CERTIFICATE OF LIABILITY INSURANCE - PROPOSAL 49487CERTIFICATE OFUABILITY I....NSURANCE . --" i 2 MWDIVYYYY)
I 1 20 7 1/'7/ 201 5
. ................... . ....... . ..................... . ........ , . ............
THIS CEIRTIRICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS, NO R*Frrs UPON THE CER,rIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ExrEND OR ALTER ll-AE COVERAGE AFFORDED BY THE PollUCIES
BELOW. THIS CERTIFICATE OF MSURANCE DOES N 'r CONSSflTUTE A CONTRACT BETWEEN THE ISSUING INSURER(s), AUTHORIZED
REPRIESENIATIVE OR PRODUCER, AND THE CERTIFICATE IF1OL DER,
IMPOIRTANT If 0e cerfificake ImWer Is an ADENTIONAq INSURED, flie poficy(�es) "imm be endorserl If SUBROGUION IS WAIVED, subjeck to
the hems and cundftiIctrus of the poficy, cvtaM ImllkJes In,,jiy requke an emidwsement A MatwineM on this ceirflficate dwm not confer hqhls Io lhe
cerflhicMe hchde� in heu c4 such endwsement(s)
PRODUCER LockIon, Imsur,,.anics.,, , BrckAeirs,
,;r 25 G Figueroa Simel, 35t R
CA Ucense, #01F 15767
Los Pmqek��s (Z�A 90017
(2 t '13) 6,814- 00,65
04SURED AECOM
075(5-12 AECOM lechinl cial Sarvices, (nc
10990 Wflshirc,,' BIM.L, Gk.-� 1500
Los Angeles ,,,A �)W,24
NSURERA. 1*10, SUF
INSURER 8
INSURER C
COVERAGES A.11 VITO CC TWICATE IhIUM BER 1600599
REVISION NIJMBER� XXXXXXX
'j"F,
NA➢S IS 10 CEIRTlIFY TFIA F I OF INSURANCE 1-3
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[) OR � HE POLICY PERIOD
INDH.'A rED r,,IOTWITHSTANDING� ANN Y REOLAREMENT, I ERM ORGOND11 ION
OF ,ANY (,'O C1 RAUOR ort-IER DOCUMENT W177 RESPEC] 10 WFIK H TFUS
CERIIFICAlE MAYBE lS$I,K-.D OR MAY FlIERIAIN, THE INSWvWJCIE AFF(.PRE)ED
BY "IFIE POLICIES DESCIRMED HEREIN I,; SLMJlE-C,l TO ALL 11 w 11-IRMS,
EXC,'LUSIONS AND C,'01',lDIl'I0NS OF SUCH POLK.AES IM US SHOWN MAY
HA... WI BEEN REDUCED BY PAID CLAIMS
Mw I YPE OF INISURANCE POLICY NUMBER
............................. "J1,111"T'"Irl's
CCDhyRV ERC IAIi. GENERAL UAWLITY
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EACH 0�-'URRENCF XXXXXXX
EXCE95 UAB N101 l\P11lA'ABIl
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AGGREGAI $ XXXXXXX
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AND EMI"� 0YERS'LlASJllJTY F 1: All'A(l I F, A('C)RU� I SA'ri TII rA
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L LL, j," 1000,000
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DESCMPrION OF OH"IRAIIIONS t LOCATIONS d VEHICLES ACORD '101, AddifionM
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Remairks Scheduki, may be Mtachiad ff more share Is reqkfired�
apphc�� fwr aUaclwd mdOl R"- FX, ll9 {ujrxl,'a1 44948-7
Cleimvat�q'
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SHOULD ANY of rHE ABOVE DESCRIBED BE." FORE
THE EXPIRAIION DATE 1HEREOF, NOTICE WNA BE DEUIVERED IN
ACCORDANCE mm rHE POLICY PROV0ONS,
3600599
ABdT `RRC'N1;1"kEbarFl7ESIFN1AY'I' La:
City of ClearovaV,,r
Alln Prc'��ed Manage,
0 Brix 4 iA 8
C�earvvater F L 337 58-4 748
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C� 4 RF�ORNT'ION,A�l1rig�itsI�es�erved
The ACORD rorne and Iogo are, rvgswred irnarks of ACORD
MKOhneous AtRwhmort : N450302
Nlaovr ME 1075642. Cwhiume HT 3600599
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MKOhneous AtRwhmort : N450302
Nlaovr ME 1075642. Cwhiume HT 3600599
T141S PLF,ASE R1," AD ITCARE'FULL)'%
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Wnsumr numns IN "mm" c omq"q Am" m Gm hwK �w fli� �nkmiiml,,m PAp, dill, pi,hc',
WC 99 00 58
(Ed. 04/1 f)
Altadiment Code :D46f 827
Master 11): KY75642, Cerfificale 11) 3(w0059a,)