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<br />, »EC,22-2003 11:5~ RON RISK SVCS
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<br />'pÂòoucei'l' Serial /I
<br />
<br />ADn Risk S.Nlc.., Inc. of New York
<br />199 Water StrlM!lt
<br />Ne... York. NY 10038
<br />PIIONE: 866-266-7475
<br />FAX' 866-467-7847 A -~tJo3 - ~DC¡
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<br />P.02/03
<br />
<br />11/01/2003
<br />
<br />THIS CEAl1F1CATE IS ED AS A MATTER OF INFORMA110N
<br />ONLY AND CONFERS NO RIGIITS UPON TilE CERTIFICATE
<br />IIDLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAOE AFFORDED BY THE POUCIE. BELOW.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />CO~~ANY TRANSPORTATION INSURANCE COMPANY
<br />
<br />212 792 5187
<br />
<br />INSURED
<br />
<br />PARSONS BRINCKERHOFF QUADE &
<br />DOUGLAS. INC.
<br />ONE PENN PlAZA
<br />NEW YORK, NY 10116
<br />
<br />COJotPAN'f
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<br />COMPANY
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<br /> TH'S IS TO ce T'FY lMAT THE POL'C'E F ItoSU USTED W I S
<br /> 'NDIQATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEOT TO WIIICH THIS
<br /> CERT'RCATE MAY BE ISSUED OR MAY PERTAIN. TilE INSURANCE AFFORDED B Y THE POl'C'ES DESCR'BoD HEREIN IS SUBJECT TO AU. THE TERMS.
<br /> EXCLUSIONS AND CONDIT'ONS OF SUCH POlICIES. "IMITS SHOWN MAY HAVE BooN REDUCED BY PA'D CLAIMS,
<br /> .....,,".-
<br />co TVPE Of 'NSURANCE pQUCY EFFECTIVE POLIcY EXPtFlATlCN LIMITS
<br />Lm POLICY NUMBER OATE (MOoWMY) DATI (IIrMDCW'O
<br />A GENERA~ LIABIlITY GL 257249365 11/01/2003 11/01/2004 GENEAAI. AC3GRE6ATI!! $ 5.000,000
<br />f-
<br /> X OOfI,'MEACIAL 13ENERAL UABILITY PRQgUCTS - CQt.1PIOP AGG . 5,000,000
<br /> .",J';U\lMS MADE I]] occu~ PERSONAl oS. A()V INJURY . 1,000,000
<br /> -.". QWNER'S & CONTAACTQFI'a ÞAOT EACH OCC~RENCE . 1,000,000
<br /> - FlAil! DAw.GE (Anyone lire) ' 300.000
<br /> - M&D EXP (Af\Y ~ )81900) 5.000
<br /> .
<br />A AUTDMOBIU ~IAB'~ITY BUA 257249382 11/0112003 11/01/2004
<br /> X ANY AUTO 5500 DED COMP COMBINED StNGLE UMIT . 2,000,000
<br /> "'- 51,000 DED COLL
<br /> - AU. OWNED AUTOS DODll Y INJUAY .
<br /> SCHEDU"oD AUTOS (PiI'P8IiOI\)
<br /> -
<br /> - HIFiED AUTOS 'c', J;(,F BOOIL.Y INJURY
<br /> , ]\i (P8(l Ccld8m:) .
<br /> - NON-OWNED AUTOS --¡ ~ ..o/ ,'",
<br /> - -"~ ~!. rI" //?. PROPERTY DAr.1Þ.GE $
<br /> GARAGE LlAÐILlTY - . e ¡.. ..'''t,.7;:Sl ';.~'''~~'U' .,~.-....__.~ ...- .
<br /> ,~- ANY AUTO '.' "'UTO ONI.. y. EA ACCIDeNT
<br /> .--- 'e";"'" : ¡~v / t:;' 1 . OTI-EFI THAN AUTO ON.. Y:
<br /> " EACM ACCIDENT '
<br /> _.~~-
<br /> AGGf\EGA TE .
<br /> EXCESS ~IAB'LlTY EACH OCCUFlFtENCE $
<br /> l ~MERElLA FORM AGGFlEBATE .
<br /> DTtiEFiI THAN U...aASI..I.A FO~toII .
<br />A WORKER'S COMPENGA1'JOIII A.Ng WC 257249320 AOS 11/01/2003 11/01/2004 X ITòW~~ I 1°0;-
<br /> Þ!P!.OYERS' UABIUl'Y we 257249303 CA ONLY 1.000,000
<br /> EL EACH AOOIDEN'T $
<br /> TI'tE PROPRIETOW R'NCL EL.OISEASE -POL,.ICYl..lto'IIT . 1,000.000
<br /> PAflTN~fr:;Uj \lE
<br /> ~~FI& AAE~ EXCL EL DISEA,se . EA EMPLOYEE $ 1,000.000
<br /> OTHER
<br />)QCRlPTJO(iji IoIr QPERATIOHSlLOCA11ON&l'VEHICLQlSPECIAL ITEMS
<br />;PEI #11822) ON GENERAL ~IABILllY INSURANCE. THE CITY OF SANTA ANA AND ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL
<br />INSURED. BUT ON~ Y WITH RESPECT TO LIABILITY ARISING OUT OF FS'S NEGLIGENCE. A~ TON OVERCROSSING AT STATE ROUTE ~~. PROJECT
<br />'1706. ACCOUNT #32-~~ 1.663' . WO #48493.
<br />;~~--¡7' }"'~. '..',.,'. '..:.,; 3,;-j~:;~G\S~~'3~?qi.t:::B:~¡i~¡7'Z~':?:7"?::'-':::_' '.s~'~:T::'~"'~: '~;.. '.';.--~'~?"" ~7'~;-">;';'>~:'~'.' ,-. . .' .. ',." .-- .,_--_n--..,..,-.'- ---....
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<br />COMPANY
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<br />SO
<br />
<br />RANCE
<br />
<br />BElO HAVE BEEN SUED TO THE INSURED NAMeD AEOVE FOR THE POUCY PERIOD
<br />
<br />OITY OF SANTA ANA
<br />ATTN: DAVE SIONODOLlLLO
<br />PUBLIC WORKS
<br />20 CIVIC CENTER PLAZA ,M.93
<br />SANTA ANA. CA 92702
<br />
<br />SHOULD AN'f' OF THE ABOVE OeeCFllliD P0t.JeM!8 UE CANCELLED .fQRt: THI!
<br />EJtPIRATlOPI DATE THERI!:DP, THE "SUING COWAN'!' WiI.L"~ ~4Xd( MAIL
<br />~ DAYS WMTEN NQT1CETO ntE CERTIFICAftl'iOl.DER NAMED TO T11E LEFT,
<br />..... --~~D(~...I"'fIUI('" --~--""V'III(NIØI~
<br />-"'--"""~I~~'(.)a¡""'" :lrr.'ìOeIÞ; nDG.1~.JOI88.
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