CERTIFICATE OF INSURANCE WITH SPECIAL CLAUSES (2)
-.
01~04/01 THU 11:28 FAX 213 689 9223
AON RISK SERVICESL
141 002
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"'ClCfti"I;nl' .. :;:ATE..".",ml!;""I'.lalJ'" .1!I.iiAN" ., .<.'"...." """,,"""'.. ISSUEDATE(MMIDDIYY)
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GENERAL LIABIUJY
~ COUIIERCIAI._IJA8IUTY
DtlAI"sMADl! ~~E
o OM\I!RS & CON1RACTOR8 PIIO'TECTIYE
o
n
AUTOMOBILE LIABILITY
~ IHY AUTO
~ ALl. 0\M>lE0 AUl'08
~ SCHIDUWl AIIT08
~ IllUiDAlITOIl
~ NOHoOYINED Al1T06
o GARAGE LlA8lLnY
LJ
EXCESS LIABILITY
BUA246135412 - AOS
BUA246135443. Texas
PRODUCER
AIm 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
THIS CERTlFICATE IS ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EX19D OR ALTB TlE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
-
LET1ER A National Union Fire Insurance Co. of Pittsburgh, PA
IXJI/PNtr
LET1ER B Continental Casualty Company
CON6'IHY C
a.-T1BI
COIIf'Nt(
LmER 0 American Casualty Company of Reading, Penn sylva
CCMI'_ E A IT ACHMENTS (IF ANY) ON SECOND PAGE
l.!TTl!R
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY. PERIOD
INDICATED. NOlWTHSTAHDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V\ftTH RESPECT TO WHICH THIS
CERT1FICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDmONS OF SUCH POlICES. TIE UMITS SHQINil MAY HAVE B REDUCED BY PAID ClAIMS.
co TYPE OF INSURANCE POLICY NUMBER POUCYEfFECIlVE POUCVElCPIIATlClN ALL LIMITS IN THOUSANDS
LTR DATE DilTE
RMGl933 1332ClR
B
o UUIlRIUA!'OR"
o cmteR TIWllA8llELLA fOAU
o
WORKERS' COMPENSATION
AND
EMPLOYERS' LIASLITY
WC246135393 . AOS
WC246135362. WI & OR
1/112001
__TE
PR~AGG_TE
~ &ADIIl:RT_.-
liOO
A
OllER
PROFESSIONAl UABl.ITY
RMGLCM9331331E
FIRE llAUAClE f/IH'f OlE I'R!l
UEDICIoL ElCPEN8E /IIH'f ON! PER8IlN)
S
$
$
S
S
$
500
1/112002
EACH OC:CU'UEI/CE
1/112001
11112002
!l00
ClL
80llL V IM.Il.RY
CPI!R PEJIlSClft
IlCIlI. V INJURY
CPER ACClDENTl
PROPERTV IlAIMllE
1/112001
EACH AGGREGATE
OCCURRENCE
$ $
1 /112002
111/2001
$ 1,000 (Eo\CH ACCIISfl)
S 1,000 (lllllEA8E POUCV LMl)
$ 1,000 (lll8l!AlII EACH 1UPL0YEEj
1,000 EACH CLAIM
1,000 AGGREGATE
1/112002
DESCRPTlON OF OPERATIONSlLOCATIONSNEHIClESIRESTRICTIONSICIAl. rrEIS:
Re: PES- Tempe. Prof8ulonel SeMces.
Seeellac:hed AckIleonellnSUJed (ope), Contradu8I Uebily (can),1IId Notice of CanceIIIlIan (30) deueea.
':~$fIQ~.""
City of Clearwater
City Engineers. Attn: Alice Eckman
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
il;Uilf';I:!~!: 1:;::~~ ::i:i! ;~!: :;:~:~; !~r!;~~; ~ ~:(j:~! ~ ~~: j [~1: ~~~i rl:: :: :~ [;~~!j~;~;:~:!~~:~;\~~;~ ~ :7=~-~; ~r;. ~
PES 220
2188
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,:{.;. SHOULD NlY Of THE ABOVE DESCRIBED POlICIES BE CANCElLED BEFORE THE
~::!::;i: EXPIRATION ~TE THEREOF, THE ISSUING COfIPNlY \'W.L ENDEAVOR TO MAIL
I:;:,!! ..1!L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlDER NAMED TO THE LEFT.
ii;'.: BUT FAILURE TO MAIL SUCH NOTICE SHALL M'OSE NO OBLIGATION OR LIABILITY
m:::ii' OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ii.j,[:j!i AUTHORflED REPRESENTATNE ~
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01/04/0! THU 11:29 FAX 213 689 9223
AON RISK SERVICESL
IaI 003
I
I
SPECIAL CLAUSES AITACHING TO CERTIFICATE OF INSURANCE
(ACORD FORM 25..8)
Certificate Holder.
City of Clearwater
City Engineers, Attn: Alice Eckman
100 S. Myrtle Avenue, 2nd Floor
Clearwater, FL 33756-5520
PES 220
2198
Additional Insured (OPS):
Except as respects Workers' Compensation and solely as respects wor1t performed by the named insured, !he Certificate Holder is included as an
additional Insured but only to the extent of the named Insured's negligence.
Cancellation Notice (HOC):
It is agreed that, in the ewnt of cancellation or rnateriaI change In the aforementioned poIlcy(1es), the CertIfIcate Holder shaH be given thirty (30) days
prior written notice,
Contractual liability (CON):
General liability includes Contractual Uablllty (Insul'8nc8 Is available only to the extent provlded by the polley).