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BERRYMAN AND HENIGAR 3 - 2004
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BERRYMAN AND HENIGAR 3 - 2004
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Entry Properties
Last modified
10/15/2015 10:51:24 AM
Creation date
11/20/2004 1:39:55 PM
Metadata
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Template:
Contracts
Company Name
Berryman and Henigar
Contract #
A-2004-096
Agency
Public Works
Council Approval Date
5/17/2004
Expiration Date
6/30/2005
Insurance Exp Date
3/1/2006
Destruction Year
2010
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AMID. CERTIFICATE OF INSURANCE <br />ISSUE (M <br />BER75159 No 109282I05/24/04 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />Barney & Barney, LLC -CA Lic 0003950 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE <br />Barney & Barney, Inc -CA L1cOC24310 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br />P.O. Box 85638 <br />San Diego, CA 92186 -5638 <br />COMPANIES AFFORDING COVERAGE <br />(858) 457 -3414 <br />HARTFORD ELITE COMP - HARTFORD INS. <br />Mst #: 6164 <br />COMPA NY <br />LETTER A CO. OF THE MIDWEST <br />NO COVERAGE ON THIS DOCUMENT <br />INSURED BERRYMAN & HENIGAR, INC.; <br />COMPANY <br />LETTER B <br />GOVPARTNER.COM; ET AL, SEE <br />NO COVERAGE ON THIS DOCUMENT <br />ATTACHED <br />ETTER "Y C <br />ATTN: SHERRY HENNES <br />NO COVERAGE ON THIS DOCUMENT <br />11590 WEST BERNARDO CT., 4100 <br />ETTERNY D <br />SAN DIEGO CA 92127 <br />NO COVERAGE ON THIS DOCUMENT <br />COMPANY E <br />;LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Col TYPE OF INSURANCE POLICY NUMBER <br />LTR' <br />POLICY EFFECTIVE 'POLICY EXPIRATION <br />DATE(MM /DD/YY) : DATE(MM /DD/YY) : LIMITS <br />GENERAL LIABILITY <br />GENERAL AGGREGATE $ * * * * * * * * * O <br />COMMERCIAL GENERAL LIABILITY <br />:PRODUCTS- COMP/OP AEG. $ * * * * * * * * * 0 <br />CLAIMS MADE OCCUR.:. NO COVERAGE <br />: PERSONAL & ADV. INJURY $ * * * * * * * * * O <br />OWNER'S & CONTRACTOR'S PROT <br />: EACH OCCURRENCE $ * * * * * * * * * 0 <br />FIRE DAMAGE (Any one fire) :$ * * * * * * * * *O <br />:MED. EXPENSE (Anyone person);$ * * * * * * * * *O <br />: AUTOMOBILE LIABILITY <br />: : <br />ANY AUTO : <br />COMBINED SINGLE <br />.LIMIT $ * * * * * * * * *0 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />1 BODILY INJURY <br />(Per person) $ * * * * * * * * *0 <br />HIRED AUTOS NO COVERAGE <br />'' <br />NON -OWNED AUTOS <br />jj BODILY INJURY <br />' ,(Per eccidenp $ * * * * * * * * *0 <br />GARAGE LIABILITY <br />- <br />PROPERTY DAMAGE $ * * * * * * * * *O <br />EXCESS LIABILITY : <br />- <br />EACH OCCURRENCE i$ O <br />UMBRELLA FORM NO COVERAGE <br />:AGGREGATE ';$ * * * * * * * * * 0 <br />OTHER THAN UMBRELLA FORM <br />-- -- - -- <br />WORKER'S COMPENSATION <br />A <br />X STATUTORYLIMITS <br />AND 72WESH9069 (CA) <br />09/30/03 09 /30 /04EACHACCIDENT $ *1, 000, 000 <br />EMPLOYERS' LIABILITY <br />DISEASE - POLICY LIMIT !$ * 1 , 0 0 0 , 0 0 0 <br />OTHER <br />DISEASE - EACH EMPLOYEE !$-1,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES /SPECIAL ITEMS *10 <br />DAYS NOTICE OF CANCELLATION APPLIES TO <br />NON - PAYMENT. RE: PAVEMENT MANAGEMENT SERVICES <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />CITY OF SANTA ANA <br />MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />ET AL (SEE ATTACHED) <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />ATTN: JOE PARCO, SR. CIVIL ENG. <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br />—AUTHORIZED REPREBENTATIVE <br />I�� <br />ACORD 25-5 7/80 <br />®ACORD CORPORATION 19W <br />�U II <br />
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