CERTIFICATE OF LIABILITY INSURANCE (18)
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ACORD..
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.
PRODUCER
Aon Risk Services, Inc of So CA Insurance Service
707 Wilshire Boulevard
Suite 6000
Los. Angeles CA 90017~0460 USA
PHONE. 866 283-7122
FAX- 847 953-5390
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Parsons Engineering science, Inc.
100 West walnut Street
pasadena CA 91124 USA
INSURER A: National union Fi re Ins Co of pittsburgh 19445
INSURERB: American Home. Assurance Co. 19380
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INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRlBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MA Y HAVE BEEN REDUCED BY PAID CLAIMS.
INSR D
LTR INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIV POLICY EXPIRA nON
DATE(MMlDDIYY) DATE(MMlDDIYY)
01/01/06 01/01/07
LIMITS
A ~=~ GL1656079
X COMMERCIAL GENERAL LIABILITY PES
X CLAIMS MADE 0 OCCUR
X professional Liability
GEN'L AGGREGATE LIMIT APPLIES PER:
~ POLICY D PRO- D LOC
JECT
A AUTOMOBILE LIABILITY AL8262226
ANY AUTO AOS
B AL8262225
ALL OWNED AUTOS MA
A SCHEDULED AUTOS AL8262224
TX
HIRED AUTOS
NON OWNED AUTOS
EACH OCCURRENCE
$1,500,000
DAMAGE TO RENTED
PREMISES (Ea occurence)
ny one person
GENERAL AGGREGATE
$3,000,000
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PERSONAL & ADV INJURY
PRODUCTS.COMWOPAGG
01/01/06
01/01/07
01/01/07
01/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
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01/01/06
01/01/06
BODILY INJURY
( Per pe!>on)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
B ANY AUTO
EXCESS /UMBRELLA LIABILITY
D OCCUR D CLAIMS MADE
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTOONLY:
EA ACC
AGG
EACH OCCURRENCE
AGGREGATE
BDEDUCTIBLE
RETENTION
B
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:~~::~?~~~~~~ON AND AOS
wc1357489
ANY PROPRIETOR / PARTNER / EXECUTIVE CA
OFFICER/MEMBER EXCLUDED? WC1357959
If yes, describe under SPECIAL PROVISIONS FL & OR
below
01/01/06
01/01/06
01/01/07
B
B
01/01/07
EL. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
$1,000,000 _
$1,000,000 =
$1,000,000 iiii
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DESCRIPTION OF OPERA TIONSlLOCA TIONSNEillCLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: PES-Tampa - professional Services. See attached Additonal Insured, Contractual Liability and Notice of
cancellation clauses.
City of Clearwater
Engineering Department, Suite 220
PO Box 4748
cl earwater FL 33758-4748. USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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INSURED
Parsons Engineering Science, Inc.
100 West walnut Street
pasadena CA 91124 USA
SPECIAL CLAUSES
Additional Insured:
Except as respects workers' compensation and professional liability Coverage 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
policy(ies), the Certificate Holder shall be given thirty (30) days prior written notice.
10-day written notice of cancellation for non-payment of premium.
Contractual liability:
General liability includes Contractual liability (insurance is available only to the extent
provided by the. policy).
Certificate No :
570016324956