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<br />Aon Risk Services, Inc. of New York
<br />55 East 52nd Street
<br />New York, NY 10055
<br />PHONE: 866-266-7475
<br />FAX: 866-467-7847
<br />
<br />M"",='"""~~
<br />CERTIFICATE OF LIABILITY INSURANCE DA~~/~~~~~~YJ
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER, THIS CERTIFICATE DOES NOT AMENO, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />I COM~ANY AMERICAN CASUALTY CO. OF READING PA
<br />
<br />Serial #
<br />
<br />487
<br />
<br />ACORD
<br />---.-_...------TM,
<br />
<br />PRODUCER
<br />
<br />PARSONS BRINCKERHOFF OUADE &
<br />DOUGLAS, INC,
<br />ONE PENN PLAZA
<br />NEW YORK, NY 10119
<br />
<br />COMPANY
<br />I B
<br />I
<br />
<br />INSURED
<br />
<br />COM~ANY TRANSPORTATION INSURANCE COMPANY
<br />
<br />---- -.----
<br />
<br />
<br />CONTINENTAL CASUALTY COMPANY
<br />
<br />MIlE
<br />0 "J",/'+'
<br />THIS IS CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN tSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />&~~--~PE OF I~SU~~;:-! ., POLICY NUMBER ' 'lp~~~~;~i~~T;g;~~\~~~~~~~N ¡-- LIMITS
<br />A~Nc:::LE~::~:ERAL LIABILITY ~~~~~:¡;~~~;BILlTY (NS) I 11/01/2004 _,I 11/01/2005 ~~P:E:REsD~OUCNLAT:L-9&;A:DE_MVc;,P'IAN/:J:UR-;yG_--~.R :"
<br />
<br />~] CLAIMS MADE ~J OCCUR GL 257246871
<br />GENERAL LIABILITY-STOP GAP
<br />, .-- ,OWNER'S & CONTRACTOR'S PROT E~~H OCC_~~~~NCE--_____---_S
<br />, FIRE DAMAGE (Anyone fire) $
<br />------ -------
<br />.. .
<br />
<br />--_w_-
<br />
<br />
<br />MED EXP (Anyone person)
<br />
<br />. - 5,000,000
<br />..5,OOO,().OQ..
<br />-_.1,ooo,goo
<br />-...:t-()OO,OOO
<br />-- 300,000
<br />5,000
<br />
<br />2,000,000
<br />
<br />-.
<br />
<br />D
<br />
<br />,X ANY AUTO
<br />: ALL OWNED AUTOS
<br />tw SCHEDULED AUTOS
<br />~..~ HIRED AUTOS
<br />, NON-OWNED AUTOS
<br />
<br />SUA 2057246899
<br />COMMERCIAL AUTO
<br />SUA 2057245736 PD
<br />AUTO PHYSICAL DAMAGE
<br />
<br />11/01/2004
<br />
<br />11/01/2005
<br />
<br />,COMBINED SINGLE LIMIT
<br />
<br />~B.~-~I-l Y I~JURY
<br />(Per person}
<br />---. _._n
<br />, BODILY INJURY
<br />(Per accident)
<br />
<br />-----
<br />
<br />c
<br />
<br />1$500 DED COMP
<br />,$1,000 DED COll
<br />
<br />-.-,----
<br />
<br />--
<br />
<br />PROPERTY DAMAGE
<br />
<br />s
<br />
<br />
<br />-----
<br />
<br />,--
<br />
<br />A~2..° ONL ~~A AC~~~.§N~T $
<br />c:JTHER THAN AUTO QNL Y
<br />------....------ ---------
<br />EACH ACCIDENT $
<br />--- ----- --,
<br />AGGREGATE 1 S
<br />.. EACH OCCURRENCE
<br />
<br />-..
<br />
<br />GARAGE LIABILITY
<br />I ANY AUTO
<br />
<br />-----
<br />
<br />UMBRELLA FORM
<br />I - - OTHER THAN UMBRELLA FORM
<br />
<br />AGGREGATE
<br />
<br />,
<br />$
<br />
<br />----- ---..
<br />
<br />A I WORKER'S COMPENSATION AND
<br />A I EMPLOYERS' LIABILITY
<br />
<br />C THEPROPRIETQRI
<br />I PARTNERS/EXECUTIVE
<br />OFFICERS ARE
<br />
<br />WC 257246854 AOS I
<br />WC 257246868 CA ONLY
<br />X! INCL ¡We 25724::'761 KETR0 (OR,VA,WI)
<br />WORKERS COMPENSATION
<br />EXCL
<br />
<br />11/01/2004
<br />11/01/2004
<br />11/01/2004
<br />
<br />11/01/2005
<br />11/01/'2005
<br />11/01/2005
<br />
<br />
<br />-
<br />
<br />~L EACH ACC:IDE~2_- -
<br />
<br />is
<br />
<br />1,000,000
<br />1,0()O,OO,O.
<br />1,000,000
<br />
<br />EL DISEASE - POLICY LIMIT $
<br />- __m____---
<br />EL DISEASE - EA EMPLOYEE $
<br />
<br />I OTHER
<br />!
<br />,
<br />
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
<br />IPB #11822) ON GENERAL LIABILITY INSURANCE, THE CITY OF SANTA ANA AND ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL
<br />INSURED, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF PB'S NEGLIGENCE, ALTON OVERCROSSING AT STATE ROUTE 55, PROJECT
<br />#1706, ACCOUNT #32-551-6631, WO #48493,
<br />
<br />,CERtIF .
<br />
<br />
<br />
<br />CITY OF SANTA ANA
<br />ATTN: DAVE BIONODOllLlO
<br />PUBLIC WORKS
<br />20 CIVIC CENTER PLAZA ,M-93
<br />SANTA ANA, CA 92702
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~ MAIL
<br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />~
<br />~""
<br />
<br />"""""""
<br />,,100<5,
<br />
<br />AUTHOR~EPRESENTAT~
<br />7 J!.U1..Ù1.. (} / ~
<br />
<br />10242936
<br />@ACORD:CO.RP,ORATIÒN 1988
<br />
<br />'ACORl)É2~(1Í1!'5F
<br />PARSON .?OOO 75'S FP~PARSON 7000 .?5'S FPl
<br />
<br />
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