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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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<br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE 04101/2008 DATE (MM/DOIYY) <br />04/04/2007 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />LocktonCompanies, LLC-LLosAngeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />19800 MacArthur Blvd., Suite 550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CA License #OF15767 TER THE COVERAGE AFFORDED BY HE POLICIES BELOW. <br /> <br />Irvine CA 92612 <br />INSURERS AFFORDING COVERAGE <br />949-2524400 <br />INSURED <br />INSURER A'. Insurance CO. State of Pennsylvania <br />DMJMHARRIS, Inc. <br />* <br />1075642 <br />605 Thi <br />d A INSURER B National Union Fire Insurance Co. <br />r <br />venue <br />" New York NY 10158 INSURER <br /> INSURER D <br /> INSURER <br />I KIJ GtK I IYIUA I G ur INDUKHrvbE U V FJ NOT C V NS I i I V I E A CON I rave. <br />!`nVFOAGFC A Ff TFM (1F wSURERIS! ALTUnancn RFPRFSFNTATIVF DR PROnHCFR AND THE CERTIFICATE HOLDER. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR POLICYEFFECTIVE POLICYEXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIDDnv LIMITS <br /> GENERAL LIABILITY FACH OCCURRENCE $ XXXXXXX <br /> COMMERCIAL GENERAL LIABILITY NOT APPLICABLE FIRE DAMAGE An one fire $ XXXXXXX <br /> CLAIMS MADE 1:1 OCCUR MED EXP An one person) $ XXXXXXX <br /> PERSONAL 8 ADV INJURY $ XXXXXXX <br /> GENERAL AGGREGATE $ XXXXXXX <br /> GERL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ XXXXXXX <br /> PRO- <br /> POLICY JECT LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ XXXXXXX <br /> ANY AUTO NOT APPLICABLE (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br />$ XXXXXXX <br /> SCHEDULED AUTOS <br />(Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ XXXXXXX <br /> NON-OWNED AUTOS (Per r accident) <br /> PROPERTY DAMAGE XXX <br /> (Per accitleni) $ XXXX <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX <br /> ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX <br /> AUTO ONLY'. AGG $ XXXXXXX <br /> EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX <br /> OCCUR CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX <br /> <br /> $ XXXXXXX <br /> UMBRELLA <br />El <br /> FORM <br />DEDUCTIBLE XXXXXXX <br /> RETENTION $ $ XXXXXXX <br />A WORKERS COMPENSATION AND WC2921235 (AOS) 04/0I/2007 04/UI/200$ /X TRY IMT FIR <br />A EMPLOYERS' LIABILITY WC2921236 (CA) 04/01/2007 04/01/2008 E.L. EACH ACCIDENT $ 1,000,000 <br />A WC2921237(FL) 04/01/2007 04/01/2008 EL DISEASE - EA EMPLOYEE $ 1,000,000 <br />A WC292123$ OR 04/01/2007 04/01/200$ EL. DISEASE - POLICY LIMIT $ 1,000,000 <br />B OTHER WC2921239(OH,WA,WI,W l,WY) 04/01/2007 04/01/2008 Salutary Limits - SeeAbove <br /> Worker's Compensation <br />DESCRIPTION OF OPERATIONS/LDCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Re: City of Santa Ana On-Call Contract for Civil Engineering and Landscaping Services r <br />QFOTIEIn ATP HM1I FIFO I e rdi beiicarn boo..PRI FTTFR CAMCFI I ATIr1N <br />2828881 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana <br />Public Works A <br />enc <br />' DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />g <br />y <br />Office of the Executive Director NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTBUT FAILURE TO DO SO SHALL <br />Attn: Souri Amirani IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza, 4th Floor REPRESENTATIVES. <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />ACORD 25-S(7/97) For questions regarding this ceriOcate,contact the number listed in the 'Producer section above and :Peony the client male •AEC4E01'. -©AZORD CORPORATION 1988
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