CERTIFICATE OF INSURANCE WITH SPECIAL CLAUSES
PRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
CODE SUB-CODE
INSURED
Parsons Engineering Science, Inc.
100 West Walnut Street
Pasadena, CA 91124
ISSUE DATE (MM/DDNY)
12/27/1999
THIS CERTIFICATE IS ISSUED ASA 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
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 0
COMPANY E ATTACHMENTS (IF ANY) ON SECOND PAGE
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOT'iVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrTH 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
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A
GENERAL LIABILITY
~ COMMERCIAL GENERAL LIABILITY
D CLAIMS MADE ~ OCCURRENCE
DOWNERS & CONTRACTORS PROTECTIVE
RMGL933 0783CLR
B
D
D----
AUTOMOBILE LIABILITY
~ ANY AUTO
~ ALL OWNED AUTOS
~ SCHEDULED AUTOS
~ HIRED AUTOS
~ NON-OWNED AUTOS
o GARAGE LIABILITY
D
EXCESS LIABILITY
BUA 188900387
BUA 188899435- TX
D UMBRELLA FORM
D OTHER THAN UMBRELLA FORM
B
01/01/2000
GENERAL AGGREGATE
PRODUCTS-COMP/OPS AGGREGATE
500
01/01/2001
$
$
$
$
$
$
500
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE DAMAGE (ANY ONE FIRE)
MEDICAL EXPENSE (ANY ONE PERSON)
01/01/2000
01/01/2001
500
CSL
BODILY INJURY
(PER PERSON)
BODILY INJURY
(PER ACCIDENT)
PROPERTY DAMAGE
01/0172001
EACH
OCCURRENCE
AGGREGATE
$
$
$
&T.~TUT0RY
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
WC188900355--- .01701/2000
WC188900339-WI,OR&NV
$
$
$
1,000 (EACH ACCIDENT)
1,000 (DISEASE POLICY LIMIT)
1,000 (DISEASE EACH EMPLOYEE)
A
OTHER
PROFESSIONAL LIABILITY
RMGLCM933 0782E
01/01/2000
1,000
1,000
EACH CLAIM
AGGREGATE
01/01/2001
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS:
Re: PES-Tampa - Professional SeNices.
See attached AdditonallnslJred (ops), Contractual Liability (con), and Notice of Cancellation (30) clauses.
;:CERTlFlCATE HOLDER
City of Clearwater
City Engineers
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
Attn: Ms. Mashid Arasgeh
iACQ~lf~52S(~181!1) ii.
PES 220
2196
CANCELLATI(!)N:;l .i
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
@ACORDC~~Ii'OAAflil>Ni1988
,
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).