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<br />t.� CERTIFICATE OF LIABILITY INSURANCE
<br />DAT0(MM/DY0 9 YY)
<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 />PAGE FAX
<br />(AIC. N,. �tl; C866) 283-7122 �� No.):(800) 363-0105
<br />E-MAIL
<br />ADDRESS:
<br />5555 San Felipe
<br />Suite 1500
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />Houston TX 77056 USA
<br />INSURED
<br />JWGUSA Holdinqs, Inc.
<br />INSURERA: AIG Specialty Insurance Company
<br />26883
<br />INSURER B: ACE American Insurance Company
<br />22667
<br />wood Group USA, Inc.
<br />and its subsidiaries and Affiliates
<br />INsuRERc: AIG Europe Limited
<br />AA1120841
<br />INSURER D:
<br />17325 Park ROW
<br />Houston TX 77084 USA
<br />INSURER E:
<br />INSURER F:
<br />rn',IGaer.Fc CERTIFICATE NUMBFR- 570077150341 REVISION NUMBER:
<br />V 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. Limits shown are as requested
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />D
<br />POLICY NUMBER
<br />MMIDW
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />HDOG
<br />"FffihEACH
<br />OCCURRENCE
<br />$2,000,000
<br />��--
<br />CLAIMS -MADE FX OCCUR
<br />DAMAGE
<br />PREMISES Ea occurrence)
<br />$2,000,000
<br />MED EXP (Any one person)
<br />$ 5 , 000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />POLICY xJECT PRO ❑ LOC
<br />GENERALAGGREGATE
<br />$4,000,000
<br />PRODUCTS - COMPIOPAGG
<br />$4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />ISA H25300312
<br />07/01/2019
<br />07/O1/2020
<br />COMBINED SINGLE LIMIT
<br />.a accident
<br />$2,000,000
<br />BODILY INJURY ( Per person)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />AUTOS ONLY AUTOS
<br />HIRED AUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Peraccident
<br />UMBRELLALIAB
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />]:7:[OCCUR
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED RETCNTION
<br />B
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICER/MEMBEREXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />WLRC66039262
<br />Work Comp- ADS
<br />RWCC66039304
<br />work Comp- wI
<br />07/01/2019
<br />07/01/2019
<br />07/01/2020
<br />07/01/2020
<br />X I STATUTE ETH
<br />EEACH ACCIDENT
<br />"L
<br />$1, 000, 000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1, 000, 000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1, 000, 000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Archit&Eng Prof
<br />PSDEF1900726
<br />Claims Made- Prof. Liab.
<br />07/01/2019
<br />07/01 2020
<br />Aggreagate Limit
<br />Any One Claim
<br />$5,000,000
<br />$5,000,000
<br />SIR applies per policy tens
<br />& condi
<br />.ions
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached if more space is required)
<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. SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED AMEC COMPANIES.
<br />REVIEWED & APPROVED
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<br />CERTIFICATE HOLDER Py IS ANACiEMENT 'V'S'VpbANCELLATION
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />•/7 L
<br />1
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana
<br />rHORILED REPRESENTATIVE
<br />20 Civic Center SAMA THA M. LAMBERT
<br />Santa Ana CA 92702 02 usUS
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<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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