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BERRYMAN AND HENIGAR 3 - 2004
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BERRYMAN AND HENIGAR 3 - 2004
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Entry Properties
Last modified
10/15/2015 10:51:24 AM
Creation date
11/20/2004 1:39:55 PM
Metadata
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Template:
Contracts
Company Name
Berryman and Henigar
Contract #
A-2004-096
Agency
Public Works
Council Approval Date
5/17/2004
Expiration Date
6/30/2005
Insurance Exp Date
3/1/2006
Destruction Year
2010
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Feb -10 -2006 05:03pm From -March CSU +9549383770 T -993 P 002/006 F-194 <br />f= 9 III I l,,H i;''f V s l l!I 'U ltrHlyy{{4 C 1; <br />..t ;v :' 'C 1rl• .np" � �� ,IE ° Jw_ .r n. 110 ATL- 001115392.02 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh USA Inc. <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />P O Box 459010 <br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Sunrise, FL 33345.9010 <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />COMPANIES AFFORDING COVERAGE <br />- <br />COMPANY <br />109581 -B & H- ALL -05.06 BERRY G /AM/ <br />A COMMERCE & INDUSTRY INSURANCE CO. <br />INSURED <br />BERRYMAN & HENIGAR, INC. A.. -)i'- �"I�D <br />COMPANY <br />B AMERICAN HOME ASSURANCE CO <br />U.S. LABORATORIES, INC. <br />KATHRYN THOMPSON <br />--- - - -'�- -- <br />COMPANY <br />2001 E. FIRST STREET <br />C N/A <br />SANTA ANA, CA 92705-4020 <br />COMPANY <br />D AMERICAN HOME ASSURANCE CO <br />P���+II Ep��!;S -:�!' * .'•:_:�l7ils c�lll lrm�Is. 4u' Pe�adBa ,anG��Plsceg<gnr..efeyloG4lY lssUad adl.tlflcaw fa[tlie•PVlfcv aAOPA IngIctl -AMlcw '!,IA <br />THJS ISA S TO CERTIFY Y THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />TWS <br />NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />`— <br />CO <br />LTp <br />TYPE OF INSURANCE <br />POLICY NUMBER _ <br />POLICY EFFECTIVE <br />DATE (MMIDONY) <br />POLICY EXPIRATION <br />DATE (MMIDDNY) <br />LIMITS -- <br />A <br />GENERAL <br />UABIUTY <br />GL- 6439313 03/01105 <br />03/01 /06 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS- COMPIOP ACC <br />$ 2.000.000 <br />CLAIMS MADE OOCCUR <br />-J� <br />PERSONAL b ADV INJURY <br />$ 1,000,000 <br />EACH OCCURRENCE <br />$ 1.000,000 <br />OWNERS& CONTRACTORS PROT <br />X <br />FIRE DAMAGE (Any one he) <br />$ 1,000,000 <br />profinnF LICTIRI F <br />MED EXP (APY we son <br />$ 10,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />653 -195D (ADS) 03101105 <br />03101/06 <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />x <br />B <br />ANN AUTO <br />653 -1949 (TX) 03/01/05 <br />03/01/06 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Pc. Pinson) <br />$ <br />X <br />BODILYINJURY <br />(Per lMOenl) <br />$ <br />HIRED AUTOS <br />NON�DVV ED AUTOS <br />X <br />PROPERTYDAMAGE <br />$ <br />_ <br />GARAGE LIABILITY <br />ANY AUTO <br />/ n <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN AUTO ONLY <br />EACH ACCIDENT <br />$ <br />`LCiC <br />Laura S <br />SL-edy <br />AGGREGATE <br />$ <br />EXCESS LIABILITY <br />AsSistailt Aty <br />AtLoracy <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />UMBRELLA FORM <br />S <br />OTHER THAN UMBRELLA FORM <br />D <br />D <br />WORKERS COMPENSATION AND <br />EMPLOYERS' UABILITY <br />382 -6295 (FL & NV) 04/01105 <br />382 -6299 (CA) 04/01/05 <br />03/01/06 <br />03/01/06 <br />X TORY LIMITS <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />THE PROPWIETORI X INCL <br />PARTNERSEXECUTIVE <br />OFFICERS ARE: EXCL <br />ELOISEA3E- POLICY LIMIT <br />$ 1,000,000 <br />EL DISEASE EACH EMPLOYEE <br />$ 1,000.000 <br />DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESISPECIAL ITEMS <br />RE' PROOF OF INSURANCE. CERTIFICATE HOLDER - THE CITY OF SANTA ANA, ITS OFFICERS. EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. INSURANCE COVERAGE IS PRIMARY AND NON <br />CONTRIBUTORY WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS. WAIVER OF SUBROGATION <br />CE•IFICA'L)Ertl'QkDE(; -. ...'.!.,i ,..: <br />CANCELLATION ;. , P <br />SHOULD ANY OF TNT PDUOt1 DCSCHIAEG HEREIN Of CANCELLED IEFONE THE EXPIRATION DATE THEREOF. <br />THE INSURE A AFFORDING COVCRAGe WILL ENDEAVOR TO MAR _10 DAIS WRITTEN NOTICE TO THE <br />CITY OF SANTA ANA <br />ATTN: CITY CLERK <br />CEATIFICATE HOLDER NAMED HEREIN. BbT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OIUGATION OR <br />20 CIVIC CENTER PLAZA <br />LgMILPT OF ANY LIMO UPON THE INSUACR AFFOAOINO COYERAOE, ITS AGENTS OR REPREAENTATnEB, OR THE <br />SANTA ANA, CA 92701 <br />oaucn or TNq CFnnrICATC <br />MARSH USA INC. <br />By: Eileen S. YOOanis�A�E --Aa_ <br />I! " � ' "11 • J I lL <br />r I IL S. I'.Y IL. '1 L <br />VA _- .. . <br />- I -,� LID AS OF: 01 /11/06 <br />. r deX•. r l'RI , 1:. ,'I if(:•�... <br />
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