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PB FARRADYNE 1A - 2005
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PB FARRADYNE 1A - 2005
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Last modified
10/21/2013 11:29:04 AM
Creation date
8/15/2007 10:25:39 AM
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Template:
Contracts
Company Name
PB FARRADYNE
Contract #
A-2003-173-01
Agency
Public Works
Insurance Exp Date
4/18/2007
Destruction Year
0
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<br />A-'2"O~-113 <br /> <br />" <br /> <br />~ <br /> <br />-o( <br /> <br /> MARSH CERTIFICATE OF INSURANCE CERTlFICATEMMllER <br /> 08I09-011-WC <br />"""'""" niI& CERTFICATE IS ISSUED ItS II MATTER OF lNfORMA11ON Dtl..Y AHD CONFERS NO RIGHTS UPOH THE CERTIFICATE <br /> MARSH CANADA L m. HOLDER OTHER Tw.N THOSE PROVIDED BY ntlS POUC'I'. nus CERTIFICATE DOES NOT N.IEND. EXTEI<I> OR ALTER llE <br /> COVERAGE AFFORDED BY TI-E POUClES DESCRIBED I-EREIN. <br /> 70 UNIVERSITY AVE., 8TH FLOOR <br /> TORONTO, ONTARIO Co..ANIES NFORDING COVERAGE <br /> MSJ 2M4 <br />........ -"" LIBERTY MUTUAL INSURANCE COMPANY <br />TELVENT FARRADYNE INC. . <br />3206 TOWER OAKS BLVD. ~ <br />ROCKVILLE, MD 20852 . <br /> co.."" <br /> c <br /> -"" <br /> D <br />COVERAGeS <br />THIS IS TO CERTIFY THAT THE POlICIES OF INSURANCE USTED HEREIN HAVE BEEN ISSUED TO 1I-E INSlIRED NAAIED HEREIN FOR TJ-E PEFlDD Of I~ NltCATEl. NOlWlTHSTANDINGNN REQUIREMENT. 1ERM OR CONOITlOH OF NfY <br />CONlRACT OR OTHER OOCUMEH'TWIllf RESPECT TO WHICH 1HE CERT1FlCATE MAY BE ISSUED OR MAY PERTNN. THE IHSI..lRANCE I\FFORDED BY THE I'OUCIES llSlBl HEREIN IS Sl.IlJE;CT TO All THE 1ERMS, COMIITlONS AND EXa.lISIONS <br />OF SUCH POLICIES. lIMITS SHOWN MIlo'!' HAVE BEfN REDUCED BY PAlO CLAIMS. <br />co """"""""" """"....... POUC'l'EFI'EC'TlVEDAlE. POUCYlEllPIRAllONOATE ~D <br />CD -" -" <br /> ~G8lEfW. UA8lUTY GENERAL AGGREWt. TE . <br /> ca.1MERClAlGENERllLLIA8lLITY PROOUCTS. COMP/OP AGG . <br /> f- h""",,""" <br /> 0 OC"", PERSOMAl &AlJV !HJUff . <br /> OWNER'S & CONTRAClOR'$ PROT EACH OCCURRENCE . <br /> - FIRE DAMAGE (.In)' """ InJ . <br /> - <br /> MEDEXPlAnY__l . <br /> AUTOIIOIII\.E UA8lUTY COM8IIED8INGLEU~ . <br /> - AH>'AUTO <br /> - AlLOWNEOAlITOS 800ILYINJURY . <br /> - ,...- <br /> SCHEDUlE!) AUTOS <br /> I- IlOOllV1NJURV <br /> H1REDAUros . <br /> I- ,... ...... <br /> I- """",,,,,,ones <br /> - PROPERN D/lIMGE . <br /> ......""""'" AUTOOHlY-EAACCIDENT . <br /> '- "".on> OTHERTHANAUTOONLY: <br /> - '^CH""",,"' . <br /> - """"""E <br /> . <br /> =r=:o~ EACH~RENCE . <br /> ......""" . <br /> OTHER THAN 1MBRaLA FORM . <br />A WClRKERS'cc:.PENSAlIONANDEMPLOVERS' X I ~':';'~AT\J.TORY I I OlHER <br />"""'"" <br /> WC2.B71-17Q470-028 02116108 02/16/09 a EACHNXDENT . 1,000,000 <br /> nJEPROPRlETORIPAATNERS/ Pl'~ a OlSEA$E-POUCYUMT . 1,000.000 <br /> exec:UTNEOFl'ICERSARE: <br /> ~" a 0lSEAIlE EACH EloIPI,OYEE . 1,000,000 <br /> 0"'" <br />DI!SCRll'l1ONOIFOP9ATlOM$ILOCA1KlNSNalCLI!SIV'ECtAl.ITEMS <br />RE: PROOF OF WORKERS COMPENSATION COVERAGE. <br />CERTIFICATE HOLDER CAIICllUA_ <br /> SIiOUl.D AN'( OF 1HE POUClES DESCRIBED HEREIN BE CN<<:EUED BEFORE THE EXPIRAllON IlATE lHEREOF. TIE <br />CITY OF SANTA ANA 1NSUREA(8} AFFORlllNG CO\IEA.AGE WILL ENDEAVOUR TO w.I. all [),f.YS WAlTiEN N:lTICE TO THE CERllFICATE <br />PWA - TRANSPORTATION & TRAFFIC ENGINEERING tIOI.DER tw.lEO tERJ;:1N, BUT fAILURE TO llWL SUOi NOTICE SHALL M"OSE NO OBlIGATION OR U/l.8l1TY Of N<< <br />Kl~ uPON THE INSURER,S) AFFORDING COVERAGE. THEIR AGEN1'S OR REPRESENTATIVES. OR lHE ISS~ Of TltIS <br />20 CIVIC CENTER PLAZA CERTFlCAN- <br />SANTA ANA, CA 92701 1MRSHCAHAD.A~1'I!'D <br /> .J:= / <br /> ~-0iLtj <br /> MM1(3I021 DATE: 5I2nJJ07 <br /> <br />~ <br />
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