Laserfiche WebLink
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE09/001/20071/2l007 <br />,M <br />PRODUCER (904) 396-4404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ABERCROMBIE INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. BOX 5857 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(904) 396-4404 <br />JACKSONVILLE FL 32247 - 5857 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: TRAVELERS PROPERTY CASUAL 25674 <br />KIMLEY-HORN AND ASSOCIATES, INC. INSURERS: (A M BEST RATING A+) <br />P O BOX 33068 INSURER C: <br />(919) 677-2000 INSURERD: <br />RALEIGH NC 27636-3068 INSURERE: <br />%1U v ervavca <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADWIL <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />P-630-315X3476-TIL-07 <br />09/01/2007 <br />09/01/2008 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMSESORENTED <br />Eaoccurrence) <br />$ 500,+000 <br />MEDEXP (Any one person <br />$ 5,000 <br />CLAIMS MADE F—x] OCCUR <br />X CONTRACTUAL LIAB. <br />/ % <br />1 / <br />PERSONAL&ADV INJURY <br />$ 11 000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />CSL <br />1,000,000 <br />X POLICY JROT LOC <br />/ / <br />/ / <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />P-810-171L6115-TIL-07 <br />09/01/2007 <br />09/01/2008 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />/ / <br />/ / <br />SCHEDULED AUTOS <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />/ / <br />/ / <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />/ / <br />/ / <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />/ <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />( <br />$ <br />DEDUCTIBLE <br />/ / <br />/ / <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />8621K398-1-07 <br />09/01/2007 <br />09/01/2008 <br />-TORYLIMITS OER <br />E.L. EACH ACCfDENT <br />$ 500,000 <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />/ / <br />/ / <br />E.L. DISEASE - EA EMPLOYEE <br />$ 500,000 <br />E.L. DISEASE -POLICY LIMIT <br />1 $ 500,000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />PROJECT: SC - CONSULTANT LIST FOR ENVIRONMENTAL SERVICES AND TECHNICAL STUDIES. SPECIAL ENDORSEMENT ATTACHED. <br />GERTIPIGA It HULUtK <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />TONIA ZREBA EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XXA0d00 XXXdf MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, XWX <br />CITY OF SANTA ANA X*iXII x)fdfWINWAM"bilaCi(d1141[N"id/e1C aA14it(�fKl kl41()E)(E <br />20 CIVIC CENTER PLAZA X ]fXXI XK <br />P O BOX 1988 M- 2 0 AUTHORIZED REPRE#ATATIVF <br />SANTA ANA CA 92702—� <br />ACORD 25 (2001/081 © ACORD CORPORATION 1988 <br />q_ INS025 (0108).05 ELECTRONIC LASER FORMS, INC. - (800)327-0545 Page 1 of 2 <br />