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HUNT DESIGN ASSOCIATES, INC. 1 - 2012
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HUNT DESIGN ASSOCIATES, INC. 1 - 2012
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Entry Properties
Last modified
7/6/2016 5:32:55 PM
Creation date
5/14/2012 2:32:04 PM
Metadata
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Template:
Contracts
Company Name
HUNT DESIGN ASSOCIATES, INC.
Contract #
N-2012-047
Agency
PUBLIC WORKS
Expiration Date
12/31/2012
Insurance Exp Date
11/28/2013
Destruction Year
2020
Notes
Amended by N-2012-047-001, N-2014-083
Document Relationships
HUNT DESIGN ASSOCIATES, INC. 1A - 2012
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
HUNT DESIGN ASSOCIATES, INC. 1B - 2014
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
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��, Policy Number: Date Enteretl: O5 O1 2012 <br />'4` °R° CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDONYW) <br />5/1/2012 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU RER(S), AUTHO RI2 ED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certlfl cats holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certlflcate does not confer rig Ms to the <br />certlflcate holder In Ileu of such endorsem ent(s ). <br />PRODUCER <br />Migliore Insurance Agency <br />NAME: <br />15545 Devonshire St. #108 <br />Mission Hills, CA 91345 <br />PHONE ( ) — FA% — <br />(AlC, No)o ( ) <br />E -MAIL <br />ADDRESS: <br />(818)830 -3442 FAX (818)&10 -3602 <br />INSURERS AFFORDING COVERAGE <br />NAIC i <br />INSURERA: FARMERS INSURANCE EXCHANGE <br />INSURED HUNT DESIGN ASSOCIATES, INC <br />INSURER 6: TRUCK INSURANCE EXCHANGE <br />EACH OCCURRENCE <br />INSURER C <br />A <br />COMMERCIAL GENERAL LIABIL ITY <br />INSURER D <br />25 NORTH 1�NTOR AVENUE <br />PASADENA. CA 91106 <br />INSURER E: <br />PREMISES Ea occurrence <br />INSURER F <br />MED EXP (Myone person) <br />$ 5, ODD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OFINSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />MMIDOIWW <br />MMaJOIWW <br />LIMITS <br />GENERAL LIA BILIT! <br />EACH OCCURRENCE <br />$ 2 , 000 , 000 <br />A <br />COMMERCIAL GENERAL LIABIL ITY <br />6QQ26 iD 13 <br />1/20/2011 <br />1/28/2012 <br />PREMISES Ea occurrence <br />$ 100,000 <br />MED EXP (Myone person) <br />$ 5, ODD <br />CLAIMS -MADE ® OCCUR <br />PERSONAL SADV IN.1lRY <br />$1, 000, 000 <br />GENERAL AGGREGATE <br />$ 2 , 000 , 000 <br />GEN'L AGGREGATE LIMIT APPLIES <br />PER'. <br />PRODUCTS - COMP/OP AGG <br />$ 2 , OOO , OOO <br />POLICY PRO- <br />JECT <br />LOC <br />$ <br />AUTOMOBILE LIABILITY <br />Ee accident <br />1, 000, 000 <br />A <br />ANY AUTO <br />6002$ 10 19 <br />1/28/2011 <br />1/28/2012 <br />BODILY INJURY (Per parson) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODIL V INJURY (Per acdae nq <br />$ <br />NON -O VyN ED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per acatlen[ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />OED <br />RETENTION $ <br />$ <br />B <br />WORKERS COMPEN SATON <br />ANDEMPLOYERS'LIABILITY YIN <br />OFFICER /MEMBER EXCLUDEDO ECUTIVE � <br />NIA <br />B1$O9 �js B9 <br />1/28/2011 <br />1/28/2012 <br />WC STAT U- OTH- <br />TORY LIMITS ER <br />_EL. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLO VEE <br />$ 1 r OOO r 000 <br />(Mandatory In NH) <br />If yes, describe untler <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE - POLICY LIMIT <br />$ 1, 000 , 000 <br />DESCRIPTON OF OPERATON3! LOCATIONS /VEHICLES (Attach ACO RO tot, Ad Cltlonal Remarks Sch etlule, Ir more apace Is required) <br />DITIONAL INSURED: CITY OF SANTA ANA f�.PPR�}`7�_ -�.(. _a �.���� <br />30 DAY NOTICE OF CANCELI,ATI ON AND 10 DAY FOR NON —PAY <br />/yam <br />/J�j <br />JOB SITE/ NAD�: SANTA ANA WAYFINDING � --iL_1 <br />���_JJJ <br />r La c_.... <br />I l cedy <br />�SSls(e. ,. �_�(� Adorn ey <br />l�/11�4..GLLM I IV 1� <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY M -36 /DESIGN ENGINEERING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 CIVIC CENTER PT�n�J.A THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELVER ED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />Attant ion: Suzi Furj aIIlO AUTHORIZED REPRESENTATVE <br />OO 7988 -20'10 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20'10/05) The ACORD Hama and logo are registered marks of ACORD <br />Pra AUCed using Fonns Boss Plus sotlwera. www.FOrmsBOSS.com: Impressive Publishing BOO - 203 -977 <br />
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