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KEN THOMPSOM 1A - 2006
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KEN THOMPSOM 1A - 2006
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Entry Properties
Last modified
5/26/2016 4:02:57 PM
Creation date
9/1/2006 4:12:21 PM
Metadata
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Template:
Contracts
Company Name
Ken Thomson
Contract #
A-2006-181
Agency
Public Works
Council Approval Date
8/4/2003
Expiration Date
8/7/2007
Insurance Exp Date
2/13/2008
Destruction Year
2016
Notes
Amends A-2003-175B
Document Relationships
KEN THOMPSON, INC. 1 - 2003
(Amends)
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\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2018
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OP D <br />ACORQ_ CERTIFICATE OF LIABILITY INSURANCE KENJR-. <br />DATE(MMIDDIYYYYI <br />o6129/06 <br />NSRRDO'L� POLICY NUMBER GATE MMIDDIYY DATE MMIDDIVY IIMITB <br />LTR INSRD TYPE OF INSURANCE <br />GENERAL LIABILITY EACH OCCURRENCE E 5,000 OOO <br />A III X 1X ICOCOMMERCIAL GENERAL LIABILITY GL1507144 02/13/06 02/13/07 PREMSES(Fan u�- 5 51 0,000 <br />CLAIMS MADE CX OCCUR MED EYE (Any cne DI 65,000 <br />X 'OWner/Cont Prot. PERSONALB ADV IN IURT 51,000,000 <br />---- GENERAL GENERAL AGGREGATE $2,000, 000_ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCFA <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />I—, POLICY i]{ JECT LOC <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />GE <br />-CPI RISK MANAGEMENT <br />16' -CPI <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />South Main St , Ste. 101 <br />02/18/06 <br />02/18/07 <br />C; ona CA 92882 <br />Fax:951-735-2755 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />De:951-737-2270 <br />ALL OWNED AUTOS <br />SCHEDULED AIITpS <br />- <br />INSURED <br />INSURER A,VP.r..-_-. eco. <br />INJURY <br />(Per Parson) <br />INSURER e. Mercury Insurance Group 27553 <br />I INSURER ARCH SPECIALTY INS. CO. <br />KEN THOMPSON INC. <br />Ms. Lisa Perry <br />P.O. Box 77640INSURER <br />D: SEABRIGHT INS. CO. <br />INSURERS <br />Corona CA 92877-0121 <br />COVERAGES <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAIE MAYBE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE IERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />^"'----""—'- <br />NSRRDO'L� POLICY NUMBER GATE MMIDDIYY DATE MMIDDIVY IIMITB <br />LTR INSRD TYPE OF INSURANCE <br />GENERAL LIABILITY EACH OCCURRENCE E 5,000 OOO <br />A III X 1X ICOCOMMERCIAL GENERAL LIABILITY GL1507144 02/13/06 02/13/07 PREMSES(Fan u�- 5 51 0,000 <br />CLAIMS MADE CX OCCUR MED EYE (Any cne DI 65,000 <br />X 'OWner/Cont Prot. PERSONALB ADV IN IURT 51,000,000 <br />---- GENERAL GENERAL AGGREGATE $2,000, 000_ <br />GEN'LAGGREG�ATE LIMIT APPLIPS PER <br />PRODUCTS-COMPIOP AGG <br />—r <br />SZ,000,DOO- <br />I—, POLICY i]{ JECT LOC <br />DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYSWRITTEN <br />WORKS AGENCY <br />AUTOMOBILE LIABILITY <br />H XT ANY AUTO I <br />AC11074617 <br />02/18/06 <br />02/18/07 <br />COMBINED SI CH 1 MIT <br />IEa as 1 SY, <br />$1,000,000 <br />AUTHORIZED REPRESENTATIVE <br />ALL OWNED AUTOS <br />SCHEDULED AIITpS <br />n ACOR❑ C RP )RATION 1988 <br />(BODILY <br />INJURY <br />(Per Parson) <br />5 <br />- <br />X HIRED AUTOS <br />IRA, INJURY <br />(Par eccitlenB <br />5 <br />RNON OWNEDAUl05 <br />**REFER TO BELOW <br />PERTY DAMAGE <br />dw) <br />E <br />GARAGE LIABILITY <br />O ONLY-EAACCIDENT <br />fAUTIO <br />$ANV <br />ER THAN EA ACC <br />ONLY qGG <br />$ <br />AUTO <br />E <br />j EXCESSIUMBRELLA LIABILITY <br />C 'X OCCUR fC.LAIMS MADE <br />ULP0004531-01 <br />02/13/06) <br />02/13/07', <br />EACH OCCURRENCE <br />415,000,000 <br />AGGREGATE <br />'515,000,000 <br />DEDUCTIBLE- <br />b <br />510,000 <br />WORKION AND <br />�LIAMLIW <br />X TORY 'LIMITS ER <br />_ <br />EL. EACH ACCIDENT <br />61,000,000 <br />D EMPLgg1060689 <br />ANY PNERIEXECUT IVE <br />OFFICERIMEMBER EXCLUDED? <br />06/30/06 <br />06/30/07 <br />EL DISEASE -EA LMP W +EA1 <br />E1. DISEASE - POLICY LIMIT <br />$1,000,000 <br />-- <br />(toes. desuiEeuder <br />S. EC 4L PRIYFISIONSU <br />OTHER <br />DF$c RIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADOED BY ENDORSEMENT I SPECIAL PROVISIONS <br />**This coverage is for the benefit of the Certificate holder only. <br />*Except <br />10 days for non-payment of premium. THE CERTIFICATE HOLDER, ITS OFFICERS, <br />EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL <br />INSURED WITH REGARDS TO JOB 06-3512: RAITT/MCFADDEN SANITARY SEWER <br />!mPROVEMENTS . <br />CERTIFICATE HOLDER <br />^"'----""—'- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITSANT <br />SANTA ANA <br />DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYSWRITTEN <br />WORKS AGENCY <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 9M SHALL <br />NEX, M-22 <br />E20 <br />IMPOSE NO OBLIGATION DR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />C CENTER PLAZA <br />REPRssENTATIvss. <br />NA CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Vicki Rodri ez I c/ I ! C F d F <br />n ACOR❑ C RP )RATION 1988 <br />ACORD 25 (2001108) <br />
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