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DMJM / HARRIS 1C -2004
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DMJM / HARRIS 1C -2004
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Last modified
1/3/2012 3:04:54 PM
Creation date
1/24/2005 11:22:09 AM
Metadata
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Template:
Contracts
Company Name
DMJM / Harris, dba Holmes & Narver, Inc.
Contract #
A-2004-252
Agency
Public Works
Council Approval Date
11/15/2004
Insurance Exp Date
4/1/2005
Notes
Amends A-2001-170A
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CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) <br />3/30/2006 <br /> <br />PRODUCER DM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br /> RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Aon Risk Services, Inc. of Southern California <br />707 Wilshire Boulevard, Suite 6000 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Los Angeles, California 90017 <br />(213) 630-3200 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> LETTER A Insurance Company of the State of Pennsylvania <br />CODE SUB-CODE COMPANY <br />INSURED LETTER B National Union Fire Insurance Company <br /> COMPANY <br />DMJM+HARRIS, Inc. LETTER C <br />999 Town & Country Road <br />Orange, CA 92868 COMPANY <br /> LETTER D <br /> COMPANY <br /> E <br /> LETTER <br />> ,; is <br />THIS IS TO CERTIFY THAT 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. THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS <br />LTR DATE (MWDDNY) DATE (MM/DDNY) <br /> GENERAL LIABILITY GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ <br /> CLAIMS MADE OCCURRENCE PERSONAL & ADVERTISING INJURY $ <br /> OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ <br /> FIRE DAMAGE (ANYONE FIRE) $ <br /> MEDICAL EXPENSE (ANY ONE PERSON) $ <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO CSL <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (PER PERSON) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (PER ACCIDENT) <br /> GARAGE LIABILITY <br /> PROPERTY DAMAGE <br /> EXCESS LIABILITY EACH AGGREGATE <br /> OCCURRENCE <br /> ? UMBRELLA FORM $ $ <br /> OTHER THAN UMBRELLA FORM <br /> G $ $ <br />A AOS <br />WC4786252 ( 4/1/2006 411/2007 STATUTORY d <br /> <br /> <br />r! <br />WORKERS'COMPEhSA?A.! <br />r. _ <br />" ` <br /> <br /> <br />' <br />A WC4786253(CA) 4/1/2006 4/1/2007 <br />B AND WC4786577(WI,OH,WA,WY) 4/1/2006 4/1/2007 $ 1,000 (EACH ACCIDENT) <br />A EMPLOYERS'LIABILITY WC4786254(FL) 4/1/2006 4/1/2007 $ 1,000 (DISEASE POLICY LIMIT) <br />A WC4786576 (OR) 4/1/2006 4/1/2007 $ 1,000 (DISEASE EACH EMPLOYEE) <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS: DMJ HarOrg6263 <br />Job: Professional Engineering Services for Annual On-Call Contract for Engineering and Landscaping Design Services <br />.... L't`?L? <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLf%AORAXOR)d0 MAIL <br />City of Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />S. <br />AUTHORIZED REPRESENTATIVE <br />J <br />ACORD>25,S (3188] ©ACORD CE3RPORATION 1988 <br />
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