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CERTIFICATE OF LIABILITY INSURANCE (69) 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 INSURED Parsons Water and Infrastructure Inc. 100 West walnut Street pasadenaCA 91124 USA 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 Fi re Ins Co of pittsburgh 19445 INSURERB American Home Assurance Co. 19380 INSURERC Insurance Company of the State of PA 19429 INSURER D: INSURER E: TIIE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO TIIE INSURED NAMED ABOVE FOR TIIE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WI1H RESPECT TO WInCH TIllS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY TIIE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL TIIE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' LTR INS TYPE OF INSURANCE POLICY NUMBER A ~~~ GL1617378 X COMMERCIAL GENERAL LIABILITY AOS A GL1617380 X . CLAIMS MADE D OCCUR FL A X profess; ona 1 L; ab; 1 ; t:y GL1617381 OR A GL1617382 1)( GEN'L AGGREGATE LIMIT APPLIES PER: ~ POLICY o PRO- 0 LOC JECT A AUTOMOBILE LIABILITY CA826292S ANY AUTO AOS B CA8262929 ALL OWNED AUTOS MA SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY B ANY AUTO EXCESS /UMBRELLA LIABILITY D OCCUR D CLAIMS MADE . DD~DUCT~LE DRETENTION c wc WORKERS COMPENSA nON AND EMPLOYERS' LIABILITY AOS WC1593648 ANY PROPRIETOR / PARTNER / EXECUTIVE CA OFFICERlMEMBER EXCLUDED? WC1593651 If yes, describe under SPECIAL PROVISIONS FL below c c OTHER POLICY EFFE DA TE(MM\DDlYY) 01/01/08 POLICY EXPIRATION DATE(MM\DDIYY) 01/01/09 01/01/08 01/01/08 01/01/08 01/01/09 01/01/09 01/01/09 01/01/08 01/01/09 01/01/09 01/01/08 01/01/08 01/01/08 01/01/09 01/01/09 DESCRIPTION OF OPERATIONSlLOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: JOb #260283, Contract #.: WEA30106009, Kapok Restoration PM services. See primary Insurance, waiver of subrogation and severability of Interest clauses. *10-day cancellation notice for non-payment of premium .. ~ &;: :c r:l ~ "CI .... .. ~ "CI C == LIMITS EACH OCCURRENCE $1,500,000 N ..-t co co r-. m 1.0 N o o r-. '" PERSONAL & ADV INJURY GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ~ .a .- .. &;: i ~ u BODILY INJURY ( Per person) BODILY INJURY (per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EA ACC AGG EACH OCCURRENCE AGGREGATE X $1,000,000 = $1,000,000 == $1,000,000 _ ..z- : ~ R.,.. ~ ~ ~ ~ ~ ~ i.::i ~ ~ ICa.I ~ ;ai ~ - E.L. EACH ACCIDENT EL. DISEASE-EA EMPLOYEE EL. DISEASE-POLICY LIMIT attached Additional Insured, City of clearwater Attn: Kathy Bedini PO Box 4748 clearwater FL 33758-4748 USA SHOUW ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRI1TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TIlE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTIlORIZED REPRESENTATIVE Attachment to ACORD Certificate for Parsons Water and Infrastructure Inc. 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 policy. INSURER INSURED parsons water and Infrastructure Inc. 100 West walnut Street Pasadena CA 91124 USA INSURER INSURER INSURER ADDITIONAL POLICIES INSURER If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. ADD'L POLICY NUMBER POLICY POLICY INSR INSRD TYPE OF INSURANCE POLICY DESCRIPTION EFFECTIVE EXPIRATION LIMITS LTR DATE DATE WORKERS COMPENSATION WC1593650 01/01/08 01/01/09 C OR WC1593649 01/01/08 01/01/09 C WI WC1593652 01/01/08 01/01/09 C TX DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate No : 570026378812 INSURED Parsons Water and Infrastructure Inc. 100 West walnut Street pasadena CA 91124 USA SPECIAL CLAUSES Additional Insured: Except as respects workers' compensation and professional Liability covera~e and solely as respects work performed by the named insured, the The City of clearwater, lts council, the community Redevelopment Agency, its officers, employees, volunteers, representatives, and agents are included as an additional insured but only to the extent of the named insured's negligence. primary Insurance: where required by contract and where applicable, the insurance evidenced herein is primary and non-contributing to valid and collectible coverage maintained by the Certificate Holder. waiver of subrogation: Except as respects workers' compensation and solely as respects work performed by the named insured, the company(ies) agree to waive all rights of subrogation, where required by contract entered into prior to loss, against the certificate Holder. Severability of Interest: Except as respects workers' Compensation and Professional Liability, insurance afforded applies separately to each insured against whom claim is made or suit is brought, except with respect to the limit of liability. Certificate No : 570026378812