CERTIFICATE OF INSURANCE (12)
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CERTIFICATE OF INSURANCE
DATE (MMlDDNY)
12/31/2003
~
PRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
INSURED
Parsons Water and Infrastructure Inc.
100 West Walnut Street
Pasadena, CA 91124
THIS CERTIFICATE IS ISSUED AS A MATTER.OF INFORMATION ONLY AND CONFERS NO RIGHTS
UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A:
National Union Fire Insurance Co. of Pittsburgh, PA
American Home Assurance Company
INSURER B:
INSURER C:
INSURER 0;
INSURER E;
ATTACHMENTS (IF ANY) ON SECOND PAGE
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH
POLICIES, THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .
LCTRO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS (IN THOUSANDS)
DATE (MMIODJYY) DATE (MMIODIYY
A
GENERAL LIABILITY
~ COMMERCIAL GENERAL LIABILITY
o CLAIMS MADE ~ OCCURRENCE
DOWNER'S & CONTRACTOR'S PROT
o
o
GL933 2980
01/01/2004
01/01/2005
GENERAL AGGREGATE $
PRODUCTS '- COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any One Fire) $
MED EXP (Any One Person) $
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
500
500
A
AUTOMOBILE LIABILITY
~ ANY AUTO
~ ALL OWNED AUTOS
~ SCHEDULED AUTOS
~ HIRED AUTOS
~ NON.OWNED AUTOS
o
o
CA8261603 - ADS
CA8261604 - TX
01/01/2004
01/01/2005
500
CA8261605 - MA
CA8261606 - VA
PROPERTY DAMAGE
$
GARAGE LIABILITY
o ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGGREGATE
EACH OCCURRENCE
AGGREGATE
1,000
1,000
1,000
B
o
o
EXCESS LIABILITY
o UMBRELLA FORM
o OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! [I]
PARTNERS/EXECUTIVE ~ Included
OFFICERS ARE: 0 Excluded
OTHER
PROFESSIONAL LIABILITY
WC6436138 - AOS
01/01/2004
01/01/2005
~ ~~R~T~~~.;S 0 OTHER
E.L. EACH ACCIDENT
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
WC6436137 - CA
A
GL933 2979PWI
01/01/2004
01/01/2005
1,000
1,000
EACH CLAIM
AGGREGATE
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City of Clearwater
Attn: Ms. Dina Katsougrakis
P.O. Box 4748
Clearwater, FL 33758-4748
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PWI531
9325
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONSlSPECIAL ITEMS
Re: Professional Engineering Services. See attached Additional Insured and Notice of Cancellation
SHOULD ANY OF CED BEFORE THE EXPIRATION DATE
THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~~
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