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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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AJ*/?? L E 4TI CATE E ISSUE <br />6 D <br />? <br />"IMA <br /> : <br />_. _ .. V <br />3/31/200 <br />i. . <br /> PRODUCER DM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br /> Aon Risk Services, Inc. of Southern California RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAMEND, <br /> 707 Wilshire Boulevard <br />Suite 6000 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> , <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 />DMJM+HARRIS, Inc. COMPANY <br />Attn: Denise Jenkins LETTER C <br />605 Third Avenue COMPANY <br />New York, NY 10158 LETTER D <br /> <br /> COMPANY <br /> E <br />':i <br />: >: <br />:.> LETTER <br />:: ? : <br />.i:: <br />o: <br />;::;:.,...:..:'::i :::::::::%::::: i:::::< ii::::::i i:: i :.....' ::::::::::::.....::::::::::: ::i::i ::::::i::: <br />OIvS ..........:................:.:.:::.::::;::..........................................;:..:. <br />:::.::.:.:::::::::.::::.::::>;;:.:::::.: ::: i::::::::::::::i:::::i ;:;.i::i::::::::::i::;::>:::i:;:::::;:.^.:;:::ni::;:>:;::.>:.>::::::.::.::.::.s:.>:.:>::.>;:.>:.s:.>:.: :.>:.;::.>;:.:: ?.. ?:. <br />.:.::.:.......................................:.:..::.::::::.:.............-....:....:...............::::::::.::::::.....................................:.. <br />::::: ...::::;?:;;?:?;::;:;>:: <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 />, <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 <br />DATE (MM/DD/YY) <br />DATE (MM/DDlYY) <br /> GENERAL LIABILITY GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILrY PRODUCTS-COMP/OPS AGGREGATE $ <br /> CLAIMS MADE OCCURRENCE PERSONAL & ADVERTISING INJURY $ <br />- OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ <br /> FIRE DAMAGE (ANY ONE FIRE) $ <br /> MEDICAL EXPENSE (ANY ONE PERSON) $ <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO CSL <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS <br />1Y1 (PER PERSON) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNEDAUTOS (PER ACCIDENT) <br /> GARAGE LIABILITY <br /> PROPERTY DAMAGE <br /> <br /> EXCESS LIABILITY "".Y TALL ieY EACH AGGREGATE <br /> OCCURRENCE <br /> UMBRELLA FORM $ $ <br /> OTHER THAN UMBRELLA FORM <br /> $ $ <br />A <br />WOO <br />rcY.ERS' COMPENSATION WC4786252 (AOS) 4/1/2006 <br />4/1/2007 <br />STATUTORY D./ <br />A <br />WC4786253 <br />(CA) <br /> <br />4/1/2006 <br /> <br />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 <br /> $ 1,000 (DISEASE EACH EMPLOYEE) <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS: <br /> <br />Project: No. 046105502.0000 FHINY19308 <br />Job: Professional Engineering Services for Annual On-Call Contract for Engineering and Landscaping Design Services. <br /> <br />iT.If?LR ...:..::::::::::.................................:.::::.::......................... . ::::...................................::.::::::::....................................::::::::::.... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> <br />City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLtWR TO MAIL <br /> <br />20 Civic Center Plaza 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Santa Ana, CA 92701 <br /> S. <br /> AUTHORIZED REPRESENTATIVE <br /> // -"N :Y{... :{!.¢s!F4 LYM'.... .. A^:O <br />144. <br /><:::>:::::<::>:<:> <br />62'Y iJ ??3V <br />.: <br />. <br />. <br />:: : <br />. .::.i <br />"iiiii: <br />::. <br />' .. <br />:<:::: »:::<::;»:<:<:::::::::;;i;;i: :.ii;;::.......;":.;::;.:;.........-::: .: : <br />v ::::.:.::.:::::.?::::. . <br />.. <br />: i:iii <br />: <br />: '.:'. <br />i <br />ii <br />' <br />' <br />: <br />: <br />: <br />,i <br />,;,. <br />::. <br />:. <br />.:: <br />... ........ iiiiii: ;: <br />.i :: <br />:: ::::..... . <br />. <br />:. <br />: <br />.:: <br />.:i.iiii <br />.ii?i:... i <br />.Li: i.: <br />:.iii.i <br />.:. <br />V <br />R <br />
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