AgdaPkt 2014-06-23 Closed and Joint SA

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7.1.1. - Page 22 Client#:351 SANDICIVI ACQRDTM CERTIFICATE OF LIABILITY INSURANCE DATE( MIDDNY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton&Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 12675 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland,CA 94604.2675 510 465-3090 INSURERS AFFORDING COVERAGE INSURED INSURER A: Travelers Indemnity Co.of Conn Sandis Civil Engineers INSURER B: Travelers Property Casualty Co Surveyors Planners INSURER C: XL Specialty Insurance Co. 3007 Douglas Blvd,Suite 105 INSURER D: • Roseville,CA 95661 1 INSURER E: COVERAGES THE POLICIES3OF 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. ILT R TYPE OF INSURANCE POLICY NUMBER PDATE(MM1RD/YYl POLICY DATE EXPIRATION LIMITS LTR _ A GENERAL LIABILITY 6807C80537A 03/03/14 03103115 EACH OCCURRENCE $1,000,000 ,.. X COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE(Any one lire) $1,000,000 CLAIMS MADE X OCCUR ,MED EXP(Any one person) $--_10 000 ' X BI/PD Ded:$5,000 PERSONAL&ADV INJURY 31,000,000 X Contractual Liab GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIM ITAPPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 —1 POLICY X JEi?F LOC P AUTOMOBILE LIABILITY BA7C810981 03/03/14 03103/15 COMBINED SINGLE LIMIT ' X ANY AUTO (Ea accident) $1,000,000 € ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS - BODILY INJURY X NON-OWNED AUTOS (Pet accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ -.: ANY AUTO OTHER THAN EA ACC $ -I AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ +' OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCYIBLE • $ RETENTION $ $ _ a WORKERS COMPENSATION AND UB4027T041 03/03/14 03103/15 X WC STATU- OTH- ' EMPLOYERS'LIABILITY TORY LIWIT� ER E.L.EACH ACCIDENT $1,000,000 E.L.DISEASE-EA EMPLOYEE $1,000,000 l E.L.DISEASE-POLICY LIMIT $1,000,000 C OTHER Professional DPR9317417 03/03/14 03/03/15 $1,000,000 per Claim Liability $2,000,000 Anni Aggr. DESCRIPTION OF OPERATIONSILOCATIONSNERICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability Policy excludes claims arising out of the performance of professional services. Ref:Sandis Project No.214074-City of Redwood City 2015-2016 Sanitary Sewer Replacement.The City of Redwood City,its officers,agents,employees and volunteers are included as Additional Insured for General and Automobile Liability. Insurance is primary and non-contributory per policy form.A Waiver of Subrogation:applies to Workers'Compensation. CERTIFICATE HOLDER- I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION • I SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Redwood City DATE THEREOF, THE ISSUING INSURER WILLK)((il AJIXTPMA1L30 DAYS WRITTEN Community Development Dept. NOTICE TOTHE CERTIFICATE HOLD ER NAMED TO THE LEFT,eMniimxu2y4=xxlsaxxx Engineering and Transportation Division xn loODOttaxaarcvm i4XYGxliHxXIARx9PlakxxxXOOMEIntl6 otsx-xx1&x 1017 Middlefield Road NI xxrSIWRXx 1. Redwood City,CA 94063 AUTHORIZED REPRESENTATIVE I ! 7- cpcu_ ACORD 25-S(7197)1 of 1 #51004301/M904216 NMF 0 ACORD CORPORATION 1988