Laserfiche WebLink
11- ­7 �j-,.?_%7n <br />i/ L uv0 / 4r vU <br />ACOR_ CERTIFICATE OF LIABILITY INSURANCE <br />D8 (MM/DD/YYYY) <br />08/07/2009 <br />PRODUCER (904) 3 96 - 44 04 <br />ABERCROMBIE INSURANCE AGENCY, INC. <br />P. 0. BOX 5857 <br />(904) 396-4404 <br />JACKSONVILLE FL 32247 - 5857 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />KIMLEY-HORN AND ASSOCIATES, INC. <br />P O BOX 33068 <br />(919) 677-2000 <br />RALEIGH NC 27636-3068 <br />INSURER A: TRAVELERS PROPERTY CASUAL <br />25674 <br />INSURER BCOMPANY OF AMERICA <br />INSURERC: (A M BEST RATING A+) <br />INSURERD: <br />INSURERE: <br />COVERAGES <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 />ADD'L <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 />CLAIMS MADE � OCCUR <br />X CONTRACTUAL LIAR. <br />P-630-315X3476-TCT-09 <br />09/01/2009 <br />/ / <br />09/01/2010 <br />/ / <br />EACHOCCURRENCE <br />$ 1,000,000 <br />DAMAGES (RENTED <br />PREMISES Ea occurrence <br />$ 500,000 <br />MED EXP (An one person) <br />$ 5,000 <br />PERSONALBADVINJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY JE � LOC <br />PRODUCTS - COMP/OPAGG <br />1 $ 2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUI OS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUI OS <br />P-810-171L6115-IND-09 <br />09/01/2009 <br />/ / <br />/ / <br />09/01/2010 <br />/ / <br />/ / <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />/ / <br />/ / <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR F1 CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />/ / <br />/ / <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />ea <br />WORK-cRSCOA9iENSATiON AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />8621K398-1-09 <br />09/01/2009 <br />/ / <br />09/01/2010 <br />/ / <br />X TORYLMIfS EK <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 />DESCRIPTION OF OPERATIONS/LC-CATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />PROJECT: CONSULTING CONTRACT CITY OF SANTA ANA. SPECIAL ENDORSEMENT ATTACHED. <br />APPROVE AS TO FORM <br />CERTIFICATE HOLDER CANCELLATION <br />(/ �. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />BILL APPLE /� NJ ���li« F®Ml1AN EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL )99W1?Q)MXM MAIL <br />Chl I$k.Mt CitY Attorney 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, QXW <br />CITY OF SANTA ANA <br />PLANNING DIVISION <br />P 0 BOX 1988 M-20 <br />SANTA ANA <br />WORD 25 (2001/08) <br />NS025 (oim).os <br />CA 92702- <br />AUTHORIZED REPRESENTA <br />Mat • <br />© ACORD CORPORATION 1988 <br />�� J� Page 1 of 2 <br />r'.v�--1 <br />