />FAX: 8&6-4&7.7847 A-~t?o3-ó/Oc¿
<br />
<br />INSURED
<br />
<br />PARSONS 8RINCKEAHOFF OUADE &.
<br />DOUGLAS, INO,
<br />ONE PENN PLAZA
<br />NEW YORK, NY 1011S
<br />
<br />coJotP,.,.,y
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<br />
<br />COMPANY
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<br />
<br />COMPANY
<br />0
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUAED NAMEO ASOI/E FOR THE FOLlCY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REOUIAEMENT, TERM OR CONomON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED e Y THE POLICIES DESCRIBED HEAElN IS SUBJECT TO AU. THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, .,M,TS SHOWN MAY HAVE SEEN AEDUCEO BY PAID ClAJM$.
<br />
<br />00 T'iFE OF INSURANCE POLICY EFFECTlV~ POLICY EXPtAAMN LIMITS
<br />LT" POUCY NUMBEA DATE (MMlDØJY) DAn. (UNlDO"n')
<br />A GEN~RAL LIABI~ITY GL 2:;n49~65 11/01/2003 11/01/2004 GENEAALAGaREOAT& . 5 000,000
<br /> X O~EFlCIAL I3ENERAL UAelLlTV PROCUOTS - COMFlIOP AGG ' 5,000,000
<br /> CLAIMS MADE ŒJ OCOUR PERSONAL & ADV INJUFlV s 1,000,000
<br /> OWNER'S & CONTRACTOA'S "AOT EACH OCCIJ~AENCE . 1,000,000
<br /> FIRE ~GE (Anyone 111'8) ' 300,000
<br /> MEC ÐP (Anyc;l18 I8I'9oo) S 5.000
<br />A AUTOMDBIU LIABILITY BUA 257249~a2 11/01/2003 11101/2004
<br /> X ~y AUTO 5500 DED COMP COMBINED SlJNGLE LIMIT . 2,000,000
<br /> ALL. OWN~D AUTOS 51,000 DED COLL BODILY INJURY s
<br /> SCHEDu.ec AUTOS (p;rgeIlOfl)
<br /> HIAI!D AUTOS eoDtL.Y INJUFlY
<br /> NON-OWNED AUTOS ' '¡,'(' (Pl!llt~¡¡ldIJp:) S
<br /> .,,)
<br /> PFÐPEATV OAMA.GE .
<br /> GAIIAGE UABILlTY AUTO QIIC. Y - SA ACCIDENT S
<br /> ANY AUTO Le.'-,:!,' 01H!A Tt-IAN MITO ON.. Y;
<br /> t_il.'! " ,'r:Ji'\'
<br /> EACM .t.CCICSNT '
<br /> _.~--
<br /> AGGJU;GATE s
<br /> ~XC~SS .,IISI.'TY IiACÞI OCCUMENCE S
<br /> UM8RELlA FOAM AGQREBATE s
<br /> OTHEFI THAN UMf3f=1SIJ.A FOAfoA .
<br />A WORKER'S COMPEN$ATIO,.. ANC WC 257249320 AOS 11/0112003 11101/2004 X STATU'
<br /> þ PI.OYEFlS' UABILß'Y -"".,. ..
<br /> WC 257249303 CA ONLY EL EACH ACClCE:NT . 1,000,000
<br /> TÞ1E PROPRIETOR! 'NCL II. CISEAsE. POL.ICY I.I"'IT . 1,000,000
<br /> PART'NER8.'liiCil;l"I'tIIlE
<br /> QFFw;eA&AAE: SXCL EL DISEASE. SA EMPLOYEE ' 1,000,000
<br /> OTHEA
<br />
<br />
<br />JQCflPTlQIII OPERA OHSfl.OCAl1QN8NEHICLQlSPECIAL ITEMS
<br />:PB #11822) ON GENERAL LIABIUTY INSURANOE, THE CITY OF SANTA ANA AND ITS OFFICERS AND ¡¡MPLOYEES ARlO INCLUDED AS AODITIONAL
<br />INSURED, BUT ON~Y WITH RESPECT TO LlABIUTY ARISING OUT OF PB'S NEGLIGENCE, ALTON OVERCROSSING AT STATE! ROUTE 55, PROJECT
<br />'1706, AOCOUNT #32-551-66:31. WO "48492,
<br />
<br />'~~"--¡"~}.,:.,.,',.,,'I.:.'?JJ~;;~0~~;~~~;}.:.i:;:::n~¡~~'7~':'J[::'?';:'::'-::-;:'-S:':7T::':""~~'~:~.',',n'~'~r'"~0=~'_~''':'>-;-::.~''--'''--''---'' - , ,,-, " ",--- ,,___m.-, ',"',-',," -- -,
<br />
<br />CITY OF SANTA ANA
<br />ATTN: DAVE BIONODOLlLLO
<br />PUBLIC WORKS
<br />20 CIVIC CENTER PLAZA ,101-92
<br />SANTA ANA, OA 92702
<br />
<br />SHOULD AN1 OF THE ABOVE OElC:AIiI~ POlICQ IE CANCiLLED IMiiFQM !HI!
<br />D:PIFlATlO.. DA'" THEJŒOP, THE .8W\1C1 COMPANY WILL ---':G\'( 8IAIL
<br />30 DAYS WJWTTEH NCllCI!TO THE CERTFICATI! oiOl.DER NAMED TO TI1E LEFT,
<br />*'DCJ8( ~"II'I{~--... 'ql~'" ----\NI(~
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