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ACORD,H CERTIFICATE OF LIABILITY: INSURANCE` <br />°AT05/01103 "`' <br />05MM/ <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Aon Risk Services, Inc. of Massachusetts <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />99 High Street <br />Boston MA 02110 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A Zurich American Ins Cc <br />PHONE - (866) 266 -7475 FAX - (866) 467 -7847 <br />INSURED <br />Camp Dresser & McKee Inc. <br />COMPANY Lloyd's of London <br />B <br />COMPANY <br />One Cambridge Place <br />50 Hampshire Street <br />C <br />Cambridge MA 021390000 USA <br />COMPANY <br />D <br />"COVERAGES. .I J : i' , ; ` to ' SIR- Ma Y.APPIY <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 />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE(MM/DD/YY) <br />POLICY EXPIRATION <br />DATE(MM/DD/YY) <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />GLO8376632 -07 <br />01101103 <br />01101/04 <br />GENERAL AGGREGATE <br />$2,000,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Commercial General Liability <br />PRODUCTS - COMPIOP AGG <br />$2,000,000 <br />ClA1M5 MADE OCCUR <br />PERSONAL BADV INJURY <br />$1,000,000 <br />OWNER'S & CONTRACTOR'S PROT <br />EACH OCCURRENCE <br />$1,000,000 <br />FIRE DAMAGE(Aw one fire) <br />$100,000 <br />MED EXP(Anv one Pereon) <br />$5,000 <br />• <br />AUTOMOBILE <br />�( <br />LIABILITY <br />ANY AUTO <br />BAP83 76631 -07 <br />BUSINESS AUTO COVERAGE <br />01/01/03 <br />01/01104 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />( Per person) <br />BODILY INJURY <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />- <br />AUTO ONLY - EA ACCIDENT <br />ANY AUTO <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />tiiro She, 19 <br />AGGREGAT <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />Dcput Cij <br />( y <br />/�IIOTf1CV <br />EACH OCCURRENCE <br />AGGREGATE <br />OTHER THAN UMBRELLA FORM <br />• <br />WORKER'S COMPENSATION AND <br />WC 8378833 -08 <br />01/01/03 <br />01101104 <br />X I WC STATU. OTH- <br />EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT <br />$1,000,000 <br />THE PROPRIETOR/ X INCL <br />PARTNERS/EXECUTIVE <br />EL DISEASE - POLICY LIMIT <br />$1,000,000 <br />OFFICERS ARE EXCL <br />EL DISEASE-EA EMPLOYEE <br />$1,000,000 <br />B <br />QK0301367 <br />ARCHITECTS It ENGINEERS E &O <br />01/01/03 <br />01/01/04 <br />Each Claim /Aggregate $7000000 <br />X ArchilBEng Prof <br />DESCRIPTION OF OPERATIONSILOCATQNSNEHICLES /SPECIAL ITEMS <br />Re: City of Santa Ana Grant Execution Support. <br />City of Santa Ana, its officers, Volunteers and employees are included as additional insured with respect to <br />General Liability. This coverage is primary and non contributory. Waiver of subrogation applieswi th respect to <br />CEATIFICATE4HOLDER 'I' ` ` ..,.:CANCEL ATION - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE <br />City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENOEAVORTO MAIL <br />Attn: Joe Parco <br />W DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />20 Civic Center Plaza <br />Santa Ana CA 92701 USA <br />AUTHORIZED REPRESENTATIVE <br />Certificate NO: 570006036036 Holder Identifier: <br />