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2003-295
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2003-295
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Entry Properties
Last modified
11/29/2016 1:17:32 PM
Creation date
9/30/2015 7:01:46 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/04/2003
Control Number
2003-295
Agenda Item Number
7.Z.
Entity Name
Layne Christensen Company
Subject
South County Water Treatment Plant Wellfield Rehabilitation Phase II
Contract and Specifications
Area
South County Water Treatment Plant
Project Number
38392-151
Bid Number
5102
Archived Roll/Disk#
3208
Supplemental fields
SmeadsoftID
3487
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1 ACORDTM CERTIFICATE OF LIABILITY INSURANCED11 / 13/ / 003 <br /> 05/01 /2004 11 / 13/2003 <br /> PRODUCER <br /> ' Lockton Companies ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 444 W, 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> (816) 960-9000 <br /> INSURERS AFFORDING COVERAGE <br /> ' INSURED <br /> LAYNE-ATLANTIC INSURER A : OLD REPUBLIC INSURANCE COMPANY <br /> 506 2740 MINE & MILL ROAD INSURER B : ZURICH SPECIALTIES LONDON LIMITED <br /> LAKELAND, FL 33801 INSURER C : <br /> INSURER D : <br /> INSURER E : <br /> COVERAGES LAYIN01 FK <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 <br /> 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 TYPE OF INSURANCE POLICY NUMBER DPOLICY <br /> TE MM/DD EFFECTIVE- --P <br /> OLICY EXPIRATION <br /> ( /YY) DATE (MM/DD/YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 290009000 <br /> 1 A X COMMERCIAL GENERAL LIABILITY MWZY 55843 05/01 /2003 05/01 /2004 FIRE DAMAGE (Any one fire) 2 $ 05000 CLAIMS MADE OCCUR <br /> CONTRACTUAL MED EXP (Any one person) $ ,000 <br /> X PERSONAL & ADV INJURY 29000,000 <br /> GENERAL AGGREGATE 5 ,000,000 <br /> ' GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2,000,000 <br /> X POLICY JECOT LOC <br /> AUTOMOBILE LIABILITY <br /> X COMBINED SINGLE LIMIT <br /> A <br /> ANY AUTO MWTB 18665 05/01 /2003 05/01 /2004 (Ea accident) $ 210009000 <br /> ALL OWNED AUTOS — <br /> BODILY INJURY XXXXXXX <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS <br /> BODILY INJURY XXXXXXX <br /> ' X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $(Per accident) XXXXXXX <br /> GARAGE LIABILITY <br /> ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT XXXXXXX <br /> ' <br /> OTHER THAN EA ACC XXXXXXX <br /> AUTO ONLY: AGG XXXXXXX <br /> EXCESS LIABILITY EACH OCCURRENCE $ 210003000 <br /> ' B X OCCUR CLAIMS MADE 000804703CELIDH 05/01 /2003 05/01 /2004 AGGREGATE $ 2 ,000,000 <br /> UMBRELLA XXXXXXX <br /> DEDUCTIBLE FORM XXXXXXX <br /> ' RETENTION $ <br /> ER XXXXXXX <br /> A WORKERS COMPENSATION AND MWC 108622 00 05/01 /2003 05/01 /2004 X TvVURY LIMITS <br /> EMPLOYERS' LIABILITY O <br /> E.L. EACH ACCIDENT 2 ,000,000 <br /> ' E.L. DISEASE - EA EMPLOYEE 290003000 <br /> OTHER E.L. DISEASE - POLICY LIMIT $ 2 ,0001000 <br /> ' DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> RE: A LAYNE JOB FOR SOUTH COUNTY WATER TREATMENT PLAN WELLFIELD REHABILITATION, PHASE II IN INDIAN RIVER COUNTY, <br /> FLORIDA. INDIAN RIVER COUNTY AND CAMP DRESSER & MCKEE, INC. ARE ADDITIONAL INSUREDS AS RESPECTS LIABILITY COVERAGE, <br /> ' WHICH IS ON A PRIMARY BASIS, AND SUBROGATION IS WAIVED, ONLY AS REQUIRED BY CONTRACT. <br /> The h2wr nce efidamd by thb et dfflkm a is void and <br /> in the absence of a signed contract requiring this eweraML <br /> ' CERTIFICATE HOLDER I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> 1911885 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> INDIAN RIVER COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> ' 262519TH AVENUE <br /> VERO BEACH FL 32960 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25-S (7197) For questions regarding this certificate, contact the number listed in the 'Producee section above and specify the client code 'LAYIN01'. <br /> ® ACORD COAPORATION 1988 <br />
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