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BERRYMAN AND HENIGAR 004- 2003
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BERRYMAN AND HENIGAR 004- 2003
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Entry Properties
Last modified
10/15/2015 10:50:24 AM
Creation date
5/13/2003 10:18:04 AM
Metadata
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Template:
Contracts
Company Name
Berryman and Henigar
Contract #
A-2003-004
Agency
Public Works
Council Approval Date
1/6/2003
Expiration Date
12/1/2003
Insurance Exp Date
12/31/2003
Destruction Year
2008
Notes
Amended by A-2003-082
Document Relationships
BERRYMAN AND HENIGAR 082- 2003
(Amended By)
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\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2017
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ACORD® CERMCATE OF INSURANCE <br />0726 DATE 1/2012003 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />Barney & Barney, LLC - CA License No. 0003950 <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Barney & Barney, Inc. - CA License No. OC24310 <br />POLICIES BELOW. <br />P.O. Box 85638 <br />COMPANIES AFFORDING COVERAGE <br />San Diego, CA 92186 -5638 <br />(MMIDD/YY) <br />COMPANY A TRAVELERS INDEMNITY CO. OF ILLINOIS <br />LETTER <br />INSURED oo <br />jq_ - 1200.3 — Z <br />COMPANY B NO COVERAGE ON THIS DOCUMENT <br />LETTER <br />Berryman & Henigar Enterprises N — L%Q — 10> 1 <br />Berryman & Henigar, at al <br />COMPANY C NO COVERAGE ON THIS DOCUMENT <br />LETTER <br />11590 West Bernardo Court #100 4) - ?001, 1161 <br />San Diego, CA 92127 -1624 <br />COMPANY D NO COVERAGE ON THIS DOCUMENT <br />LETTER <br />'•'•• + " <br />$` '2,000,000 <br />COMPANY E NO COVERAGE ON THIS DOCUMENT <br />LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVF RFFN RFDI ICFn RY PAID CI AIM4 <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />EFFECTWE DATE <br />POLICY EXPIRATION <br />DATE (MMrDD/YY) <br />LIMITS <br />(MMIDD/YY) <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />'•'•• + " <br />$` '2,000,000 <br />® COMMERCIAL GENERAL LIABILITY <br />630525D5655 <br />12131/02 <br />12/31103 <br />PRODUCTS - COMP /OP AGG. <br />$'•••• "•'•2,000,000 <br />A <br />,E] CLAIMS MADE ®OCCUR. <br />® OWNER'S& CONTRACTOR'S PROT. <br />PERSONAL &ADV. INJURY <br />$'•••'••'• "'1,000,000 <br />EACH OCCURRENCE <br />$ " " "" "1,000,000 <br />❑ <br />FIRE DAMAGE (Any one fire) <br />$ " "•'• "'••100,000 <br />MED. EXPENSE (Any one person) <br />...... '••••••5,000 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br />19 ANY AUTO <br />810525135655 <br />12/31/02 <br />12131/03 <br />LIMIT <br />$* ...... •1,000,000 <br />❑ ALL OWNED AUTOS <br />BODILY INJURY <br />A <br />❑ SCHEDULED AUTOS <br />(Per person) <br />$ „.,... «.... «. „..0 <br />❑ HIREDAUTOS <br />THIS CERTIFIC <br />TEAMENDSA <br />SUPERSEDES <br />BODILY INJURY <br />❑ NON -OWNED AUTOS <br />PR/ORCERTlFI <br />ATE DATED 0I <br />/0103 <br />(Per accident) <br />❑ GARAGE LIABILITY <br />PROPERTY DAMAGE <br />$'•,•`°''• ^' +• + +•••p <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$• "••'•^ "5,000,000 <br />A <br />® UMBRELLA FORM <br />CUP 525D5655 <br />12131102 <br />12/31/03 <br />AGGREGATE <br />$` " " "" "5,000,000 <br />❑ OTHER THAN UMBRELLA FORM <br />® STATUTORY LIMITS <br />A <br />WORKERS' COMPENSATION <br />UB 525D5711 (FL) <br />1/1/03 <br />1/1/04 <br />EACHACCIDENT <br />$••'•'••'•'$1,000,000 <br />AND <br />DISEASE - POLICY LIMIT <br />$ " " "" "$1,000,000 <br />EMPLOYERS' LIABILITY <br />DISEASE- EACH EMPLOYEE <br />$ "•• "•'•• $1,000,000 <br />OTHER <br />U(',_,r <br />NO COVERAGE <br />, <br />DESCRIPTION OF OPERATIONS /LOCATIONSA/EHICLES /SPECIAL ITEMS •10 days notice of cancellation applies to non- 111"hent - <br />1_811: '_ `:I:�CdY <br />RE: C iI� Allmncv <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana Assessment Engineering Services <br />Clerk of the City Council <br />20 Civic Center Plaza (M -21) -P.O. Box 1988 <br />Santa Ana, CA 92702 <br />ACORD 25S (7190) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL GND6AV0A TA <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />- T�.,.:.�.49 wirweet Mon NO OBI IC rV ^RiYADIL'ITi'•OF <br />T E6 W-P E SPR E ATIVES. <br />AUTHORIZED REPRES NTATI <br />(Bec(y 9lezzan o <br />ORP RATIO 1990 <br />THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTTACHED ENDORSEMENT <br />
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