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<br />PRODUCER
<br />
<br />Serial #
<br />
<br />487
<br />
<br />DATE (MM/DDNY)
<br />11/01/2004
<br />
<br />TH'S CERT'F'CATE IS 'SSUEO AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO R'GHTS UPON THE CERTIFICATE
<br />HOLDER. TH'S CERTIFICATE DOES NOT AMENO, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />ACORD
<br />,----.....---TM
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<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: 866467.7847
<br />
<br />,
<br />I
<br />¡ COMPANY
<br />A
<br />
<br />--...--------
<br />
<br />AMERICAN CASUALTY CO. OF READING PA
<br />
<br />-...-----------...---...----
<br />
<br />INSURED
<br />
<br />PARSONS BRINCKERHOFF QUADE &
<br />DOUGLAS, INC.
<br />ONE PENN PLAZA
<br />NEW YORK, NY 10119
<br />
<br />COMPANY
<br />B
<br />
<br />-______n
<br />
<br />COM~ANY TRANSPORTATION INSURANCE COMPANY
<br />
<br />COMPANY CONTINENTAL CASUALTY COMPANY
<br />D
<br />
<br />
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 />
<br />TYPE OF !NSURANCE I - _n ---~-~~~~NUMBER--------í~~~~~~i~~~g,~~)E 1--;g~~i~~~~~~;~~N! ---
<br />
<br />--------------~ .
<br />
<br />l
<br />CO
<br />LTR
<br />
<br />LIMITS
<br />
<br />.--
<br />A : GENERAL LIABILITY I GL 257246885
<br />I X COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY (AIS)
<br />CLAIMS MADE !X! OCCUR I GL 257246871
<br />.~ . GENERAL LlABILlTY.STOP GAP
<br />OWNER'S & CONTRACTOR'S PROT
<br />
<br />11/01/2004
<br />
<br />11/01/2005
<br />
<br />GENERALA~GR~~_- - ~n __--?,_990,Q9.Q.-
<br />PRODU~TS" C?M!'IOP AGG $ - --~ßO~ooq-
<br />PERSONAL_~~~~~NJU~~-~---.!, ooo,oog~-
<br />EACH OCCURRENCE ¡ S 1,000,000
<br />FIR~-~~~AGE (Any one fir~) î$--~____~Q9~~~0 -.
<br />- - - -- - ---
<br />MEDEXP {Anyone person) 5,000
<br />
<br />-------
<br />
<br />A AUTOMOBILE LIABILITY
<br />:~ ANY AUTO
<br />D, ALL OWNED AUTOS
<br />~,. SCHEDULED AUTOS
<br />~~ HIRED AUTOS
<br />. NON-OWNED AUTOS
<br />
<br />I
<br />
<br />BUA 2057246899
<br />COMMERCIAL AUTO
<br />BUA 2057245736 PD
<br />AUTO PHYSICAL DAMAGE
<br />
<br />11/01/2004
<br />
<br />11/01/2005
<br />
<br />'COMBINED SINGLE LIMIT
<br />
<br />2,000,000
<br />
<br />------ -------
<br />
<br />BODILY INJURY
<br />(Per person)
<br />
<br />------
<br />
<br />$500 DED COMP
<br />$1,000 DED COLL
<br />
<br />BODILY INJURY
<br />(Peracciden!)
<br />
<br />------ --------
<br />
<br />-- - ----
<br />
<br />---------
<br />
<br />'---'
<br />, '
<br />
<br />---
<br />
<br />PROPERTY DAMAGE
<br />
<br />GARAGE LIABILITY
<br />1- -- ANY AUTO
<br />
<br />_u I
<br />
<br />AUTO ONLY" EA ACCIDENT
<br />r¿i-':'_~~_~HAN AUTO ONLY
<br />r- EACH ACCIDENT
<br />,
<br />
<br />,
<br />
<br />-------
<br />
<br />"
<br />
<br />EXCESS LIABILITY
<br />1 UMBRELLA FORM
<br />I, - OTHER THAN UMBRELLA FORM
<br />A WORKER'S COMPENSATION AND
<br />A EMPLOYERS' LIABILITY
<br />C ,THE PROPRIETOR!
<br />i PARTNERS/EXECUTIVE
<br />, OFFICERS ARE
<br />
<br />AGGREGATE 5
<br />'EACH OCCURRENCE
<br />
<br />AGGREGATE
<br />1---
<br />
<br />----
<br />
<br />iX'INCL
<br />c'
<br />I
<br />
<br />WC 257246854 AOS
<br />WC 257246868 CA ONLY
<br />we 2S"f245761 kETR0 (OR,VA,W1)
<br />WORKERS COMPENSATION
<br />
<br />11/01/2004
<br />11/01/2004
<br />11/01/2004
<br />
<br />11/01/2005
<br />111011'2005
<br />11/01/2005
<br />
<br />,EL EACH ACCIDENT
<br />! EL DISEASE - POLICY LIMIT
<br />
<br />
<br />EXCl
<br />
<br />EL DISEASE - EA EMPLOYEE $
<br />
<br />1,000,000
<br />1,OOO,O(JO
<br />1,000,000
<br />
<br />OTHER
<br />
<br />I
<br />DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESISPECIAL ITEMS
<br />(PB #11822) ON GENERAL LIABILITY 'NSURANCE, THE CITY OF SANTA ANA AND 'TS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL
<br />INSURED, BUT ONLY WITH RESPECT TO LIABILITY ARIS'NG OUT OF PB'S NEGLIGENCE ALTON OVER CROSSING AT STATE ROUTE 55. PROJECT
<br />#1706, ACCOUNT #32.551.6631. WO #48493.
<br />
<br />
<br />M0M
<br />
<br />. ;. ìt~I¥~ION
<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 />CITY OF SANTA ANA
<br />ATTN: DAVE BIONODOLlLLO
<br />PUBLIC WORKS
<br />20 CIVIC CENTER PLAZA ,M.93
<br />SANTA ANA, CA 927D2
<br />
<br />~m;~XM::&X~~.
<br />
<br />i',COR()!'2i$.-$ (f.i!i5~'
<br />PARSON 7000 7S'S FP1PARSON 7000 2S'S FP1
<br />
<br />
<br />
<br />AUTHORI~EPRESENTAT~
<br />7)~()/~
<br />
<br />10242936
<br />@ACPRD Ce.RPORATIÓÍil1988
<br />
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