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INACTIVE CONTRACTS (Originals Destroyed)
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P (INACTIVE)
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PBS&J 3
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Entry Properties
Last modified
7/17/2020 12:59:16 PM
Creation date
7/29/2008 2:33:34 PM
Metadata
Fields
Template:
Contracts
Company Name
PBS&J (ATKINS NORTH AMERICA INC)
Contract #
A-2008-128
Agency
PLANNING & BUILDING
Council Approval Date
6/2/2008
Expiration Date
6/30/2009
Insurance Exp Date
9/30/2011
Destruction Year
2016
Notes
Amended by A-2008-128-001, -002 4/1/11 - OFFICIAL NAME CHANGE TO ADKINS NORTH AMERICA INC.
Document Relationships
PBS&J 3a
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\P (INACTIVE)
PBS&J 3b
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\P (INACTIVE)
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ACORN. CERTIFICATE OF LIABILITY INSURANCE <br />/YY) <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />09/16/08 <br />PRODUCER <br />PRODUCER 1- 866- 220 -4625 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Holmes Murphy and Associates - Omaha <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2637 South 158th Plaza <br />Suite 200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />GENERAL LIABILITY <br />Omaha, NE 68130 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Post, Buckley, Schuh & Jernigan, Inc. <br />INSURER A: Zurich American Insurance Company/#16535 <br />INSURER B: Zurich American Insurance Company / #16535 <br />d /b /a PBS &J <br />2001 NW 107th Avenue <br />INSURER C: Steadfast Insurance Company/ #26387 <br />INSURER D: <br />Miami, FL 33172 -2507 <br />INSURER E: <br />CUVtKA(iL-S <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GLO 9139458 -02 <br />09/30/08 <br />09/30/09 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />FIRE DAMAGE (Any one fire) <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />$ 25,000 <br />CLAIMS MADE I OCCUR <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />X Contractual Liability <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'LAGGREG ATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />POLICY X PRO X LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BAP 9139457 -02 <br />09/30/08 <br />09/30/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 2,000,000 <br />1XX <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BO DILY INJURY <br />(Per accident) <br />$ <br />X <br />Contractual Liability <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />EA ACC <br />OTHER THAN <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />C <br />EXCESS LIABILITY <br />X OCCUR F7 CLAIMS MADE <br />AUC 508762104 <br />09/30/08 <br />09/30/09 <br />EACH OCCURRENCE <br />$25,000,000 <br />AGGREGATE <br />$25,000,000 <br />DEDUCTIBLE <br />RETENTION $ 0 <br />$ <br />A <br />WORKERS COMPENSATION AND <br />WC 9139459 -02 <br />09/30/08 <br />09/30/09 <br />X WCSTATU- OTH- <br />LIMITS I I ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />OTHER <br />$ <br />$ <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />RE: Environmental Study and Related Technical Study Services. The City of Santa Ana, its Officers, employees, agents, <br />volunteers and representatives are Additional Insureds on the General Liability with repsect to the operations of the <br />inusred on the above project. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Santa Ana, City of DATE THEREOF, THE ISSUING INSURER WILL EM1X4WV4 MAIL 90 DAYS WRITTEN <br />Attn: Bill Apple <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KRt7FAKXIMK aXV9049AXKX <br />� 8 � x x <br />20 Civic Center Plaza y4'0SW <br />P.O. Box 1988 M -20 X ugm*?= = XXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX <br />Santa Ana, CA 92702 USA AUTHORIZED REPRESENTATIVE <br />r QUKU co-5 mail ganaerson O ACORD CORPORATION 1988 <br />9771065 <br />Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 J <br />
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