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ACORd CERTIFICATE OF LIABILITY INSURANCE Dosr 15/2018Dm�)
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />PRODUCER
<br />Marsh Risk & Insurance Services
<br />NAME __-. _ __ - _-.
<br />CA License #0437153
<br />'NAME:
<br />HONE FAX
<br />_(AIC, No, Exry IA/C, No(:__
<br />633 W. Fifth Street, Suite 1200
<br />EMAIL
<br />Los Angeles, CA 90071
<br />_A_BOR_ESS:
<br />Arm LOSAngeISBCerlRaquestOOMarah, Com
<br />_ __ INSURER(S) AFFORDING COVERAGE NAICN _
<br />CN101348564 STND-GAUE 1819 06 2020
<br />INSURER A: ACE American Insurance Company 22667
<br />INSUREDAECQM
<br />INSURERB:N(A-. -.. N/A
<br />AECOM Technical Services, Inc.
<br />INSURER C: Illinois Union Insurance CO 27960
<br />999 W. Town and Country Road
<br />INSURER D: SEE ACORD 101
<br />Orange, CA 92860
<br />---- --- --- --- --- -- -
<br />INSUREII E :
<br />COVERAGES CERTIFICATE NUMBER: LOS-002393787-01 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR : ADDL SUBR� POLICY EFF POLICY EXP
<br />LTR TYPE OFINSURANCE II D VD. POLICY NUMBER ", MMIDDIYYYY MMIDDIYYYY
<br />LIMITS
<br />A X "', COMMERCIAL GENERAL LIABILITY '', HDO G71093669 104/0112018 0410112019
<br />''. EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE X "'. OCCUR "'. I. I '
<br />) $ 1,OOQ000
<br />PREMISES (Ca occurrence --
<br />PREMIDA SES
<br />-5,000
<br />MEN EXP (Any one person) $
<br />Ili
<br />PERSONAL&ADV INJURY $ 1,000,000
<br />0EN1 AGGR EGATE LI M IT APPLI ES PER :. I. ':.
<br />GENERAL AGGREGATE ':.a 2,000,000
<br />X POLICY PRO-
<br />JECT LOC
<br />PRODUCTS-COMPIOPAGG _S 2000000
<br />OTHER
<br />$
<br />A AUTOMOBILE LIABILITY ISA H25157229 04/0112010 04/0112019
<br />COMBINED SINGLE LIMIT s 1000000
<br />Ca accident) - _ _
<br />X ANY AUTO
<br />BODI LV NJURY(Per parson) $
<br />OWNED SCHEDULED
<br />BODILY INJURV(Per accident)i$
<br />AUTOS ONLY AUTOS
<br />-PROPERTY
<br />HIRED NON -OWNED
<br />DAMAGE $
<br />AUTOS ONLY ; AUTOS ONLY
<br />_JPer acatleng__ _
<br />----$
<br />_
<br />UMBRELLA LIAB OCCUR T— ''.
<br />EACH OCCURRENCE ''. $
<br />EXCESS LIAB '.. CLAIMS MADE: "' '
<br />AGGREGATE ',, $
<br />LED RETENTION
<br />'$
<br />D WORKERS COMPENSATION 'SEE ADDED 101 12 ",, 04/01/2019
<br />X ". PER OTH-
<br />ANDEMP40YERS'LIABILITV V)N
<br />STATUTE L ER
<br />ANYPROPRIETOR/PARTNERIEXECUTIVE
<br />EL EACH ACCIDENT $ 1000000
<br />OF ��,NIA
<br />- - -
<br />1000.000
<br />IN
<br />:(MdndafcryinNIP) :
<br />E.L. DISEASE -EA EMPLOYEE $
<br />f yyes, describe under
<br />- 1 OUO,000
<br />D SCRIPTION OF OPERATIONS below
<br />E L DISEASE - POLICY LIMIT $
<br />C ARCHITECTS & ENS, EON G21654693 104/0112018 04/0112019
<br />Per Claini 2,000.000
<br />PROFESSIONAL LIAR "CLAIMS MADE"
<br />Defense Included
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Re'. AECOM Project No 60522801 task 4; Client Reference No RFP 18-002
<br />The City, its officers, employees, agents, volunteers and representatives are named as additional Insured for GI -coverage, but only as respects work performed
<br />by or on behalf of the named Insured and where
<br />required by written contract. This Insurance Is primary and non-contributory over any existing insurance and limited to liability arising out of the operations
<br />of the named insured and where required by written contract
<br />with respect to the GL coverage. Severability Of InterestlCross Liability is included for General Liability coverage,
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />PWA-Traffic Engineering
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: Cesar RodriguezrActing Sr. Civil Engineer
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />James L. Vogel
<br />© 1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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