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(14-07-02) Continuing Professional Architectural and Engineering Services - Individulas Only CCNA
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Kimley Horn
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Last modified
1/7/2015 11:57:02 AM
Creation date
8/19/2014 10:59:22 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Continuing Professional Services for Architectural, Landsc.
Bid No. (xx-xx-xx)
14-07-02
Project Type (Bid, RFP, RFQ)
RFQ
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Architectural, Landscape Architectural, <br />Engineering and Land Surveying Firms Only (CCNA) <br />A6� °e CERTIFICATE OF LIABILITY INSURANCE 1 9/i/20W° a ' <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the tars 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 />PRODUCER <br />Greyling Insurance Brokerage <br />450 Northridge Parkway <br />Suite 102 <br />Atlanta GA 30350 <br />CONTACT .T ..Ly NOyola <br />PHONE Fm (770)552 -4225 IiucNr(6 66) 550-4082 <br />AYApa .jerry. noyola @grayling. coo <br />INSURE 5 AFFORDING COVERAGE I NAIL. <br />INSURER a National Union Fire Ins Co 119445 <br />-Born and Associates, Inc. <br />ox 33068 <br />[Rh NC 27636 <br />WSURERBSoDmmerce b Indust Insurance 19410 <br />INSURERCNew B shire Insurance Co an 23841 <br />WSURERO:Llo d's of London b85202 <br />WSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER -14 -15 (Rimlev Sharda) REVISIONNUMRER- <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 />I�TR <br />TYPE OF INSURANCE <br />IA <br />POLICY NUMBER <br />�II YEFF <br />POLICY ESP <br />LWRB <br />A <br />GENERAL <br />� LIABILITY <br />X1 CCWNERCt;! GENERAL LIABILITY <br />1 1 CWMSUnDE ® OCCUR <br />X Contractual Liability <br />GL 9645227 <br />J/ 3/2014 <br />a /1/2015 <br />RENCE I5 1,000,000 <br />I 15 500, 000 <br />x.epmml IS 25,000 <br />ADl INJURY I5 1,000,000 <br />MA�REE�� <br />REWT I5 2,000,000 <br />AGGREGAA LIMITA PPUEES PER'. <br />POLICY I X I Pv� I X I LCC <br />CONAROP AGG I5 2,000,000 <br />1 5 <br />A <br />jAAUiDY091LE LlA9RIiY <br />X 1 ANY AUTO <br />ALL 00NE I /SCHEDULED <br />AUTOS AUTOS <br />NINE. A--0 I'-1 <br />II--II YONNED <br />1-1 AUTOS <br />CA 4982905 <br />d/1/2014 <br />4/1/2015 <br />LOM&NED SINGLE LIMIT I 1,000,000 <br />Eax . ' <br />SODNY INJURY /PIN msm) 15 <br />BOpLY INJURY Ri,r 115 <br />p tt NG <br />Is <br />15 <br />B <br />H UMBRELLALMB x ICC1UR <br />EICESS /JAB I 1I CL,IMSMADE <br />SESS430948 <br />4/1/2014 <br />4/1/2015 <br />EA Is 5,000,000 <br />7URRENCE <br />AGGREGTE Is 5,000,000 <br />DIED I X I Rc N`I $ 10,000 <br />I S <br />C <br />A <br />WORXERS COMPENSATION <br />AND EMPLOYERS' LUSILAY YNN <br />aW PROPRIETORP-ARTNERh IECUTNE <br />OFFICERUEMBER EICtUDED7 <br />(YaMatpy In NH) <br />IS EJ' MPMN mror <br />DSLRIPigN OF OPE,iAi10N5 tebw <br />'MIA <br />RC 018112556 (AOS) <br />FT 018112557 (GI <br />'d /1/2014 <br />A/1/201< <br />'4/1/2015 <br />4/1/2015 <br />I V1C Si ATU- pMI <br />EX' . E:.CH ACCIpENi 15 1,000,000 <br />EL. DISEASE EA EMPLOYE95 1,000,00 <br />EL DIBEASE- POLICY LIMIT 1 5 1,000,000 <br />D <br />professional Liability <br />10879PO70831401 <br />'4/1/2014 <br />14/1/2015 <br />RAID- $2,000,000 <br />AssRSa:= $2,000,000 <br />DESCWPTMNOFOPERATIONSILOCATMNS (VEHICLES IAIMcAACORD301.AGE'rt alRnmrta ScMG ,dm mspaceuI uiMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Sample /For Proposal Only ACCORDANCE WITH THE POLICY PROVISIONS. <br />(David Collings /JERRY �„ '�� �I <br />ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. <br />INS025 OOImom Th. Arnon..a...n —,t I-- m Arncn <br />RFO14 -01� Kimley» )Horn <br />OYZ zl.14d suet' Isis 3=ac Cr %145 PrAessmal Sernces.vaa 1 -3 <br />
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