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<br />10/20/2004 14:12 FAX 415 467 7442 PUMP REPAIR SERVICE CO. 141 005 <br /> OC I. 20. 2UUL 2: OBPMl.ienHRH N CAL 650 22-L 1810 PUMPREPNO. 213_P, 4 <br />.AC.O.1fD. CERTIFICATE OF LIABILITY INSURANCE 1 ïõj<;ö ,å~ <br />PRCDUœR THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION <br />HRH of N. Cal;i.f." San Mateo ONl-V ANP coNFERS NO RIGHTS UPo" TH~ CERTI~ICA1-'; <br />1825 suuth G;t:a.l1,t A.venue, Suite 74J:; HOLDER. THIS CERTfFlCATE DOES NOT AMENg, EXTSND OR <br />San r4atao, CA 94402 ALTER THE COVERAGE AFFORDED BY THE POUèlES BELOW. <br />~50 227-1800 INSURERS AFFORDING COVERAGE <br /> , .- INSURERA;CN'A Insura.nce uCorri'Oanies <br />INSUFœg <br />Pump Repair Service Co., :I:nc. INS\.lRIIl'lliIIZeni th Insurance Comcany <br />P.O. BO:K 34327 INSUFll:fI c: <br />San FranoisdO, CA 94134 INSUf\iR c; <br /> I INeuru¡n c; <br />ccM!~S <br />THe POUOIES OF INSURANCE LJS'T'ED REl.OW HAVE BeEN ISSueD TO ï1-IE INSURED N.4MEP \BOW FOR THE POUcY PERIOD INDICATE ;). NQ'JVIfI'HSTANDJI'JG <br />ANY REQUIREMI:NT1 TeI'IM oft CONCI'TION OF ANY CONTMCT OR Q11oI11P1 DOCUlllll:NT WITH RESPECT TO W{-I1C11 THIS QIi!IIf17IQ/1\T!: MAY BE 1S8U!:D 01'1 <br />MAY PiflTAIN. THe IIIlSURl\tllOE AFFORDED BY THE POLICIES cesc¡;œec HEREIN IS SUBJECT TO ALL 1He TIifIMB, !)COLLISIONS AND CONcmONS OF SUCH <br />poUCII;S. AaGREGAl'E WITS SHOWN MAY HAVE Bi3~N FleCUCE;t) IN "'AILl CLAlM$. <br />.~~ TIPE OFINSU~ . POL.lcY NUM~J:R Pg~ ~~~Œ~~AJJ.r.!1! ~..- L,INUTS <br />A ~N¡AAI.I.IAIIII.f1Y TCP205377.9Ei21 08/21/04 08/21/0!:i EACHOCCUAAENCE !II' 000 000 <br /> ~ OCMMEFlClAl.GEN@IABI1.ITT FI~DAMAGEtAnYOO9'lrg .1.00 000' <br /> I CLAIMS MAD X OCCUR MSD EI(I!IIAn"on; IlII'BØIII s5. 000 <br /> ~. P:C Ded: 1 . 00 0 PØR50NAL. 8.AbVINJURY Ü. 0 0 U . 00 0 <br /> ClI!!IIII!!MLAQ~I5A-n:: 52 . 000 . 000 <br /> ..- . <br /> nMl~nl.lI\.urAPnPt:l=\: ¡¡O¡;¡OtlUCT5:-COMP¡ol'ACIICIII2 000 000 <br /> POI ICV P,eg.:;¡ LOC ---. <br />A AUTOMOBILE! IJ,4.BIU'IY BUA205377S53S 08/21/04 08/21/05 QOfl/lBINEC SINGLE I.IMIT .~, 000, 000 <br /> ~ ANVAUTO (t:a.a.ccIOSM) <br /> .. <br /> - ALL. oWNED AlJTOS ~ClPILY INJUFI'f <br /> ( crP8l'&DI1' S <br /> SOP1!!DUL.I:O iWT05 <br /> .,- <br /> ~ IoIIRlõn AIITOS:: ClOg ~ý INJUI'IV I <br /> x IIION.OWIIIIIc. ~UTcS (pII'l.CCldlll\l) <br /> - ..__1....-··-- PROPE;Rl'r CAMAGE S <br /> (1"c:r_ld,,'i) <br /> ..::fAI!iI: I.IA~IUTY I\U'!'O ON ."'. I!A ACCI OliNT C <br /> ANY¡¡'U'I'o OTHlm TIIAN EAAOC S <br /> AUTO ONl. V: Þ,GG . <br /> .----- -Oei/21/04 <br />A EXCESS UABII.JTY CUP2076627813 08/21/05 !:AOH OOCURFlENCIS .5 . 000 000 <br /> ~ ceOUA r:J Or.AIMS I\IIAD~ AQ¡ISAEiG~TE s5 . 000 . 000 <br /> - .. Ii <br /> ~ O&IiI\lQTlg~= . <br /> X ..10000 s <br />B WcAICEAS COMPENSATION ANÞ ZOE)$7eí3801 04/01/04 04/01/05 _X 1."'...2§:ff:.'TI-'...-:..1 1°'¡1;I , <br /> IiIMPI.CJYI!RE' UAIIIL.rn" e.I._1'!4I!:H a=cn oeNT sJ..OOO.OOO <br /> 1i!,r..t.JI~bot:At:MI"WT~ &J.. 000. 000 <br /> Bi.'-I)I~¡;^C¡;¡ POUCYLIMI'I e1. 000·000 <br /> OTHER <br />DESCRIPTION OF ~ll0NWI.Q~A IUl'llilVerllc.tI,ESI=L.USIDNS 1\1:) Dt::D oY el'ol ;gr._M1!N1'/..O~1. PReVISIONS <br />ci ty, its officers, agents, volunteers and employees are named as <br />Add~tional Insured's as respects to the work performedy by the named <br />insured. <br />E'.Q:i~ct Tit1e; Utility SYl5teml!!l Þump nep.:lir Ðe:rvic::es Q.nc1 Þubli" Wor]t3 <br />(See At tached Desoripti~!'I.¡:;) <br />CERTIFICATE HOLDER I yT A[ lJmoNIoLINOun!:D;~1.CTTI:nI ~ et\NCEL1.J\TION <br /> SHOULDANYOFTHEABDVIi œscFIlllEDPClLICIES BIi Ci\NCEU.Eb æ¡;OFE'I1£~'nON <br />City of Redwood City DATETHSASOF,THSIUUINBINSUAERWIL~L3.0.- L1A'YSWAImIN <br />Public Works SeX"Vices Dept. Ng 1~'nI1IiE ce¡ro=¡CAT¡: 1g1.Dt:Rrw.IC¡;rr~rrtli u:Pf~ <br />1400 Broadway <br />Redwood City, CA 94063-2594 :RæiIIi!!E! <br /> AU¡:'0A:fD A!PFlESENTATIVE~~ <br /> , ..1 ,p. ":C. .> <br />ACORD 25-8 (7/97)1 of :3 #307770 MCt) GiI ACOhD CORPORATION 1986 <br /> Received lD-ZD-D4 DZ:D5pm From-415 467 744Z To-Redwood City PWS Pale DD5 <br />