My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
KEYSER MARSTON ASSOCIATES, INC. 4 - 2012
Clerk
>
Contracts / Agreements
>
K
>
KEYSER MARSTON ASSOCIATES, INC. 4 - 2012
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/10/2014 2:54:59 PM
Creation date
6/27/2012 9:33:57 AM
Metadata
Fields
Template:
Contracts
Company Name
KEYSER MARSTON ASSOCIATES, INC.
Contract #
N-2012-071
Agency
COMMUNITY DEVELOPMENT
Insurance Exp Date
12/1/2014
Destruction Year
0
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
,a►co�ro° CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /DD /YYYY) <br />11/26/2011 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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 certificate does not confer rights to the <br />certificate holder In Ileu of such endorsement(s). <br />PRODUCER <br />MOC 2nsuranca Services <br />License No. 0569960 <br />44 MOntgoma ry $t. , 17th F1 <br />San Francisco CA 94104 <br />NTA T Donna de FabiO <br />PHONE (415) 957 -O GOO FAX (415)95") -0577 <br />-MAIL .ddefabio @maroavich. com <br />INSURERS AFFORDING COV ERAGE <br />NAIC# <br />INSURERA Hartford Casualt Sns_ Co. <br />9424 <br />INSURED <br />Kayser Marston Associates, Inc. <br />55 Pacific Avanua Ma 11 <br />San Francisco (��. 94111 <br />INSURER B Hartford <br />1622 <br />INSURERC Ra ublic lndamnit Com an o£ <br />2179 <br />INSURERD 3dt. Haw1a Snsuranca Co. <br />INSURER E <br />$ 1 , 000 , 000 <br />INSURERF: <br />X COMMERCIAL GENERAL LIABILITY <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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTR <br />TYPE OF INSURANCE <br />U <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 , 000 , 000 <br />X COMMERCIAL GENERAL LIABILITY <br />P I <br />$ 300 , 000 <br />A <br />CLAIMS -MADE � OCCUR <br />X <br />7UUNPV0563 RAVE, � <br />/'���� <br />/2012 <br />MED EXP (Any one parson) <br />$ 10 , 000 <br />PERSONAL 8 ADV INJURY <br />$ 1 , 000 , 000 <br />GENERAL AGGREGATE <br />$ 2 , 000 , 000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER_ <br />PRODUCTS - COMP /OP AGG <br />$ 1 , 000 , 000 <br />I a <br />$ <br />X POLICY <br />PRO LOC <br />(D <br />' � <br />AUTOMOBILE <br />LIABILITY <br />MBINED IN LE LIMI <br />Eaa itle t <br />1 000 000 <br />C <br />y Attorn <br />X <br />A <br />ANV AUTO <br />BODILY INJURY (Per parson) <br />$ <br />BODILY INJURY Per accident <br />( <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />7T3CiNPV0563 - <br />2/1/2011 <br />12/1/2012 <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />P r ac itlent <br />$ <br />X <br />Uninsured motons[combinetl <br />$ 1 000 000 <br />COMP 5500 X Coll $500 <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 4 , 000 , 000 <br />AGGREGATE <br />$ 4 , 000 , 000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION 10,00 <br />$ <br />X <br />7RHU1W0506 <br />2/1/2011 <br />2/1/2012 <br />C <br />WORKERS COMPENSATON <br />WC STATU- DTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />X <br />E.L. EACH ACCIDENT <br />$ 1 000 000 <br />ANV PROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXG LU DED7 � <br />(Mandatory In NH) <br />N / A <br />95461617 <br />2/1/2011 <br />2/1/2012 <br />E.L. DISEASE - EA EMPLOYE <br />S 1 000 000 <br />If es, tlescnbe untler <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS below <br />D <br />Professional Liability <br />0- 848728 <br />2/1/2011 <br />2/1/2012 <br />EACH WRONGFUL ACT $1,000,000 <br />Retention: $50,000 <br />atro Data 10/05/1976 <br />AGGREGATE LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atldltlonal Remarks Schedule, H more space Is requlretl) <br />Certificate holder is named as Additional Insured with respects to the Insureds operations. Par <br />endorsement CG2010 0704 <br />Community Redevelopment Agency <br />City o£ Santa Ana <br />20 Civic Can tar Plaza <br />Santa Ana, CA 92701 <br />7 O /OS) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />de Fabio /DDF ��CMw�o- `�`�Q�C7 <br />INS025 /ant nns� of Ttto Ar�rIRA name ar�ri I�r.� am rur�icterarl mar4� Of A(�rlR rl <br />All riat)ts reserved <br />
The URL can be used to link to this page
Your browser does not support the video tag.