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PSA - Jones Petrie Rafinski - Berlin Place Site Development Utility Relocations
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PSA - Jones Petrie Rafinski - Berlin Place Site Development Utility Relocations
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Last modified
3/28/2025 1:15:03 PM
Creation date
9/22/2016 12:51:10 PM
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Board of Public Works
Document Type
Contracts
Document Date
9/13/2016
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A 0 DAEIaa201"S <br />CERTIFICATE OF LIABILITY INSURANCE 1Tzn4rms <br />PR000 7344254710 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />bFSIGNPfl01NBUflAHCE GAWP <br />P.O. BOX 511IN <br />H�OLYEH AND N EAR IIFICAATE NO DOES NOT AMEND, EXTETHE C ND OR <br />T R THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />LIVONIA, MI 48151 <br />(734)4aS- m <br />INSURERS AFFORDING COVERAGE <br />NAICe <br />..AED <br />NsUFERA; RUINSURANCECOMPANY <br />JONES PETIIE RAFINS)O CORP. <br />NsoRER O: <br />412 S. LAFAYETTE <br />EI3U c: <br />er Mp o; <br />SOUTH BEND, IN 46601 <br />NSUREP E; <br />SarIa1N 102D51 <br />THE POUPES OF NSURANCEUSfED BELOW HAVE BEEN IS A!EDTO THE NSURED NAMED ABOVE FOR THE POLICY PERIOD eE]ICATED. N01 WRHSTANDNG <br />ANY IIEOUNEMENT.TERM OR CONIXIION OFANYCONTRACr OROTHER DOCUHENTWOH RESPECTTO W1,I04THIS CERTIFICATE MAY BE ISSUED OR <br />MAYPERTAN.THENSUMNCEMFOPDBJBYTHEPOIICFSDFSCA18EOHEAEN 6SURJECTTOALLTNETERMS, MWS04S ATD CONOITIDNS OF gJCH <br />FOU,IES.AGGREGATE OMITSSf OWNMAY HAVE MEN REDUCED BY PAIDCLAOAi <br />11, <br />.va <br />END <br />TYFe Of e18UR4M! <br />PolJ:rnuuefA <br />oot�v <br />Lmim <br />A <br />aaRDRAL UAaury <br />% CnufowCNLaEHERALLMe4m <br />INNS MADE X❑OCCUR <br />NPSBDO02637 <br />11-27-15 <br />11.27•16 <br />TAaloccura�na <br />a 1,D00000 <br />ro EHmo <br />MED"I <br />f 1.D00000 <br />f 10OD0 <br />PEReonAlaAW wuRr <br />s 1,ODD-ODO <br />GOcauauan£GMe <br />a 2000000 <br />({N1.AGGREDATEIIM?AFPIES PER <br />X PDLry LOC <br />PROOIIGR.GLYPWAW <br />a 2000000 <br />A <br />AIR(MCMEFWNUW <br />x <br />X <br />X <br />ANY AI <br />uADwsm AurDs <br />it VMEDANCG <br />ImEOAuras <br />HOM NDVAVMS <br />NPSA0001634 <br />11-27-15 <br />11-27.16 <br />CgANEDnV WR <br />RA enEM�9 <br />a 1,000,OOD <br />aODLYHafRY <br />PArA ) <br />a <br />noDLv rMURv <br />�ArMaAA4D�a� <br />f <br />OARAOEUYWrY <br />AHl'A1110 <br />AUIppAV. EAACCrMM <br />3 <br />OTHERTWI EAACC <br />AHro OW1 AOD <br />f <br />x <br />A <br />exeesR4waa <br />% OCCUR Lj CW.a WOE <br />DEGIkIe4e <br />NETEHrW s <br />NPSEOMIN3 <br />11.27-15 <br />11-27-16 <br />eACRocclxner4ce <br />a 50000DO <br />AGGREGATE <br />i $000000 <br />f <br />a <br />a <br />A <br />NVIixEA'9 CCMpEnGATxkINO <br />aWROYfiR9UAVKM <br />AM'PROPRCIgWARDEWIXELU1NE Yr N <br />=4.e.IwYnerol".a,�er awFm 13NPSW000231D <br />aRECUIPRDVL4rINa bYaY <br />77-27-i5 <br />11-27-16 <br />X I w TA <br />El P.Atlr ACC Rr <br />a 500000 <br />EL De£A1£- A <br />s 500000 <br />EE. pSEASE-POUDYI.IMR <br />f 5o0.0D0 <br />A <br />DTIiR <br />ARCHITECTSIENGINEERS <br />PROFESSIONAL LIABILITY <br />NRDPOO22647 <br />11.27-15 <br />11.2746 <br />1AGGREGATe <br />PERCLAIMUMIT $1,000,000 <br />LIMIT: $2,000.000 <br />DESMYPIbN M OPpUU1GN&IACAIp W N6HIftPaR%q.uNORO A W Ly aY EM OggEMENTY.:PECIAt PR W 19N1x9 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOInDANYOF'mEAeovEDESCR9F0 POLICIEa 9£ CANCEUEDBiOPEINE EAPRA.nGN <br />CRY OF SOUTH BEND <br />GATE iMEREaF. TYEnAvaq HsuRrR wu.�IfdD(J6iD0SMAa_30 DA"WM7EH <br />wrc£TaTnE cetONcnre lrnnrRwMCD tD,ra 4zPr,10bri1M)tlOfMXNdW(B4b(X <br />12W W. JEFFERSON BLVD. <br />SOUTH BEND, IN 46501 <br />p0p)BLg1XiM(K%Xx <br />AlIi11ORnF0 RLPAEARRATN/E/ <br />T� <br />ACORD 25(200SIDI) 01Me M ACCORD CORPORATION. All rlghte vacavaL <br />The ACORD name and [ago are reglataed make of ACORD <br />(Exhibit G - Insurance) <br />EJCDC E-500 Agreement Between Owner and Engineer for Professional Services. <br />Copyright 0 2008 National Society of Professional Engineers for EJCDC. All rights reserved. <br />
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