CERTIFICATE OF INSURANCE (25)
JAN-03-2005 17:23 AON
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877 528 1656 28
P.02/03
THIS CERTIFlCATE 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.
PRODUCER
Aon Risk Services, Inc. of Southern Califomia
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
INSURED
Parsons Engineering Science, Inc.
100 West Walnut Street
Pasadena, CA 91124
INSURER A:
INSURERS AFFORDING COVERAGE
INSURER B:
National Union Fire Insurance Co. of Pittsburgh, PA
American Home Assurance Company
i~~~~(:;~~>,: .,>: . ..::..;.: :i<.<';::...> ... ."::" '...,. ............... .............. ....... .. ................. ............
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 !FFECllVI!
L TR DATE (MIMlOIYYJ
INSURER c:
INSURER 0:
INSURER E:
POlICY ElCPIRA liON
DA~ (MMlDO/YV
A
GENERAL LlASlUTY
~ COMMERCIAL GENERAL LIABILITY
~ CLAIMS MADE 0 OCCURRENCE
[] OWNER'S & CONTRACTOR'S PROT
D
D
GL 7039509PES
0110112005
01/01/2006
A
AUTOMOBILE LIABILITY
~ ANY AUTO
~ ALL OWNED AUTOS
~ SCHEDULED AUTOS
~ HIRED AUTOS
~ NO~OWNED AUTOS
D
D
CA8261946 . AOS
CA8261947 . TX
01/01/2005
01/0112006
CA8261948. MA
GARAGE LIABILITY
D ""Y AUTO
D
o
B
EXCESS LIABILITY
o UMBRELlA FORM
DOTtIER THAN UMBRELlA FOlIM
WORKERS' COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! [II
PARTNERSJEXEOUT1VE ~ Included
OFFICERS ARE: D. Excluded
OTHER
PROFESSIONAL LIABILITY
GL7039509A
01/0112005
01/01/2006
WC7169963 . AOS
WC7169964 - CA
01101/2005
01101/2006
A
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlRESTRICTlONSlSPECIAL ITEMS
Re: PES-Tampa - Professional Services.
See attached Addilonallnsured, Contractual Uability and Notice of Cancelation cfauses,
LIMITS (IN THOUSANDS)
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & AOV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any One Fire) $
500
500
MED EXP (Any One Person) $
COMBINED SINGLE LIMIT $ 500
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY, .
EACH ACCIDENT $
AGGGREGATE $'
EACH QCCURRENCE $
AGGREGATE $
$
i~ WC STATU. o OTHER />........ '}
TORY LIMITS
E,L. EACH ACCIDENT $ 1,000
E.L. DISEASE - POLICY LIMIT $ 1,000
E,L, DISEASE - EA EMPLOYEE $ 1,000
1,000 EACH CLAIM
1,000 AGGREGATE
PES 220 2196
CERtIFIC;\:t~~pbg~R.. .....} ........ ... .
City of Clearwater
Engineering Department. Suite 220
PO Box 4748
Clearwater, FL 33758-4748
~1li!l..tAim().,<: c..,.,.,>.,., <T. ... ........ ..
SHOUlD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION DATE
THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN NQTICE 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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JAN-03-2005 17:24
AON
877 528 1656 28 P.03/03
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SPECIAL CLAUSES ATTACHING TO CERTIFICATE OF INSURANCE
(ACORD FORM 25-S)
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--.. ..-_.. .~----_. ------.., ._-~,-- ..---.....---....--....----.' -~_._,
__,.'.____. ,__ ,,_ ..,__.".,...__,,_._~".~_...,__."___.._.__..,.___ .._____._.__._,..__"_,_______~__"._'__,.". .____._ ______H.____......._____.'..
Certificate Holder:
City of Clearwater
Engineering Department, Suite 220
PO Box 4748
Clearwater, FL 33758-4748
Additional Insured:
PES 220
2196
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:
It is agreed that, in the event of cancellation or material change in the aforementioned poIicy(Ies). the Certificate Holder shall be given thirty (30) days
prior written notice.
Contractual Liability:
General Liability includes Contractual liability (insurance is available only to the extent provided by the policy).
TOTAL P.03