CERTIFICATE OF INSURANCE & SPECIAL CLAUSES
. "PRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
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
CODE
INSURED
SUB.CODE
COMPANIES AFFORDING COVERAGE
COMPANY
lETTER A National Union Fire Insurance Co. of Pittsburgh, PA
COMPANY
LETTER B Continental Casualty Company
COMPANY C
LETTER
COMPANY
LETTER D
COMPANY E ATTACHMENTS (IF ANY) ON SECOND PAGE
lETTER
Parsons Engineering Science, Inc.
100 West Walnut Street
Pasadena, CA 91124
THIS IS TO CERTIFY THAT 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 POLICY EXPIRATION ALL LIMITS IN THOUSANDS
L TR DATE (MM/DDIYY) DATE (MM/DDIYY)
A
GENERAL LIABILITY
~ COMMERCIAL GENERAL LIABILITY
r- CLAIMS MADE ~ OCCURRENCE
OWNERS & CONTRACTORS PROTECTIVE
RMGL6122522CLR
1/ 1/99
1/1/2000
GENERAL AGGREGATE
PRODUCTS-COMP/OPS AGGREGATE
$
$
$
$
$
$
500
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
500
-,
_I
FIRE DAMAGE (ANY ONE FIRE)
MEDICAL EXPENSE (ANY ONE PERSON)
B
AUTOMOBILE LIABILITY
~! ANY AUTO
~ ALL OWNED AUTOS
J~ SCHEDULED AUTOS
ii'! HIRED AUTOS
~ NON.OWNED AUTOS
D GARAGE LIABILITY
BUA 188900387
BUA 188899435- TX
1/1/99
1/1/2000
CSL
500
BODilY INJURY
(PER PERSON)
BODilY INJURY
(PER ACCIDENT)
PROPERTY DAMAGE
EXCESS LIABILITY
EACH
OCCURRENCE
$
AGGREGATE
il UMBRELLA FORM
D OTHER THAN UMBRELLA FORM
$
B
WORKERS' COMPENSATION WC188900356 1/1/99 1/1/2000
AND WC 188900339- WI & OR $
EMPLOYERS' LIABILITY $
$
OTHER RMGLCM6122521E 1/1/99 1/1/2000 1,000
PROFESSIONAL LIABILITY
1,000
1,000 (EACH ACCIDENT)
1,000 (DISEASE POLICY LIMIT)
1,000 (DISEASE EACH EMPLOYEE)
A
EACH CLAIM
AGGREGATE
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS:
PES 220
2196
Re: PES.Tampa . Professional Services.
See attached Additonallnsured (ops), Contractual Liability (con), and Notice of Cancellation (30) clauses.
City of Clearwater
City Engineers
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
CANCELLf. TIO~l-
SHOULD ANY OF rrHE ABOVE DESCRIBED POliCIES BE CANCELLED BEFORE THE
EXPIRATION DATE TH~REOF".T' 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
~I;B'FIFICATEIHOLO.eR
~ ,
...
,
I
I
------------..-...-. ----- ~".,. - .---.-.-.'" ---."..------.....------....-
SPECIAL CLAUSES ATTACHING TO CERTIFICATE OF INSURANCE
(ACORD FORM 25-S)
Certificate Holder:
City of Clearwater
City Engineers
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 except for non-payment of premium, ten (10) days prior notice shall be provided.
Contractual Liability (CON):
General Liability includes Contractual Liability (insurance is available only to the extent provided by the policy).