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CAMP DRESSER & MCKEE 2
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CAMP DRESSER & MCKEE 2
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Entry Properties
Last modified
10/15/2015 12:31:50 PM
Creation date
11/20/2004 4:02:25 PM
Metadata
Fields
Template:
Contracts
Company Name
Camp Dresser & McKee, Inc.
Contract #
A-2004-131
Agency
Public Works
Council Approval Date
7/6/2004
Expiration Date
6/30/2006
Insurance Exp Date
1/1/2009
Destruction Year
2010
Notes
Amended by A-2004-131-01, A-2006-158
Document Relationships
CAMP DRESSER & MCKEE 2A
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\C (INACTIVE)
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ra <br />ACORD.M CERTIFICATE° OF.:LIABILITY tNSU ZANCE DATE(MM /DD /YY) <br />04/11/OS <br />PRODUCER <br />AOn Risk services, Inc. of Massachusetts <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />99 High Street <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Boston MA 02110 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />PHONE -(866) 266 -7475 FAX - (866) 467 -7847 <br />COMPANY Zurich American ins Co <br />A <br />INSURED l r <br />camp Dresser & McKee Inc. �( /d <br />CO BANY Lloyd's of London <br />COMPANY <br />C <br />One Cambridge Place J <br />50 Hampshire Street ` J —C? <br />Cambridge MA 021390000 USA 1"t �t _ �1 _ ; j <br />C <br />COMPANY <br />D <br />COVERAGES "Apply; <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 BY 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 />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DDNY) <br />POLICY EXPIRATION <br />DATE (MM/DDIM <br />LIMITS <br />• <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 7 OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br />GLO837663209 <br />Commercial General Liability <br />01 /01 /OS <br />01/01/06 <br />GENERAL AGGREGATE <br />12,000,000 <br />PRODUCTS - COMP /OPAGG <br />52,000,000 <br />PERSONAL 8 ADV INJURY <br />$1, 000,000 <br />EACH OCCURRENCE <br />S1,000,000 <br />FIRE DAMAGE(Any one fire) <br />5100,000 <br />MED EXP (Any one person) <br />S10,000 <br />• <br />AUTOMOBILE <br />LIABILITY <br />BAP837663109 <br />01/01/05 <br />01/01/06 <br />COMBINED SINGLE LIMIT <br />11,000,000 <br />X <br />ANY AUTO <br />BUSINESS AUTO COVERAGE <br />BODILY INJURY <br />( Per person) <br />ALL OWNED AUTOS <br />)( <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />APPROVE <br />AS TO <br />I� ,I <br />ORM <br />BODILY INJURY <br />(Per accident) <br />X <br />NON- OWNEDAUTOS <br />PROPERTY DAMAGE <br />_ <br />�Sh,,,i'v <br />GARAGE LIABILITY <br />ANY AUTO <br />Assistan <br />L lty Attorn <br />° <br />IN, <br />AUTO ONLY -EA ACCIDENT <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />AGGREGATE <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />AGGREGATE <br />UMBRELLA FORM <br />� k <br />OTHER THAN UMBRELLA FORM <br />A <br />WORKER'S COMPENSATION AND <br />WC837663310 <br />01/01/05 <br />01/01/06 <br />X W C STATU- 07H <br />TO LIMITS <br />EL EACH ACCIDENT <br />EMPLOYERS' LIABILITY <br />WORKERS COMPENSATION <br />EL DISEASE - POLICY LIMIT <br />S1,000,000 <br />THE PROPRIETORI X INCL <br />PARTNERSIEXECUTIVE <br />OFFICERS ARE: EXCL <br />EL DISEASE -EA EMPLOYEE <br />11,000,000 <br />g <br />823/QK0501367 <br />01/01/05 <br />01/01/06 <br />Each Claim /Aggregate 11,000,000 <br />ARCHITECTS & ENGINEERS E&0 <br />X Archit &Eng Prof <br />DESCRIPTION OF OPERATIONSILOCATI ONSNEHICLESISPECIAL ITEMS <br />Re: Project 43431 <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional <br />insured with respect to General and Auto Liability. This coverage is primary and non - contributory. <br />CERTIFICATE HOLDER ; "'. ; ;' =CANCELLATI J a . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />Attn : Clerk Of the City Council <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVORT-A MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 civic Center Plaza (M30) <br />S-41-9 rAII-I-Mr TO MAIL SUG�INOTIGE SHAL6 IMPOSE NO OBLIGATION OR LIABILITY <br />P.O. Box 1988 <br />Santa Ana CA 92702 -1988 USA <br />AUTHORIZED REPRESENTATIVE �o,�,�p�e6„�M„�p,,,,q�a,,�.ue• <br />AGORD.25- $'(1195 ) ». <br />a <br />d <br />r <br />KC <br />n <br />v <br />C <br />Z <br />a; <br />4 <br />tr <br />a: <br />L <br />I♦ <br />�9 <br />
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