CERTIFICATE OF INSURANCE (3)
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CERTIFICATE OF INSURANCE
IPRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
DATE (MMIDDIYY)
12/27/2002
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.
INSURER A:
INSURERS AFFORDING COVERAGE
National Union Fire Insurance Co. of Pittsburgh, PA
American Home Assurance Company
INSURED
Parsons Engineering Science, Inc.
100 West Walnut Street
Pasadena, CA 91124
INSURER B:
INSURER C:
INSURER D:
ATTACHMENTS (IF ANY) ON SECOND PAGE
INSURER E:
COVElAlil.
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
LTR
POLICY EFFECTIVE
DATE MMlDDNY)
POLICY EXPIRATION
DATE (MMlDDNY
TYPE OFINSURANCE
POLICY NUMBER-
A
GENERAL LIABILITY
~ COMMERCIAL GENERAl LIABILITY
D CLAIMS MADE ~ OCCURRENCE
OWNER'S & CONTRACTOR'S PROT
1/1/2004
GL9332371CLR
1/1/2003
D
D
A
AUTOMOBILE LIABILITY
~ ANY AUTO
~ ALL OWNED AUTOS
~ SCHEDULED AUTOS
~ HIRED AUTOS
~ NON.OWNED AUTOS
D
[J
CA8261265-HI
CA8261267-MA
1/1/2003
1/1/2004
CA8261264 - AOS & CA
CA8261266 - TX
GARAGE LIABILITY
D ANY AUTO
[]
EXCESS LIABILITY
D UMBRELLA FORM
D OTHER THAN UMBRELLA FORM
B
WQRKERS' GOMPENSA TION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! r:Il I I ded
PARTNERS/EXECUTIVE IYJ nc u
OFFICERS ARE: D Excluded
OTHER
PROFESSIONAL LIABILITY
1/1/2004
WC7085553 -ADS
WC7085552 - CA
1/1/2003
1/1/2004
A
GL933 2370E
1/1/2003
DESCRIPTION OF OPERA TIONSlLOCA TIONSlVEHICLESlRESTRICTIONS/SPECIAL ITEMS
Re: PES-Tampa - Professional Services.
See attached Additonailnsured (ops), Contractual Liability (con), and Notice of Cancellation (30) clauses.
LIMITS (IN THOUSANDS)
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)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
500
500
500
~ ..i"CR~T~~~,:S [} OTHER
E.L. EACH ACCIDENT $
E.L. DISEASE - POLICY LIMIT $
E.L. DISEASE - EA EMPLOYEE $
1000
1,000
1,000
1,000
1,000
EACH CLAIM
AGGREGATE
PES 220
2196
City of Clearwater
City Engineers, Attn: Alice Eckman
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 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
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 ofthEwamedinsured'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).