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� I @ <br />A CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />07/10/2018 <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 have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Southwest, Inc. <br />Houston TX Office <br />CONTACT <br />NAME: <br />(AIC.NNo. Ext): (866) 283-7122 (A/C No ): (800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />5555 San Felipe <br />Suite 1500 <br />Houston TX 77056 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA: ACE American Insurance Company <br />22667 <br />wood Group USA, Inc. <br />fka Amec Foster wheeler <br />17325 Park Row <br />INSURERB: Agri General Insurance Company <br />42757 <br />INSURERC: ACE Fire underwriters Insurance Co. <br />20702 <br />Houston Tx 77084 USA <br />INSURERD: AIG Specialty Insurance Company <br />26883 <br />INSURERE: Lloyd's Syndicate No. 2003 <br />AA1128003 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570072245597 REVISION NUMBER: <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADD <br />INSD <br />UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMDIYYYY ID <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />HDOG 7 74 5 <br />5 <br />EACH OCCURRENCE <br />$2 , 000, 000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />$2 , 000, 000 <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />$ 5 , 000 <br />PERSONAL & ADV INJURY <br />$2 , 000, 000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$4, 000, 000 <br />POLICY PRO ❑ LOC <br />1fl JECT <br />PRODUCTS - COMP/OPAGG <br />$4,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />ISA H25150132 <br />05/01/2018 <br />01/31/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$2 , 000, 000 <br />BODILY INJURY ( Per person) <br />X ANYAUTO <br />BODILY INJURY (Per accident) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />PROPERTY DAMAGE <br />ONLY AUTOS ONLY <br />(Per accident) <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />A <br />WORKERS COMPENSATION AND <br />WLRC64625196 <br />05/01/2018 <br />01/31/2019 <br />X I PER STATUTE I OTH- <br />ER <br />EMPLOYERS' LIABILITY YIN <br />work Comp- A05 <br />E.L. EACH ACCIDENT <br />$1, 000 , 000 <br />B <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />NIA <br />WLRC64625202 <br />05/01/2018 <br />01/31/2019 <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />Work Comp- TN <br />E.L. DISEASE -EA EMPLOYEE <br />$1, 000, 000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1, 000, 000 <br />E <br />Archit&Eng Prof <br />PSDEF1800726 <br />07/01/2018 <br />06/30/2019 <br />Any One Claim <br />$5,000,000 <br />SIR applies per policy terins <br />& condi <br />ions <br />Aggregate Limit <br />$5,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED AMEC COMPANIES. <br />Re: NPDES Inspection and Database Management and AS -Needed Services City of Santa Ana, its officers, employees, agents and <br />representatives are additional insured on the General Liability policy as required by written contract. Coverage is primary and <br />non-contributory where required by written contract. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />U <br />r <br />rn <br />L0 <br />v <br />N <br />N <br />r <br />0 <br />0 <br />r- <br />L0 <br />0 <br />Z <br />v <br />t <br />0 <br />U <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - - <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa Ana AUTHORIZED REPRESENTATIVE - <br />20 Civic Center Plaza -' <br />Santa Ana CA 92702 USA&4x <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />