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25F - AGMT - WARNER AVE WIDENING
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04/02/2012
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25F - AGMT - WARNER AVE WIDENING
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Last modified
3/29/2012 5:53:45 PM
Creation date
3/29/2012 5:48:04 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25F
Date
4/2/2012
Destruction Year
2017
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<br /> <br /> 1 <br /> NNN DATE (MM/DD/08 <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE PLANOP ID <br /> -1 06/30 08 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Alliant Insurance Services, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> (Lic-OC36861) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O Box 3280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> i Bernardino CA 92413-3280 <br /> one: 909-886-9861 Fax: 909-886-2013 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: praetorian Insurance Co (How) <br /> A~200gA39 INSURER B: Evanston Insurance Co (PTN <br /> Plannin Center Inc INSURER C: General Ina Co of America (SAP 39012 <br /> 1580 Metro Drive INSURER D: Safeco Insurance Com an 24740 <br /> Costa Mesa CA 92626 <br /> INSURER E: <br /> COVERAGES <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 /> LTR NS TYPE OF INSURANCE POLICY NUMBER DATE MMIDDrYY DATE (MMIDDIMN LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $5,000,000 <br /> B X X COMMERCIAL GENERAL LIABILITY OBPKGM0041 07/01/08 07/01/09 PREMISES Eaoccurence) 550,000 <br /> CLAIMS MADE X 1 OCCUR MED EXP (Any one person) s5,000 <br /> _ PERSONAL d ADV INJURY $5,000,000 <br /> GENERAL AGGREGATE $5,000,000 <br /> GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $5,000,000 <br /> POLICY ' P£ O LOC i <br /> AUTOMOBILE LIABILITY <br /> COMBINED <br /> C X ANY AUTO 01CH8545351 07/01/08 07/01/09 (EaaccidetSINGLELIMIT 51,000,000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS 7 (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG E <br /> EXCESSIVMBRELLA LIABILITY EACH OCCURRENCE f 4 , 000 , 000 <br /> D OCCUR F7 uAIMSMADE OIXS1497242 07/01/08 07/01/09 AGGREGATE s4,000,000 <br /> OVER AUTO $ <br /> DEDUCTIBLE & EL ONLY $ <br /> X RETENTION _$10r000 $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> A EMPLOYERS* LIABILITY P0011020036446 07/01/08 07/01/09 E.L. EACH ACCIDENT $1 000 000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE r r <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE S 1 , 000 , 000 <br /> M yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S 1 , 000 , 000 <br /> OTHER <br /> C Property 02CE1731802 07/01/08 07/01/09 Pollution $5,000,000 <br /> 8 Pollution/Prof OBPKGM0041 07/01/081 07/01/09 Prof $5,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Operations pertaining to named insured for certholder; Professional Liab <br /> includes E60 Coverage. Certholder its officers, agents, employees and <br /> volunteers are addrl insd/prim wrdg/waiver as respect gen'l liab per IE0036 <br /> 4/04 & IE0054 4/04 as required by written contract. <br /> *30 day N O C except 10 day for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITYSAO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br /> DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br /> City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Melanie McCann <br /> 20 Civic Center Plaza, M-20 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IIS AGENTS OR <br /> Santa Ana CA 92701 REPRESENTATIVES. <br /> AUTHORI EP B ITATIVE <br /> ACORD 25 (2001108) © ACORD CORPORATION 1988 <br /> 25F-28 <br />
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