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25H - AGMT - ENGINEERING SERVICES
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08/05/2013
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25H - AGMT - ENGINEERING SERVICES
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Last modified
8/1/2013 10:56:39 AM
Creation date
8/1/2013 10:03:37 AM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25H
Date
8/5/2013
Destruction Year
2018
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CERTIFICATE OF LIABILITY INSURANCE 1 °z?? °Y"" <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 />IMPOtiTANI: If the cefNflCate holder is an A[ <br />the terms and conditions of the policy, certain <br />earti0cate holder In lieu of such andori amanHl <br />PRODUCER <br />MARSH RISK E IVSURANCE SERVICES <br />345 CALIFORNIA STREET, SUITE 1300 <br />CALIFORNIA LICENSE N0.0437753 <br />SAN FRANCISCO. CA 94104 <br />MUSED <br />URS Carpeation <br />500 Montgmery Strait. 26th Floor <br />Sao Francisco, CA 94111 <br />AL INDMIKLD, me p00oypn) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />may require an endorsement. A statement on this carldiaate does not confer rights to the <br />INSURER C: Aims National Ins Co 123817001 1 <br />State Of PA <br />COVERAGES CERTIFICATE NUMBER: SEA 002272403 01 REVISION <br />lml? N w wn I ITT 1nH' Inc I`ULIGItb OF INJUHANGE 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 TH <br />E TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />0048 WPEOF W U11ANCE AM SUBRI <br />POL Y E? POLICY E%P LIMnS <br />LT. <br />POLICY NUMBER <br /> I <br />GENERAL WolL <br /> EACH OCCURRENCE E <br /> COMMERCIAL GENERAL LIABILITY <br /> B S <br /> CLAIMSMADE ? OCCUR <br />MED E%P L My PWLen) <br />$ <br /> PERSONAL 6 ADV <br /> INJURY E <br /> GENERAL A <br /> GGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br /> <br />P" PRODUCTS - COMNOP AGG 3 <br /> POLICY <br />LOC <br />f <br /> AU TOWBLE LIABILITY 1 INGLE L WI <br /> ANY AUTO BODILY INJURY (Pet pse0n) S --- <br /> ALLO SCHEDULED <br /> AUTOS S AUTOS <br />NOMOWNED BODILY INJORY(Per &=rksv) E <br /> W RED AUTOS <br />AUTOS PROPERTY DAMAGE <br />S <br /> E <br /> UAYRELLA DAB OCCUR <br /> <br />EXC <br />SS EACHOCCURAENCE S <br /> E <br />Lim CLAIMS-MADE <br /> AGGREGATE S <br /> DEC RETENTION <br />A WORKERS COMPENSATION SEE ATTACH- ACRD 101 1 1/ I 01/0112013 WC STATUE OTH. E <br />D AND EMPLOY MAINE" YIN <br /> ANY PROPRIETOILPARTNERIE%ECUTIVE SEE ATTACHED-ACORD101 0110112012 01101/2013 ??? <br />E OFFIp RVNEMSEREXCLUDECT NIA E.L. EACH ACCIDENT E <br /> (MSnikeery in NH) SEE ATTACHED ACORD 101 0110112012 0110112013 2 <br />000 <br />0 <br /> <br />11Ys? a.c,1ES „n a« E.L. DISEASE EA EMPLOYE , <br />, <br />00 <br />S <br /> DESCRIPT! N OF OPERATIONS".. E.L. DISEASE POLICY LIMIT S 2WD,000 <br /> <br />i I <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (AIMeh ACORD 101, A MINIura Rinnwt{ Sgi so, s, a Ism IpICE Is ApuV W) <br /> <br /> <br /> <br /> <br /> <br />CRY Of Sana AID <br />20 Cw Cene Raza - Ross Meer IM 36) <br />Santa Ala, CA 92701 <br />ecnnn ec rnr1.11o1?. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ME CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />of Marsh Risks Inwrknee SeMeu <br />Lynne HaMnglan <br />®1980-2010 AI <br />1 ••..... 11-01t1.c Yr,M laye are regNererecl staring Of ACORD <br />25H-41
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