CERTIFICATE OF INSURANCE (4)
r---TAN. 2.2001_10:S6AM--CDM1
JACORD
PRODUCER T
Aon rusk ScrviCCl,lnc ofMA
99 HIgh Street
Bostoo, MA 02 11 ()'327I
(617\ 412 - 3100
INStlRF,D
Camp Dresser & McKee IDC.
ODe Cambridge Place
50 Hampshlte Suea
Cambridge, MA 02139
O.449_P.2/2
CERTIFICATE OF INSTTD A. ~CE "I 1211912000
TmS CSRTlFICAlE IS ISSUS> AS A MAnBR OF INFORMA nON
ONt Y AJIID CONFE.R,S NO Rt.JHTS UPON THE CERTIF1CA 11:i
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXI'END OR
ALTBR. nm COVERAGE AFFORDIID BY THE POUClES BELOW.
COMPANIES AFPORDING COVERACE
COILTI. A Zurleb-AlIIl!riean InAUI'lIDce COmDlI.RY
COILTI. B Zurlell SDec:iallies London Ltd.
COILTR. C
COILn D
_QQB.M~ &. .. . _...--w._.......:~__~~ ~l' \ ',~~.......:....... ", ',' ....._...._...~......:;...~...::.',_.. _._d _ .., ,.I.....,...:!" . ,,'" ~, .,. j'" 1\.. .
TmS IS TO cmtTlPY llIAT mE POlJCIES OI1lNSUMNCE LlSmD BJiLOW HAVE BEEN ISSUED TO nm INSUlI.lID NAMJID ABOVE FOR 11IB POlleV PEllIOU
INDICA'mD, NOT WI11iSTANDING AlIIV REQUIRBMEN't, 'I1iRM OR CONDII1ON OF ~ <X>NTIlACT Oil OTIltiR DOCUMmoIT WrIH RESPECT TO WHICH nll5
CB.'11FlCATE MAY BI! ISSUED 01\ MAY PB&TAlN. lHB INS1llW'4CE AJlFORDED BY 1lII POUCIIlS DIlSCRlBDD HI!REIN IS SUBJECT 'ro AU. TIlE TERMS.
IiXCLlISIONS AND CONlJlTlONS OF SUCH FOUCIIlS, LIMlTS llBOWN MAY UAVE BmI RBDUC:I!D BY PAID CLAIMS,
co 'lYPE OF INSURANCE POUCY POUCY POUCY UMITS
LTR 'NllMBBJl BliFECl1VE EXPIIlA~
DATIi DATE
GENERAL UABIUI'Y
A X COMMEftCV... OJOO:RAL LlABILl'1Y
= CLAIMS MADE ~ 0CCIJRllINa
OWN~.,f{'S & CONTRACTORS PROY
-
A
AUTOMonn.rc LIABILITY
ANV AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.oWNED
-
X
-
-
-
X
X
CARACf: 1.IABILfI'Y
-
ANY Aim>
-
A
-
-
EXCESS LIABILITV
UMBIlEllA FORM
OTHtiR 1llAN 11MBRELLA FORM
WORKERS COMPBNSA11ON AND
EMPLOYERS LIABlLrrY
A
X
THJ:: Pl\OPRII:"TORI
-
INCL
PARTNERSIBXECUTIVE - EXa.
OI'PICBRS AIUl:
OTHER
B I--;( Professional Lillbility
i---
GUl83'663~
11'0112001
110 1 ",om
GANJiRAL ACiGREGA TE
PRODUcrsoCOMP!OP
AGGREGAtE
PERSONAL I; AllV INJUl.Y
IiACH OCCURRJ;:NC6
FIRE DAMAGE (Any lllUll1re)
MED EXP (Arly otI8 perwn)
COMUINHD SINGLE LIMIT
BODIL V INJUR.Y
(Per petlOll)
BODILY INJURY
(Per Accident)
PROPERlY DAMAOti
AUTO ONL Y . Jl..\ MlCIDENT $
OTIiER THAN AUTO ONLY
UACH ACClDBNT~ $
ACiGRECiA11! $
$
S
EAOi OCCURlUiWCE
.\O<lllF.QA TE
x I STATUTORY UMITS
IJACH ACCIDENT
DISEASE - POLlCY LIMIT
DISI!.ASE.!ACl1 EMPLOYI!E
$1,000,000 Aggregate
$2.000,000
$2,000,000
$1,000,000
SI,OOO,OOO
$ 100,000
S 5,000
SI,OOO,OOO
S
S
$
, ,
$ 500,000
SI.000.000
$ soa,ooo
DESCRlPTIO~ OF OPERATlONSILOCA TlONSIVEBICLESISI'ECIAL ITUfS
RE: Clienl No, 6349-l-.:nsinm oflQCOl'd Agret.I\'Ienl. City ofCleIllWllar is added IlS an Adllitional fnsumi witlIrospoct to General and AulD Lillbility bul only ",ilh
rcspoct ID services provided by CDM.
CERTIFICATE HOLbO',
Clay oCCle1lrW1IIm
100 S. Myrdo Avenue #220
CIe8rW8lcr, FI. 33756.5520
2S.s (3193)
BAP8J7663J.05
1101/2001
110112002
WClI376633~
Wctl37663~
(CA)
110112001
110112001
110 1/2002
110 112002
QB9800005
110112001
110112002
':'.
, r
" (J ION
SROlUl ANY ot' 1115 ABOVE DIlSCIUII n tANC!iUJlD 1JEF0RI!
TIfll EllI'IL\T1ml D^TIl "tl!lll!OP, TIilllSS1nNG COMI'l\NY 'NIU. iNDIlA \lOll TU
WAlL3lI D^YI WNTTI;N NOTICE TO ntH CEIlTIJIIC"11lItOwEl!. NAMIID 10 11E
-.wr. But .AILtlllE ro MAIL sUCH NOTICE ~ IMPOSB JoiO OBUO"TION OR
WBILlTY 1< ~D UPON TtlI! COMP~J5S AGENTS ~
AIlTII .~p"p:.EJafj,~~vp' -t: A ~.7
'7 'V ""'-
No. 2000-1141