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(12-04-04) Design and Permitting Services for Intracoastal Parks
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Last modified
5/7/2012 1:12:10 PM
Creation date
5/3/2012 10:54:11 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Design & permitting for Intracoastal Parks
Bid No. (xx-xx-xx)
12-04-04
Project Type (Bid, RFP, RFQ)
RFQ
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<br />~@ <br />ACORD <br />~ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OA TE (MMIOD/YYYY) <br />04104/2012 <br /> <br />PRODUCER CONTACT <br /> Marsh Risk & Insurance Services NAME: <br /> PHONE FAX <br /> CA license #0437153 (AIC. No Extl: lAIC,. No): <br /> 777 South Figueroa Slreel E.MAIL <br /> AODRESS: <br /> Los Angeles, CA 90017 i <br /> AUn: Lori Bryson 213-346,5464 INSURER(S) AFFORDING COVERAGE NAIC # <br />06510-PROFa.CAS2-12_13 LosAng CA YVONN INSURER A: Zurich American Insurance Company <br />-_..~- - <br />INSURED INSURER B: N/A ,NIA <br />AECOM Technology Corporation INSURER c: N/A iNiA <br />AECOM Technical Services. Inc, <br />Economics Research Associales INSURER 0: Illinois Union Insurance Co i 27960 <br />515 Soulh Flower St, 91h Floor INSURER E: N/A iN/A <br />Los Angeles, CA 90071 --- <br /> INSURER F : ] <br /> <br />COVERAGES CERTIFICATE NUMBER: LOS.OO1495942.47 REVISION NUMBER: <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> <br />~SR 'AOOL:SUBRI <br />_ TR ' TYPE OF INSURANCE IINSR I wvo POLICY NUMBER <br />A ! GENERAL LIABILITY I IGLO 596589104 <br /> <br />iT COMMERCIAL GENE~AL ~IABILITY I I <br /> <br />~ CLAIMS-MADE ~; OCCUR II, <br /> <br />L....: I <br />U 1 <br /> <br />! GEN'L AGGREGATE LIMIT APPLIES PER: <br />'Xl n PRO. ;--'1 <br />: i POLICY I JECT' LOC <br />A ,AUTOMOBILE LIABILITY <br /> <br />iX! ANY AUTO <br />'----; ALL OWNEO I SCHEDULED <br />~ AUTOS ~ AUTOS <br />i HIRED AUTOS ; i NON.OWNED <br />i-i AUTOS <br />n Ii <br /> <br />: J UMBRELLA L1AB ~ OCCUR i <br /> <br />n EXCESS LIAB I! CLAIMS-MADEl <br /> <br />i OED I i RETENTION $ <br />WORKERS COMPENSATION I i <br />AND EMPLOYERS' LIABILITY Y IN: I <br />ANY PROPRIETOR/PARTNER/EXECUnVE r.:IlN! , <br />: OFFICER/MEMBER EXCLUDED? L:J i N I A ! <br />! (Mandatory in NH) ! f <br />! ~~~'b~rtfr~ ~foPERA TIONS bolow ! i <br /> <br />D jARCHITECTS & ENG. I <br /> <br />[PROFESSIONAL LIABILITY i <br />I <br /> <br />, POUCY EFF POLICY EXP <br />: (MMIDD/YYYY) ! CMM/ODIYYYYl j LIMITS <br />i 04/0 i/20 12 j 04/01/2013 I 2.000,00' <br />I i EACH OCCURRENCE i $ <br />i I DAMAGE TO RENTED ! $ 1,000.001 <br /> t PREMISES lEa occurrence) <br /> : MED EXP (Anyone po,"on) j 5.001 <br /> j $ <br /> I PERSONAL & ADV INJURY I 2.000,00' <br /> IS <br /> i$ 2,000.001 <br /> GENERAL AGGREGATE <br /> i PRODUCTS. COMP/OP AGG i $ 2.000.001 <br /> I is <br /> I <br />'04/0112012 ,04/01/2013 is 1,ODO,OOI <br /> i$ <br /> :S <br /> 15 <br /> , <br /> EACH OCCURRENCE is <br /> I <br /> AGGREGATE IS <br /> is <br /> WC STATU- , IOTH.i <br /> ~QBYJ,IMITS ; : ER ; <br /> , E.L. EACH ACCIDENT is <br />i EL DISEASE, EA EMPLOYEE! $ <br />I <br />I EL DISEASE. POLICY LIMIT i $ <br />1 10/08/2011 104/01/2013 Per Claim' Aggregale 52,000,001 <br /> DEFENSE INCLUDED <br /> <br /> <br />I SAP 5965893 04 <br /> <br />! EON G21654693 <br /> <br />I "''''''CLAIMS MADE"""" <br />I <br /> <br />)ESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />:E: SAMPLE CERTIFICA TEu, EVIDENCE OF INSURANCE <br /> <br />;ERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />AECOM Technical Services, Inc. <br />515 South Flower Street. 9th Floor <br />Los Angeles, CA 90071.2201 <br /> <br />SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br /> <br />~CORD 25 (2010/05) <br /> <br />David Denihan .4?~..u?~~_ <br />@ 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />A=-coM <br /> <br />City of Sunny Isles Beach I Design & Permitting Services of the Intracoastal Parks RFQ No. 12-04-04 <br /> <br />9 <br />
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