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(11-11-02) Civil Engineering Services to Design Street & Drainage Improvements
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Beiswenger
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Last modified
6/20/2012 12:05:29 PM
Creation date
2/9/2012 3:46:27 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Civil Engineering Svcs
Bid No. (xx-xx-xx)
11-11-02
Project Type (Bid, RFP, RFQ)
RFQ
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I® <br />L I <br />I I <br />r'Ii .++I. 1111Znaoe <br />A77'Pl II:I <br />ACORU, CERTIFICATE OF LIABILITY INSURANCE <br />01/0312017) <br />PRODUCER <br />HUB International Ins Svcs Inc <br />1750 East Glendale Ave <br />Phoenix, AZ 85020 <br />800 688 -7472 1 CA Lic #0757776 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Beiswenger, Hoch & Associates Inc <br />dba BHA Engineering Inc <br />510 Shotgun Rd, #400 <br />Sunrise, FL 33326 <br />wsURERA. Liberty Mutual Fire Insurance <br />23035 <br />INSURER B. National Union Fire Ins Co Pitt <br />19445 <br />INSURER C: Liberty Insurance Corporation <br />42404 <br />INSURER D: Catlin Insurance Company, Inc. <br />YV2Z61065463021 <br />INSURER E. Liberty Mutual Insurance Corp <br />01/01/2012 <br />rnviceAr_ec <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATEC MMFDDCI Y <br />DATIE YMM1DD�fYYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />YV2Z61065463021 <br />01/01/2011 <br />01/01/2012 <br />EACH OCCURRENCE <br />$1000000 <br />DAMAGE TO RENTED <br />$3;0.0;0 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 51 OCCUR <br />MFD EXP (Any one person ) <br />$j 000 <br />PFRSONAI- R ADV INJURY <br />$1000,000 <br />GENERAL AGGREGATE <br />$2 OOQ 000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS a COMP /OP AGG <br />s2,000,000 <br />POLICY 7X PRO- LOG <br />E <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />AS7Z61065463031 <br />01/01/2011 <br />01/01/2012 <br />COMBINED SINGLE LIMIT <br />(Eaaccidonq <br />$1,000,000 <br />BODILY INJURY <br />(Por parson) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Por accident) <br />$ <br />X I- IIREDAUTOS <br />X NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />R ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />B <br />EXCESS / UMBRELLA LIABILITY <br />BE015832465 <br />01/01/2011 <br />01/01/2012 <br />EACH OCCURRENCE <br />$5,000,000 <br />X OCCUR F1 CLAIMS MADF <br />AGGRECATF <br />s5,000,000 <br />$ <br />n UEDU CT I BLF <br />$ <br />X RETENTION $ 10000 <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIFTORlPARTNFR/EXFCUTNE ,�Y�!��� <br />WC7Z61065463011 <br />01/01/2011 <br />01/01/2012 <br />X WC STATU- OTg <br />E L. EACH ACCIDENT <br />$1,000,000 <br />QFFICER/y�,lnfiF2EXCLUDED? I N <br />(1M�anddatw 1) <br />E.L. DISEASE - EA EMPLOYEEI <br />$1,000,00 <br />E.L. DISEASE -POLICY LIMIT <br />1 $1,000,000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />D <br />OTHER Professional <br />AED984930112 <br />01/01/2011 <br />01/01/2012 <br />$5,000,000 Per Claim <br />& Pollution Liab <br />$10,000,000 Aggregate <br />Claims -Made <br />$100,000 Ded Per Claim <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />*— Beiswenger, Hoch & Associates, Inc. - Retro Date: 111/1955*— <br />For Information Purposes Only <br />GtKII- IGAItNULUtK l.ArvI.CLLHIwry IV va slur rwn -ra nwna <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Beiswenger, Hoch & Associates Inc DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN <br />dba BHA Engineering Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TODOSOSHALL <br />510 Shotgun Rd. #400 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Sunrise, FL 33326 -4505 REPRESENTATIVES. <br />A OI EPRFSEMTIVVE <br />ACORD 25 (2009/01) 1 of 2 #S1019974IM1019963 © 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD VN02 <br />
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