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SEVERN TRENT 1 - 2005
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SEVERN TRENT 1 - 2005
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Last modified
1/3/2012 2:07:15 PM
Creation date
12/22/2005 2:27:27 PM
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Contracts
Company Name
Severn Trent Services
Contract #
A-2005-253
Agency
Public Works
Council Approval Date
10/17/2005
Insurance Exp Date
3/31/2007
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<br />ACORD~ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 04/0D:/E2006 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />B77-945-737B <br /> <br />PRODUCER <br /> <br />willis North America, Inc. <br />26 Century Blvd. <br />P. O. Box 305191 <br />Nashville, TN 372305191 <br /> <br />Regional Cert Center <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />Severn Trent Water Purification, <br />2660 Columbia Street <br />Torrance, CA 90503 <br /> <br />Inc. <br /> <br />INSURER A: Zurich American Insurance Company <br />INSURER B: Travelers Property Casual ty Company of Am <br />INSURER C: The Charter Oak Fire Insurance Company <br />INSURER D: <br />INSURER E: <br /> <br />16535-006 <br />25674-009 <br />25615-001 <br /> <br />A. - dOcO -d-~ <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEATIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />11~!fI ~ TYPE OF INSURANCE POL.ICY NUMBER P~AL.~~Y EFFECTIVE POLICY EXPIRATION LIMITS <br />A GENERAL. L.IABILlTY GL0337371404 3/31/2006 3/31/2007 EACH OCCURRENCE $ 2 000 000 <br /> -~~:fCOMMERCIAL GENERAL LIABILITY ~~~~~~~9E~~6~~nce\ $ 1 000 000 <br /> I I CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 5 000 <br /> :::1 PERSONAL& ADV INJURY $ 2 000 000 <br /> GENERAL AGGREGATE $ 3 000 000 <br /> -;l'~ AGG~EnE ILlMIT APnS IPER PRODUCTS - COMP/OP AGG $ 3 000 000 <br /> X POLICY ~~,fl.,: LOC <br />B ~TOMOBILE L.IABILlTY TJCAPB23K1B19TIL06 3/31/2006 3/31/2007 COMBINED SINGLE LIMIT 1,000,000 <br /> (Eaaccidenl) $ <br /> JL ANY AUTO <br /> - ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> ~ <br /> e- HIRED AUTOS BODILY INJURY <br /> $ <br /> f- NON-OWNED AUTOS (Peraccidenl) <br /> f- PROPERTY DAMAGE $ <br /> (Peraccidenl) <br /> H"AGE LIABILITY " " I, I AUTO QNL Y - EAACCIDENT $ <br /> . " ", <br /> ANY AUTO "< EA ACC $ <br /> L//',J. I OTHER THAN <br /> " J AUTO QNL Y: AGG $ <br /> EXCESS LIABILITY - - , / _,_~2~, ~i-.-Il "- EACH OCCURRENCE $ <br /> C OCCUR D CLAIMS MADE f AGGREGATE $ <br /> " " , $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />C ! WORKERS COMPENSATION AND AOS TC20UBB23K179A 3/31/2006 3/31/2007 X 1r~~~JfTI~~ I To.r~- <br />EMPL.OYERS'LlABIL.ITY <br />B ANY PROPRIETOR/PARTNER/EXECUTIVE MA,AZ,WI TRJUBB23K1BO 'lIO'Ei1/2006 3/31/2007 E.L. EACH ACCIDENT $ 1 000 000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 000 000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 <br /> OTHER <br />DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICL.ES/EXCL.USIONS ADDED BY ENDORSEMENT/sPECIAL. PROVISIONS <br />NAMED INSURED (S) : <br />Formerly Capi tal Controls Company, Inc. <br />City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives are included aB <br />Add~e~onal~;?sured with regards to the :~neral and Automobile Liability policies where required by <br />writ en con rac r.""'r writtAn contract an where "'llnwed bv law. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Attn: Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />PO Box 1988 <br />Santa Ana, CA 92702-1988 <br /> <br />SHOUL.D ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCEL.L.ED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIL.L. ENDEAVOR TO MAlL. ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT, BUT FAIL.URE TO DO SO SHAL.L. <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR <br /> <br />ACORD 25 (2001/08) <br /> <br />Co11:1591922 Tp1:457531 <br /> <br /> <br />@ACORDCORPORATION1988 <br /> <br />e...1. <br />
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