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19D - REQUEST FOR PROPOSALS FOR TEMPORARY ENGINEERING AND TECHNICAL SUPPORT SERVICES
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03/19/2012
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19D - REQUEST FOR PROPOSALS FOR TEMPORARY ENGINEERING AND TECHNICAL SUPPORT SERVICES
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Last modified
3/15/2012 6:25:38 PM
Creation date
3/15/2012 3:20:25 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
19D
Date
3/19/2012
Destruction Year
2017
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ATTACHMENT 3 <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE O <br />I alizoa YI <br />PRODUCER 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 f THE POLICIES BELOW <br />INSURERS AFFORDING COVERAGE <br />INSURER A_,_ <br />: INSLIRFR R _ <br />INSURER r: --- <br />? INSURER G <br />INSURER E <br />:OVERAGES <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 AF FORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T ERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMrTS SHOWN MAY HAyF BFFN RFnt)r..Pr) RY PAlri QLAILAS <br />TYPE OF INSURANCE PCLICV NUVAMM POLJPtamCTIVE POLICY EI{PIRATION LENTS <br />GENERAL LAOUTY x111111111 0110112001 01101!2002 EACH OCCURRLNLE ____....S 1.000,000 <br />_X. COMUERCIAL GE14CRAL LASILI IY FIRE DAMAGE IAnY OIe fl.ai S _ 50,000 <br />:lAIMSMADE X OCCVTY.. NEUt%FAllyarpPlYy{%I) S -- 5,0DD <br />_ 4_PERSONAL A AOV INJURY i s 1,000,ODD <br /> <br />- GENERAL AGGREGATE-_ S <br />.. .__ 2,000,ODO <br />OF <br />REGATElIM1TApPUES <br />P <br />EN:I PHnDUCTS-C0L1PpP AGG 1. 2,00O,ODO <br />' I V <br />?PUI <br />D <br />L <br />ifi'l <br />AUT011111091LE LJAEEJTN X222222222 Ot10112001 01!0112002 SaRGLF I IMIT <br />EJ <br /> <br />A ANY AUTO '. <br />U <br />T <br />IEar aUa.00p <br />AL I. 'WINE J AUTOS <br />F <br /> RDDIIV INJURY <br />1 <br />I SCI{EUJLEU AUIC)5 !Par arcnn; <br />- HIRE? AUTOS &ODILY INJURY <br />a <br />_.I NOMDy.*lE7 AUTOS <br />;Per at%xIMI;. <br /> PkC-FRTYOMIAGE S <br />SEE ATTACHED ADDITIONAL Para?d.,; <br />- G'a'?? lMEti1.ITY I AU70 ONLY EA ACCIDENT <br />ANY AUTO INSURED ENDORSEMENT <br /> CTRFR T.A. EA AC:: S <br />xr <br /> AUTO OM Y <br />_E%CESSUMIUTY EACr OCCURRENCt <br /> <br />-- c:.-UR CLAIAISIAAC]E COVERAGES DEPEND ON TYPE _` <br />.ACAREGAT <br />-- <br />__ _ _ <br />OF AGREEMENT/CONTRACT <br />DEI <br />L <br />C --- -- <br />I <br />I <br />T INL r <br />S <br />RETENTION <br />I <br />WMIERSCORIrarsAT1ONANG XXX333333333 011012001 01101!2002 x ?ft <br />UT4 IOLH+ <br />EMPLOYERS LWIUTY ylM <br />._ - <br /> L.L EACH ..IOENT :S 1,000,0 <br /> --l DGEASL EA EMPLOYEE S 1.OOD,00 <br />D <br /> EL PSEASE -POLICY .6611- S 1.0,000 <br />OTHER PL444444 <br />0177V200i1 01111112002 <br />EachOcclxrenLN <br />L000,1700 <br />Profeas..n ial LiaUili ly <br />DESGAIPTKM OF OPERATIONSAOCA TIONSNENICLESIVEXCLVSIONS ADDED BY ENDORSBAIENTISPEC LAL PROVISIONS <br />Certificate holder is 200Itlonal insured per attached <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, TIE I80UMIO ENSURER VRLL ENDEAVOR TO IAAIL 30 DAYS WWTTEN <br />20 Civic Center Plaza - Ross Annex (M- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO MALL <br />Santa Ana. CA 92701 IMPOSE W o rx INK VII LN UMU6Y U) ANY KN O UPON THE I"°LReER. ITS AGENTS OR <br /> REPRESE111TATIVES. <br /> AUTHORIZED REPRESENTATIVE <br />W AfrVKL/ C:VKPOKATION 1981 <br />Page 11 of 21 <br />19D-13
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