CERTIFICATE OF LIABILITY INSURANCE (45)
A4I~4I..t..~
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YY)
12/26/2006
PRODUCER
Aon Risk Services, Inc. of Sourthern California
707 Wilshire Blvd., Suite 6000
Los Angeles, CA 90017
(213) 630-3200
INSURED
Parsons Water and Infrastructure Inc.
100 West Walnut Street
Pasadena,CA 91124
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.
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: National Union Fire InsCo of PA
INSURER B: American Home Assurance Co.
INSURER C:
INSURER D:
INSURER E:
51908
19380
. "'i""".""'.' . .. '. ',ilti",../,'r::.'''i:''
!iCOVERAG.~::i,:,:rii!. '
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AOD'L
L TR INSRD
TYPE OF INSURANCE
A
D GENERAL LIABILITY
~ COMMERCIAL GENERAL LIABILITY
D CLAIMS MADE ~ OCCURRENCE
D
A
GEN'L AGGREGATE LIMIT APPLIES PER
~ POLICY n PROJECT n LOC
D AUTOMOBILE LIABILITY
~ ANY AUTO
I~J ALL OWNED AUTOS
Ii'! SCHEDULED AUTOS
Ii'! HIRED AUTOS
~ NON OWNED AUTOS
D
D
B
D GARAGE LIABILITY
[J ANY AUTO
D
o
EXCESS /UMBRELLA LIABILITY
D OCCUR
o DEDUCTIBLE
D RETENTION
CLAIMS MADE
B
B
B
WORKERS' COMPENSATION AND
EMPLOYERS' UABllITY
ANY PROPRIETOR I PARTNER I EXECUTIVE
OFFICERlMEMBER EXCLUDED?
If Yes, describe under SPECIAL PROVISIONS below
OTHER
A Professional Liability
B Workers' Camp/Employers' Liability
B Workers' Camp/Employers' Liability
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDlYY) DATE (MMlDDlYY
500,000
LIMITS
$
$
$
$
$
$
GL 1794616
1/1/2007
1/1/2008
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
500,000
CA8262562 - AOS
1/1/2007
1/1/2008
COMBINED SINGLE LIMIT
(Ea accident)
$
500,000
CA8262561 - MA
BODILY INJURY
(Per person)
$
1/1/2007
1/1/2008
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
$
$
$
$
$
$
AUTO ONLY - EA ACCIDENT
EA
ACC
AGG
OTHER THAN
AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
WC7180725 - AOS
WC7180716 - CA
WC7180724 - FL
~ ~gR~T~~~,:S 0 OTHER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
LLDISEASE, - POJJCY L1MIT- $
1,000,000
1,000,000
-- - ,,000,000 --
1/1/2007
1/1/2007
1/1/2007
1/1/2008
1/1/2008
1/1/2008
GL 1794615U
WC7180718 - OR
WC7180717 - WI
1/1/2008
1/1/2008
1/1/2008
Each Claim $1,000,000 Aggregate $1,000,000
Limit $1,000,000
Limit $1,000,000
1/1/2007
1/1/2007
1/1/2007
DESCRIPTION OF OPERATlONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS PWI / 531 suffix CC 163257
Re: Job #s 742788, 741628, 260135, 260007, 260004, 743775, 743462, 743687, 260107, 260132/ Professional Engineering Services. See attached
Additional Insured and Notice of Cancellation Clauses. .- .d____ -
:'elft;ftf1eA,....'.'''li6!;~Si_'o .
,. ,..!'1'f! . _, .,:~....Ill~, ,.
City of Clearwater
Attn: Ms. Dina Katsougrakis
P.O. Box 4748
Clearwater, FL 33758-4748
~
o
10
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~~:p:eRD 2SI;,SIIEOI:ALOL.:1
liNSURANCE
Td.(:ERJIFICA fe'OF
":i:':' , ,
PRODUCER
Aon Risk Services, Inc; of Sourthern California
707 Wilshire Blvd., Suite 6000
Los Angeles, CA 90017
(213) 630-3200
INSURED
Parsons Water and Infrastructure Inc.
100 West Walnut Street
Pasadena,CA 91124
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the
coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the
olic .
Except as respects Workers' Compensation and Professional Liability 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.
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.
City of Clearwater
Attn: Ms. Dina Katsougrakis
P.O. Box 4748
Clearwater, FL 33758-4748
Aon Risk Services, Inc.
12/26/2006
)!Ion ~.r.tSl!1'Vi~ Inc. ofSourJiem California
I nsuran<< S l!1'Vic-e.s
163257