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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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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 /> <br />CERTIFICATE NUMBER <br /> <br />PRODUCER <br /> <br />08/09-011-WC <br /> <br />MARSH CANADA LTD. <br />70 UNIVERSITY AVE., 8TH FLOOR <br />TORONTO, ONTARIO <br />M5J 2M4 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER OTHER THAN THOSE PROVIDED BY THIS POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />INSURED <br />TELVENT FARRADYNE INC. <br />3206 TOWER OAKS BLVD. <br />ROCKVILLE, MD 20852 <br /> <br />A - cR003 - /73 <br />A - ,2003 - /7J- 0 / <br /> <br />COMPANY <br />A <br /> <br />LIBERTY MUTUAL INSURANCE COMPANY <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br /> <br /> <br />COMPANY <br />D <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE PERIOD OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS <br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO <br />LTR <br /> <br />TYPE INSURANCE <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE DATE <br />(MM/DDIYY) <br /> <br />POLICY EXPIRATION DATE <br />(MM/DDIYY) <br /> <br />LIMITS <br /> <br />GENERAL LIABILITY <br /> <br />GENERAL AGGREGATE <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />CLAIMS MADE <br /> <br />o OCCUR <br /> <br />PRODUCTS - COMPtOP AGG <br /> <br />PERSONAL /I. ADV INJURY <br /> <br />OWNER"S /I. CONTRACTOR'S PROT <br /> <br />EACH OCCURRENCE <br /> <br />FIRE DAMAGE (Anyone fire) <br /> <br />MED EXP (Anyone person) <br /> <br />AUTOMOBILE LIABILITY <br /> <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br /> <br />ALL OWNED AUTOS <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />SCHEDULED AUTOS <br /> <br />HIRED AUTOS <br /> <br />NON-OWNED AUTOS <br /> <br />BOOIL Y INJURY <br />(Per accident) <br /> <br />PROPERTY DAMAGE <br /> <br />GARAGE LIABILITY <br /> <br />AUTO ONLY - EA ACCIDENT <br /> <br />ANY AUTO <br /> <br />OTHER THAN AUTO ONLY: <br /> <br />EACH ACCIDENT <br /> <br />AGGREGATE <br /> <br />EXCESS LIABILITY <br /> <br />EACH OCCURRENCE <br /> <br />UMBRELLA FORM <br /> <br />AGGREGATE <br /> <br />OTHER THAN UMBRELLA FORM <br /> <br />WC2-B71-170470-028 <br /> <br />021 16/08 <br /> <br /> <br />OTHER <br /> <br />A <br /> <br />WORKERS' COMPENSATION AND EMPLOYERS' <br />LIABILITY <br /> <br />02/16/09 <br /> <br />EL EACH ACCIDENT <br /> <br />1,000,000 <br />1,000,000 <br /> <br />1,000,000 <br /> <br />THE PROPRIETOR! PARTNERSf <br />EXECUTIVE OFFICERS ARE: <br /> <br />X INCL <br /> <br />EL DISEASE - POLICY LIMIT <br /> <br />EXCL <br /> <br />EL DISEASE EACH EMPLOYEE <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERATIONSJLOCATlONSNEHIClESISPECIAL ITEMS <br /> <br />RE: PROOF OF WORKERS COMPENSATION COVERAGE. <br /> <br />CITY OF SANTA ANA <br />PWA - TRANSPORTATION & TRAFFIC ENGINEERING <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE <br />INSURER(S) AFFORDING COVERAGE Will ENDEAVOUR TO MAil ;lQ DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY <br />KIND UPON THE INSURER(S) AFFORDING COVERAGE, THEIR AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS <br />CERTIFICATE. <br /> <br />MARSH CANADA UMITED <br /> <br />(p'. /' ~-, <br />/;-~.< xte:?&z.A <br />,/ ~/ "' <br /> <br /> <br />MM1 (3/02) <br /> <br />DATE: 5/2/2007 <br /> <br />'~ <br />/:=~" <br /> <br />
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