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AMEC GEOMATRIX, INC. 2A - 2012
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AMEC GEOMATRIX, INC. 2A - 2012
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Last modified
6/29/2016 11:25:22 AM
Creation date
9/25/2012 9:06:36 AM
Metadata
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Template:
Contracts
Company Name
AMEC GEOMATRIX, INC.
Contract #
A-2011-103-01
Agency
PUBLIC WORKS
Expiration Date
3/31/2013
Insurance Exp Date
5/1/2013
Destruction Year
2020
Notes
Amends A-2011-103 Amended by A-2011-103-02, -03
Document Relationships
AMEC GEOMATRIX, INC. 2 - 2011
(Amends)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
AMEC GEOMATRIX, INC. 2B - 2013
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
AMEC GEOMATRIX, INC. 2C - 2014
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
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`4 (% �' <br />CERTIFICATE OF LIABILITY INSURANCE <br />DAT 12WY) <br />05!0 1 /20 <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 lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />Aon Risk Services Northeast, Inc. <br />Parsippany NJ Office <br />PNHONE (866) 283 -7122 FAX (847) 953 -5390 <br />(AMC. No. Ext): AMC. No.): <br />E -MAIL <br />ADDRESS: <br />10 Lanidex Center west <br />P.O. Box 608 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Parsippany N7 07054 -0608 USA <br />INSURED <br />INSURERA: American Zurich Ins Co <br />40142 <br />AMEC Environment & Infrastructure, Inc. <br />2101 Webster St., 12th Floor <br />Oakland CA 94612 USA <br />INSURER B: Zurich American InS Co <br />16535 <br />INSURER C: Chartis Specialty Insurance company <br />26883 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570046071380 REVISION NUMBER: <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. Limits shown are as requested <br />INSR LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />MMID <br />JMM1nDfYYYYI <br />LIMITS <br />B <br />GENERAL LIABILITY <br />GLO <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence) <br />5100, 000 <br />CLAIMS -MADE X❑ OCCUR <br />MED EXP (Any one person) <br />S5,000 <br />PERSONAL &ADV WJURY <br />51,000,000 <br />c7 <br />n <br />GENERAL AGGREGATE <br />52,000,000 <br />a <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />POLICY X PRO X LOC <br />p <br />B <br />AUTOMOBILE LIABILITY <br />BAP948 148 -01 <br />05/01/2012 <br />05/01/2013 <br />COMBINED SINGLE LIMIT <br />'a c on <br />$1,000,000 <br />ut <br />BODILY INJURY ( Per person) <br />ANY AU TO <br />TU <br />t�l <br />ORM <br />Z <br />BODILY INJURY (Per accident) <br />ALL OWNED SCHEDULED <br />A PNROVED <br />S <br />AUTOS AUTOS HIREDAU70S X NCN -OWNED <br />I.XX <br />M <br />PROPERTY DAMAGE <br />AUTOS <br />Peaccident <br />w <br />C —PICdl Dad 51.0 <br />r <br />UMBRELLALIAR <br />OCCUR <br />Laura Sti <br />t eed <br />EACH OCCURRENCE <br />m <br />U <br />AGGREGATE <br />4DED <br />EXCESS LIAR <br />CLAIMS-MADE <br />Assistant City <br />Attorney <br />RETENTION <br />A <br />AND <br />WC350486611 <br />05/01 1 <br />05/01/2013 <br />X]WC ST 3 ORH <br />EMPLOYERCOM�PBENSATION <br />VIN <br />TORYLIMI <br />E.L. EACH ACCIDENT <br />S1,000,000 <br />ANY PROPRIETOR / PARTNER i EXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatory M NH) <br />If describe under <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />S1,000,000 <br />yes, <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE. POLICY LIMIT <br />S11 000, 000 <br />a <br />Archit &Eng Prof <br />EOC938357804 <br />05/01/2012 <br />05/01/2013 <br />Any one Claim <br />51,000,000 <br />Professional /Pollution <br />Aggregate <br />51,000,000 <br />SIR applies per policy ter <br />s & condi <br />ions <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Adddonal Remarks Schedule, It more space is required) <br />Re: #8586. where required by written contract, The City Of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are included as additional insured as respect to General Liability policy. This insurance will be Primary and <br />Non- contributory to the General Liability policy with respect to any other available insurance to the Additional <br />JkLJ <br />Insureds where <br />required by written contract. <br />KL.., <br />Sol <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />y - <br />POLICY PROVISIONS. <br />city Of Santa Ana M -93 <br />20 Civic center Piaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 USA <br />{ ^ds ��/ <br />V V Wi a.lLQA9C a /Ii79 i61 V /I /+ JL <br />@1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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