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Willdan, Inc. 2
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Willdan, Inc. 2
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Entry Properties
Last modified
3/25/2024 2:57:32 PM
Creation date
12/13/2004 1:50:48 PM
Metadata
Fields
Template:
Contracts
Company Name
Willdan, Inc.
Contract #
A-2004-224
Agency
Planning & Building
Council Approval Date
10/18/2004
Expiration Date
6/30/2007
Insurance Exp Date
11/9/2005
Destruction Year
2012
Notes
Amended by a-2005-163, A-2004-224-02
Document Relationships
Willdan, Inc. 2a
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
Willdan, Inc. 2b
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
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DATE <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE 11107/050vv) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton 8 Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92711.0550 <br />INSURERS AFFORDING COVERAGE <br />714 427.6810 INSURED - _ wsuRERA: Zurich American Insurance Co. <br />A-2604-22A _ _ <br />Willdan �` INSURERS American Automobile Ins Co. <br />_ <br />2401 E. Katella Avenue, Ste. 300 INSURER C: XL Specialty Insurance Co. <br />Anaheim, CA 92806 Alas -103 <br />INSURER D: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PtRIUU INUIUHI eU. NV 11Y1I <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />--- '- --� POLICY EFFECTIVE POLICY EXPIRATIO)T_ <br />INSR <br />LIMITS <br />LTR TYPE OF INSURANCE POLICY NUMBER OAT MM/DD DAT MMIDDIY' <br />A GENERAL LIABILITY IGLO904316300 11/091)5 11109/06 <br />EACH OCCURRENCE $1,000,000 <br />X „-.,Vt.! ERC! .L GEN ERAL UA9„._ITV lI <br />FIRE DAMAGE (" yan..'e) $1,000,000 <br />CLAWSMADE INDP.CONTRACTORS <br />UccuR 1'INCLUDED <br />MEDEXP(Any ors person) $10000 <br />X CONTRACTUALX <br />PERSONAL aADV INJURY $J000 000 <br />r$2 <br />X BF�_XCU <br />GENERAL AGGREGATE OQQ QOO -_ <br />I <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />- <br />PRODUCTSCOMPIOPAGG $2000000, -- --- <br />POLICY PEO LOG <br />A AUTOMOBILE LIABILITY BAP904316200 <br />- <br />11/09/05 <br />11/09106 <br />COMBINED SINGLE LIMIT $1,000,000 <br />- <br />'. X ANY AUTO i <br />(Ea accident) <br />-- - - <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />�- <br />SCHEDULED AUTOS <br />(Per person) <br />_.__—.—. <br />XHIRED AUTOS <br />BODILY INJURY $ <br />X I NON -OWNED AUTOS <br />(Per accident) <br />'. <br />PROPERTY DAMAGE $ <br />- - -_- <br />(Peraccident) <br />GARAGE LIABILITY <br />AUTO ONLY-EAACCIDENT <br />$ _ <br />OTH ERTHAN EA ACC <br />ZANY AUTO <br />S _ <br />AUTO ONLY: AGG <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE.._____ <br />OCCUR CLAIMS MADE <br />A, GGREGATE �$ <br />_.. <br />$ _. <br />DEDUCTIBLE �'. <br />F-----_ ___-_ ___+$ _.. <br />RETENTION $ <br />$ <br />IX <br />B WORKERS COMPENSAI'!ON AND W7_P6O936177 <br />11/09105 11/09/06 <br />TNCSTATBOTH- <br />AFY LIMITFT S ER <br />EMPLOYERS'LIABILITY <br />iE.L. EACH ACCIDENT $1,0003000 <br />L_DISEASE -EA_E_MP_LOYEE $1,000,000 <br />r. <br />. DISEASE -POLICY LIMIT 1$13000,000 <br />C OTHER Professional <br />DPR9415196 <br />11/09/05 11/09106 <br />$1,000,000 per claim <br />Liability <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS AViT.IJVL <br />J AS fO FORM <br />General Liability policy excludes claims arising out of the performance of professional <br />services �ao <br />le <br />Re: Building Inspection Services. - City of Santa Ana, its officials, <br />`. `t`m art <br />ASn,6t2.It City Auer-::ey <br />(See Attached Descriptions) <br />City of Santa Ana <br />Attn: City Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />PO Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ZKRQnVARxJP MAIL 30 DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BK30(f11X4 X"AJM11X I <br />ACORD 25-S (7/97)1 of 2 #M142508 <br />© ACORD CORPORATION 19t <br />
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