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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
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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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01h 401110! CERTIFICATE IOF INSURANCE ISSUE03DATE /29/20050YY) <br /> <br />PRODUCER DM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br />ADD Risk Services, Inc. of Southern California RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <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 State of Pennsylvania <br /> <br />CODE SUB-CODE COMPANY <br /> LETTER B National Union Fire Insurance Company <br />INSURED <br />DMJM+HARRIS, Inc. COMPANY C <br />Attn: Denise Jenkins LETTER <br />605 Third Avenue COMPANY <br />New York, NY 10158 D <br /> LETTER <br /> COMPANY E <br /> LETTER <br />COVERAGES <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 />cc TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS <br />LTR DATE MM/DD/YY DATE MM/DD/YY <br /> GENERAL LIABILITY GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OPS AGGREGATE $ <br /> CLAIMS MADE OCCURRENCE PERSONAL&ADVERTISING INJURY $ <br /> OWNERS B CONTRACTORS PROTECTIVE EACH OCCURRENCE $ <br /> FIRE DAMAGE (ANY ONE FIRE) $ <br /> MEDICAL EXPENSE (ANY ONE PERSONI <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO CI <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (PERPERSON) <br /> HIRED AUTOS BODILY INJURY <br /> NONOWNED AUTOS (PERACCIDENT) <br /> GARAGE LIABILITY <br /> PROPERTY DAMAGE <br /> EXCESS LIABILITY EACH AGGREGATE <br /> OCCURRENCE <br /> UMBRELLA FORM <br />$ <br />$ <br /> OTHER THAN UMBRELLA FORM - <br /> $ $ <br />A WORKERS' COMPENSATION WC6609275(ADS) 04/01/2005 04/01/2006 STATUTORY 1-1/1 <br />A AND WC6609276(CA) 04/01/2005 04/01/2006 $ 1000000 (EACBncCIDENT) <br />B EMPLOYERS'LIABILITY WC6609277(WI,OH,WA,WV) 04101/2005 04/01/2006 $ 1,000,000 (DISEASE POLICY LIMIT) <br /> $ 1,000,000 (DISEASE EACH EMPLOYEE) <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS: FHINY17376 <br />Job: Project No. 046105492.0001 The Community Redevelopment Agency <br />CERTIFICATE HOLDER -, CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />C <br />Of <br />Santa Ana <br />30 <br />on <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />[: <br />Mr. <br />JOB <br />Parco <br />20 Civic <br />f.. <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Center <br />Plaza za <br />20 Civic <br />Santa Ana, CA 92701 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORID •3 131881 C O d Fi i9ft
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