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<br />P.02/03
<br />11/01/2003
<br />THIS CElmFlOATE IS ED AS A MATTER OF INFORMAnoN
<br />ONLY AND CONFERS NO RlaHTS UPON THE CERTIFICATE
<br />HDLDER. THIS CERTIFICATE DOEll NOT AMEND, EXTEND OR
<br />ALTER THE OOVERAGE AFFORDED BY THE POUCIE. BELOW.
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />CO"~ANY TRANSPORTATION INSUFlANCE COMPANy
<br />
<br />~EC-22-2003 11:5d AON
<br />"; ~~.-'-~~.. .';I\:~~"tìli'!¡~~,Q:~
<br />:\"""', "~..I ,''fl.'"'''''''''' ,",...>..,,;j,,'!i~,\~<>!~I1í?~~
<br />p~ODuĊ\\'
<br />
<br />212 792 5187
<br />
<br />
<br />ADn Risk Servle.., Inc. 01 New york
<br />199 Water S"...t
<br />New York. NY 10038
<br />PHONE: 866-2&&-7475
<br />FAX' 866-467-7847 A -~tìo3 - ~o9
<br />
<br />INSURED
<br />
<br />COMPNlV
<br />B
<br />
<br />PARSONS BRINCKeAHOFF QUADE I!o
<br />DOUGLAS,INO,
<br />ONE PENN PLAZA
<br />NEW YORK, NY 10119
<br />
<br />COMPANY
<br />C
<br />
<br />COMPANY
<br />D
<br />
<br />'~'~,~~~~:.~-~~.~~. ~T~::~:::;T~::':::':~-~;',":'-',;::-----':~,","~:-~'"--.-r,-~.:_r-._,~,--,-.,.-.:-.- '," - - n- ~--'-'-"" .' - -. . . ... .. .... .. .
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
<br />INOICATED, NOTWIT><STANDING ANY REQUIREMENT. TERM OR CONDITION OF N Y CONTAAGTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIRCATE MAY Be ISSUED CR MAY PERTAIN, THE INSUAANCE AFFOROEC S Y THE POliCIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS,
<br />EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />CO
<br />LT.
<br />
<br />POL-ICY iFACTlVE POLICY EXPtRATIClN
<br />OATE (MMlDWfY) DATI! (UWDO"n')
<br />
<br />uMITS
<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />A GENERAL LlABlUTY
<br />X OOMMERCIAL I3ENERAL UABlllTY
<br />CLAIMS MADE 00 OCCU~
<br />OWNER'S & CONTRACTOFl'S ÞFlOT
<br />
<br />GL 257249365
<br />
<br />11/01/2003
<br />
<br />11/01/2004
<br />
<br />GENEFW.A!!~REOAT& S
<br />PROgUCTS - COMPIOP AGG S
<br />PERSONAL & ADV INJUAV S
<br />EACH OCCIJFlAENOE S
<br />FlA&DAMAGE (AnY0l'l811t8) s
<br />MED exp 1Any~ )8f1Ion) S
<br />
<br />A AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />AU. OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NQN-OWNED AUTOS
<br />
<br />BUA 257249392
<br />5500 OED COMP
<br />51,000 OED COLL
<br />
<br />11/01/2003
<br />
<br />11/0112004 OOMSINED SINGLE UMIT $
<br /> BODilY INJURY ,
<br /> (P8fPllf'8ora)
<br /> 8OClI..'( INJURY ,
<br /> (Perl\Cch;Îlrlr:)
<br /> PAQPERTY DAMAGE $
<br /> AUTO ~ Y - EA AOOIDliNT ,
<br /> OTHl$A TtfAN AUTO ON... Y:
<br /> EACH ACCIDE:NT $
<br />
<br />r-;c"/F;j-'
<br />
<br />, 'Or
<br />.'-.:
<br />
<br />
<br />
<br />GARAGE LIABILITY
<br />ANV AUTO
<br />
<br />.-,,,'.. r"~'.ï:;:~-'\~;;St t1,
<br />/"SSi.Sti'J~. ( jn.'
<br />
<br />rlr1:
<br />
<br />-....-
<br />
<br />EXCESS LIABILITY
<br />UMI!!AELLA FOAM
<br />OTHER THAN UMeREI.I.A FOFIM
<br />A WORKER'S COMPENGA1'JOIIIA.ND
<br />Þ!PI.OYERS' UABILITY
<br />
<br />AGGF\EGATE s
<br />EAØI OCCUFl~ENCE S
<br />AI1GREOATI! S
<br />$
<br />
<br />we 257249320 AOS
<br />we 257249303 CA ONLY
<br />
<br />11/01/2004
<br />
<br />
<br />11/01/2003
<br />
<br />TOle PROPRlETORt
<br />PARTNEIII&lþ:E=I"I'tIVE
<br />I;IF~aAAE!
<br />
<br />INCl
<br />E)(CL
<br />
<br />OTHER
<br />
<br />5,000,000
<br />5,000,000
<br />1,000,000
<br />1,000,000
<br />:100,000
<br />5,000
<br />
<br />2,000,000
<br />
<br />$
<br />,
<br />
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />
<br />)QCRlPTIOIII CP£RATI0H$t1..OCA11ONSIYÐIICLEMPECIAL rTEMS
<br />:PS #11822) ON GENERAL LIABILITY INSURANCE. niE CITY OF SANTA ANA ANO ITS OFFICERS ANC EMPLOyEES ARE INCLUDEC AS ADDITIONAL
<br />INSURED, BUT ONLY WITH RIõSPECT TO LIABILITY ARISING OUT OF PB'S NEGLIGENCE, AlTON DVEROROSSING AT STATE ROUTE ~~. PROJECT
<br />'1706, ACCOUNT #32-ð~1-6631. WO <48493.
<br />
<br />,~~~.. '.~...:.;'~"~-=-~~~¡j;i;:;;:~F7f;~¡:mi~<!~:~;]1¡;)~':'J';'~'::,:'T:::;:-,-.f7'r,,-::~,~_c~>~:"','---C--~?'--'~~=I,-'-'--~::,-;':',."-' ":,u" ' ' ""'" ,,--------- ',' '~., -','
<br />
<br />SHOULD ANY' OF THE ABOVE DElCAlI&D 'OLJOlU, H CANCiUED DEiFCRE THI!!
<br />EXPIRATl0f4 DATE THERiO', THE .SUINCI COMPANY WiLL ""'--.:GIX MAIL
<br />~ DAYS WArr1'£N NOnC£. TO THE CERTIFICATI!! 1'i0000ER HAMiD TO T11E LEFT,
<br />~-~,.*~...... 10- ----~
<br />-~If'V~JD8r'~ ~ilr~'<*t';I.n l..at X1IM8.
<br />G~~~ OFAONR AVICEI.INC.OFNY
<br />
<br />CITY OF SANTA ANA
<br />ATTN: DAVE BIONODOLlLLO
<br />PUBLIC WORKS
<br />20 CIVIC CENTER PLAZA ,M.S3
<br />SANTA ANA. CA 92702
<br />
<br />
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