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PSOMAS 1 - 2005
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PSOMAS 1 - 2005
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Last modified
1/3/2012 2:22:10 PM
Creation date
10/5/2005 12:15:35 PM
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Contracts
Company Name
Psomas
Contract #
N-2005-040
Agency
Public Works
Expiration Date
12/31/2005
Insurance Exp Date
10/15/2006
Destruction Year
2010
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<br />.A COFIDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY) <br />10/13/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI <br />P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 01 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVl <br />Santa Ana, CA 92711.0550 <br />714427-6810 INSURERS AFFORDING COVERAGE <br />INSURED N- dMS-o'lO INSURER A: Hartford Fire Ins. Co. <br /> PSOMAS INSURER B: Travelers Property Casualty Co of Am <br /> 11444 West Olympic Blvd.,Sulte 750 ,4-0/ti)5-o95 INSURER c: American Automobile Ins. Co. <br /> West Los Angeles, CA 90064.1549 U.S. Specialty Insurance Company - <br /> INSURER D: <br /> _.~-_.,- <br /> I INSURER E: <br /> <br />Clienl#' 6184 <br /> <br />PSOMAS <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE ltSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOIt <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ( <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUI <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />'~1: TYPE OF INSURANCE POLICY NUMBER PR~!fI:Y EFFECTIVE P9bl.fl EXPIRATtON LIMITS <br />A ~~ERAL LIABILITY 57CESOA1659 10/15/05 10/15/06 EACH OCCURRENCE - $1 009,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one rn) $1,.000.000 <br /> I CLAIMS MADE [iJ OCCUR INDP. CONTRACTORS MED EXP (Any one person) $10 000 <br /> r!- CONTRACTUAL INCLUDED PERSONAL & ADV INJURY $1 000 000 <br /> II BFPD. XCU GENERAL AGGREGATE $2 000 000 <br /> ~'~ AGGREGATE L1M IT APMSIPER: PRODUCTS -COMP/OP AGG $2 000 000 <br /> POLICY Iil- ~~W;: X LaC <br />B ~TOMOBILE LIABILITY P810153D8928TIL05 10/15/05 10/15/06 COMBINED SINGLE LIMIT <br /> .X ANY AUTO (Eaaccldent) $1,000,000 <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (PerpElfSOn) $ <br /> - SCHEDULED AUTOS <br /> II HIRED AUTOS BODILY INJURY <br /> $ <br /> II NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~~GE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> :5~CCUR LJ CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />C ' WOkKERS .~(.oMPE"'SAnON Af\Ill WZF80934662 111/15/0& 10/15/00 I X I~X~.~T~~TM~ i 10J1" ~._---- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1 000 000 <br /> E.L. DISEASE - EA EMPL OYEE $1 000 000 <br /> E.L DISEASE - POLICY LIMIT $1 000 000 <br />D OTHER Professional US051170301 10/15/05 10/15/06 $1,000,000 per claim <br /> ~Iablllty $1,000.000 annl aggr. <br /> A mnn, u' , . <br />DESCRlPnON OF OPERAnONSJLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAl PROVISIONS '" . v . ",,,W, <br />General Liability polley excludes claims arising out of the performance of professional ~f#f-- <br />services <br />2SAN050800 Laura SI: .J -;cea)' <br />2005 Urban Water Management Plan ASslstalH C Y Allor:,,-.'v <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER I I ADDITIONALINSURED'INSURERLETTER: CANCELLATION . <br /> SHOULD ANYOFTH E ABOVE D ESCRlBED POLICIES BE CANCELLED BEFORE TH E ExPlRATlt <br /> City of Santa Ana DATE THEREOF, THE lSSUING INSURER WILL~MAlL30......-..-DAYSWRlm <br /> Att: Thom Coughran NO"nCETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEn, B~,ga.JlLlllNAlIIJlKIII: <br /> PO Box 1988 -~XIllll~J <br /> Santa Ana, CA 92702 <br /> AUTHORIZED REPRESENTATIVE i.. <br /> , AAJ <br />ACORD 25-5 (7/97) 1 of2 #M140545 '.' .. ~ -.. ' P"\...-t( L L @ ACORD CORPORATION' <br />
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