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<br />ACORD- CERTIFICATE OF LIABILITY INSURANCE r DA TE (MM/DDIYYYY)
<br />~ 12/14/09
<br />PRODUCER 1-770-552-4225 THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
<br />Ames &: Gough, Inc. ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICA TE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />450 Northridge Parkway AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suite 102
<br />Atlanta, GA 30350 INSURERS AFFORDING COVERAGE NAIC#
<br />Matias Ormaza
<br />INSURED INSURER A: Commerce &: Indus try Insurance Company
<br />TRC Engineers Inc. INSURER B: American Int'l Spec Lines Ins. Co.
<br />TRC Companies, Inc.
<br />405 Clyde Avenue INSURER C: Twin City Fire Insurance Company
<br />Mountain View, CA 94043 INSURER 0: Twin City Fire Insurance Companv
<br />I INSURER E:
<br />
<br />~
<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 CERTIFICATE 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 />INSR ~~~~ TVP~ 1"\1: '~'''''ICA ~1f"1: 62+-Jq~~~66~\ ri~~lfiM~b~~
<br />LTR POLICY NUMBER LIMITS
<br />A ~NERAL LIABILITY GL 7168709 07/01/09 07/01/10 EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO RENTED
<br /> X COMMERCIAL GENERAL LIABILITY PREMISES lEa occurrence) $ 500,000
<br /> I-- ~ CLAIMS MADE [!J OCCUR
<br /> f---- MED EXP (Anyone person) $ 5,000
<br /> f---- PERSONAL & ADV INJURY $ 1,000,000
<br /> f---- GENERAL AGGREGATE $ 2,000,000
<br /> n'L AGGRE~E LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> POLICY X ~~W;: IX] LOC
<br />A ~TOMOBILE LIABILITY CA 7168888 MA 07/01/09 07/01/10 COMBINED SINGLE LIMIT
<br /> $1,000,000
<br />A ~ ANY AUTO CA 7168886 A/O 07/01/09 07/01/10 (Ea accident)
<br /> - ALL OWNED AUTOS BODILY INJURY
<br /> $
<br /> SCHEDULED AUTOS (Per person)
<br /> -
<br /> X HIRED AUTOS BODILY INJURY
<br /> - $
<br /> X NON-OWNED AUTOS (Per accident)
<br /> -
<br /> X Compo Ded. $1,000 PROPERTY DAMAGE
<br /> - $
<br /> X Coll. Ded. $1,000 (Per accident)
<br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> ==i ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG $
<br />B 0ESS / UMBRELLA LIABILITY UMB 7168710 07/01/09 07/01/10 EACH OCCURRENCE $10,000,000
<br /> X OCCUR D CLAIMS MADE AGGREGATE $10,000,000
<br /> $
<br /> R DEDUCTIBLE $
<br /> RETENTION $ $
<br />C WORKERS COMPENSATION 20WN MF5434 A/O 07/01/10 I WC STATU- I IOTH-
<br />AND EMPLOYERS' LIABILITY 07/01/09 X TORY LIMITS ER
<br /> Y/N
<br />D ANY PROPRIETOR/PARTNER/EXECUTIVE ~ 20 WBR MF5433 WI 07/01/09 07/01/10 E.L EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br /> ~~Etl~tS~~~~~1gNS below E.L. DISEASE - POLICY LIMIT $1,000,000
<br /> OTHER
<br />B Professional Liability 3778255 07/01/09 07/01/10 Per Claim 10,000,000
<br /> E&:O-Including Pollution Liab. Aggregate 15,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
<br />RE: City of Redwood City, Redwood Shores Lagoon
<br />Belmont Slough Pump Station Improvement Project
<br />The City of Redwood City, its council members, officers, board,
<br />commissions, employees, and agents are named as Additional Insureds with
<br />respect to the General Liability and Automobile Policies, where required
<br />by written contract. Coverage is Primary and Non-Contributory.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLA TION
<br />
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Redwood City DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL 2L DAYS WRITTEN
<br />Building, Infrastructure &: Transportation Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~1t~~OOX
<br />P.O. Box 391 gll[SEXOO{~D(]OKXDlJmaX1{llOK~IDIIKHOOBXlXS{KOEE(SCmt
<br /> ~
<br />Redwood City, CA 94064 AUTHORIZED REPRESENTATIVE ~ ~
<br /> I USA
<br />
<br />ACORD 25 (2009/01) j imbaker
<br />13826018
<br />
<br />@ 1988-2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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