CERTIFICATE OF INSURANCE (2)
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CERTIFICATE OF INSURANCE
PRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
INSURED
Parsons Engineering Science, Inc.
100 West Walnut Street
Pasadena, CA 91124
DATE (MMIDDIYY)
12/31/2001
THIS CERTIFICATE IS ISSUED AS A MA TIER 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 B
National Union Fire Insurance Co. of Pittsburgh, PA
American Home Assurance Company
INSURER A:
INSURER c:
INSURER D:
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 MAY BE 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.
co TYPE OF INSURANCE POLICY NUMBER POliCY EFFECTIVE
l TR DATE (MMIDDIYY)
A
GENERAL LIABILITY
[~ COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCURRENCE
OWNER'S & CONTRACTOR'S PROT
POLICY EXPIRATION
DATE (MMlDDNY
RMGL933 1841 CLR
1/1/2003
LIMITS (IN THOUSANDS)
500
;CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 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
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
1/1/2002
[]
[0]
FIRE DAMAGE (Any One Fire)
MED EXP (Any One Person) $
A
AUTOMOBILE LIABILITY
r;(1 ANY AUTO
[,(1 ALL OWNED AUTOS
[~I SCHEDULED AUTOS
~l HIRED AUTOS
~I NON.OWNED AUTOS
BODILY INJURY
(Per accident)
CA 826-10-24 - ADS
CA 826-10-25 - Texas
1/1/2002
1/1/2003
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGGREGATE
EACH OCCURRENCE
AGGREGATE
[J
EXCESS LIABILITY
[.I UMBRELLA FORM
[J OTHER THAN UMBRELLA FORM
B
WORKERS' COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! ~ Included
PARTNERS/EXECUTIVE
OFFICERS ARE: D Excluded
OTHER
PROFESSIONAL LIABILITY
1/1/2003
WC708-49-96 - ADS
1/1/2003
~ ~;R~T~~~,:S
E.L. EACH ACCIDENT
E. L. DISEASE - POLICY LIMIT
EL. DISEASE - EA EMPLOYEE
1/1/2002
WC708-49-95 - CA
A
1,000
1,000
EACH CLAIM
AGGREGATE
RMGL933 1836E
1/1/2002
DESCRIPTION OF OPERA TIONS/LOCA T10NSNEHICLESlRESTRICTIONSlSPECIAL ITEMS
Re: PES-Tampa - Professional Services.
See attached Additonallnsured (ops), Contractual Liability (con), and Notice of Cancellation (30) dauses.
Cea17If\ICATE':HOLoe:a"
City of Clearwater
City Engineers, Attn: Alice Eckman
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
~
$
$
$
$
$
500
$
500
$
$
$
OTHER
$
$
$
1,000
1,000
1,000
PES 220
2196
SPECIAL CLAUSES ATTACHING TO CERTIFICATE OF INSURANCE
(ACORD FORM 25-S)
Certificate Holder:
City of Clearwater
City Engineers, Attn: Alice Eckman
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
PES 220
2196
Additional Insured (OPS):
Except as respects Workers' Compensation and solely as respects work performed by the named insured, the Certificate Holder is included as an
additional insured but only to the extent of the named insured's negligence.
Cancellation Notice (NOC):
It is agreed that, in the event of cancellation or material change in the aforementioned policy(ies), the Certificate Holder shall be given thirty (30) days
prior written notice.
Contractual Liability (CON):
General Liability includes Contractual Liability (insurance is available only to the extent provided by the policy).