Agmt10 V & A Consulting Engineers, Inc.

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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,-~~ ACORD ,--., CERTIF,I~A1-E-OE...LIABILITY INSURANCE PRODUCER Aon Risk Services, Inc. of FL 1001 Brickell Bay Drive, Suite #1100 Miami, FL 33131-4937 Phone: 800-743-8130 Fax: 800-522-7514 INSURED ADP TotalSource CO XXII, Inc 10200 Sunset Drive Miami, FL 33173 UC/F V & A Consulting Engineers, Inc. 155 Grand Ave Suite 700 Oakland, CA 94612 z::..::. G:>-i z-< r::::O ~"'T'I ~;o ~O -, <- ,;,<: .:::::0 ~O ~CJ ~~ INSURER E: ~ GU ~ 3 )> :;;:0 INSURERS AFFORDING COVERAGE o CJ:) INSURER A: National Union Rre Ins Co of Pittsburgh INSURER B: INSURER C: INSURER D: ~: C~,., ......J\, c::., DATE (MM/DDIYY) 03/02/10 Certificate ID: 165857 NAIC # 19445 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED, INSR AOO'L LTR INSRD POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDDNYYY) DATE (MMlDDIYYYY) TYPE OF INSURANCE POLICY N.UMBER D GENERAL LIABILITY o COMMERCIAL GENERAL LIABILITY o ClAIMS MADE 0 OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Anyone person) PERSONAl & ADV INJURY GENERAl AGGREGATE PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: o POLICY 0 PROJECT 0 LOC D AUTOMOBILE LIABILITY o AN'( AlJTO o AlL OWNED AlJTOS o SCHEDULED AlJTOS o HIRED AlJTOS o NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) D GARAGE LIABILITY o ANY AlJTO AUTO ONLY - EA ACCIDENT EA ACC AGG OTHER THAN AUTO ONLY: EXCESS I UMBRELLA UABIUTY o OCCUR 0 ClAIMS MADE EACH OCCURRENCE AGGREGATE DDEDUCTIBLE o RETENTION A WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY Y/N WC 023580171 CA 07/01/09 07/01/10 1:81 we STATU- 0 OTHER TORY LIMITS ANY PROPRIETOR I PARTNER I EXECUTLVE OFFICER/MEMBER EXCLUDED? (Mandatory in NHI II Yes, describe under SPECIAL PROVISIONS below OTHER E,L EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT LIMITS $ S $ $ $ $ $ $ $ $ $ S $ S $ $ S $ $ $ $ $2,000,000 $2,000,000 $2.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: 09-0269 Redwood City Cast Iron water Pipeline All worksite employees working for the above named client company, paid under ADP TOTAL SOURCE, INC's payroll, are covered under the above stated policy. .~~gRI~.~J~~1s1t!QgQg,f{ City of Redwood City Engineering & Construction PO box 391 Redwood City, CA 94064 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE (/lOlL cftj.!JA 8e.'tYlceJ~ q~. of eF' 1~~~,~gQ9~~~9BR1~Q~~Q~illiQ~{;:!~HIrIg5!~1~~~~fY~~i~:, The ACORD name and logo are registered marks ~f ACORD" '.", """'" .'. ..',' ".".,,"