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ACORD <br />~EFtTI~ICATE QF LIABILI TY INBUI~ANCE REVISED DATE (MM/DD/YY) <br />l v <br />oos <br />r <br />M <br />~ n <br />z <br />__. <br />PRODUCER <br />Serlal # 504230 THIS CERTIFICATE IS ISSUED ASA MATTEROF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aon Risk Services, Inc. of New York HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />55 East 52nd Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />New York, NY too55 COMPANIES AFFORDING COVERAGE <br />PHONE: 866-266-7475 ---- <br />FAX: 866467-7847 coMAANY AMERICAN CASUALTY CO. OF READING PA (NAIC #20427) <br /> <br />INSURED cOMPA.vV <br /> B <br />PARSONS BRINCKERHOFF QUADE & - - -- <br />DOUGLAS,INC. caMPANV TRANSPORTATION INSURANCE COMPANY (NAIC #20494) <br />ONE PENN PLAZA C <br />--- <br />NEW YORK, NY 10119 ~" - <br /> coMPANY CONTINENTAL CASUALTY COMPANY (NAIC #20443) <br /> D <br />COVL°RAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION DF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDE D 6 Y THE POLICIES DESCRIBED HEREIN IS SU&IECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITK)NS OF SUCH POLICIES, LIMITS SHOWN MAV HAV E BEEN REDUCED BY PAID CLAIMS. <br />CO <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE IMMIDDIVY) POLICY EXPIRATION LIMITS <br />DATE (MMlDD/YY) <br />LTR <br />A GENERAL LIABILITY GL 2057247647 11/D1I2005 11/01/2006 ~ cENERALAGGRECnrE s 5,000,000 <br />__ .__- _. <br /> X,coMMERCwL CENEftaulAealTV GENERAL LIABILITY (A/S) PROOUCrs-cDMPIOP ACC 's 5,000,000 <br />.._- --. _. <br />C CLAIMS MADE ~OCCLR GL 2057247616 __..._. <br />PERSONAL &ADV INJURY 'S <br />1,DDD,DDD <br />_ <br /> OWNEft'S&CONTRACWR'S PROT GENERAL LIABILITY-STOPGAP EACH OCCURRENCE _ <br />S. <br />1,DOO,000 <br /> FIRE DAMAGE (Anyone fire) S 300,DOO <br /> ' MEDEXP (Any onepersonj $ 5,000 <br />A AUTOMOBILE LIABILITY gUA 2057247633 11!0112005 11/01!2006 <br />coMeINEDSINGLEUMIT <br />s 2 <br />000 <br />000 <br /> X' ANY AUTO COMMERCIAL AUTO , <br />, <br />D ALLOWNEDAUTOS BUA2057247650PD <br />oD <br />L <br />i <br />~ <br />uRY <br />g <br /> AUTO PHYSICAL DAMAGE <br />I SCHEDULED AUTOS ~ <br />V <br />~ <br />) <br />p <br /> <br />~', HIRED AUTOS $500 DED COMP <br />eoDiLV lNauftv _ <br />$ <br /> NON-OWNED AUTOS $1 DDD DED LOLL (Per accident) <br /> - '~ PROPERTY DAMAGE j g <br />'GARAGE LIABILITY Iii ~~~ <br />r / ~ <br />big O~.J i 'i `-°h- AUTOONLY-EA ACCDENT <br />E ©s:r., - i3 <br />I _- <br />ANY AUTO OTHER THAN AUTO GNLV: <br />`... ~ <br />' EACH ACCIDENT 5 <br />-- -. ~ <br />AGGREGATE S <br /> E%CESS LIABILITY '-" ' -`' <br />~. EACH OCCURRENCE <br />. S <br /> '. ,..~ <br />UMBRELLA FORM SL...ll <br />'Iti ''`1' ' _. <br />AGGREGATE 8 <br /> OTHER THAN UMBRELLA FORM $ <br /> <br />A <br />WORKER'S COMPENSATION AND <br />WC 2057247583 AOS 11/Otl2D05 11/01/2006 'rvcsTAm orw <br />X ToRV UrniTS ER <br /> <br />A <br />EMPLOYERS'LIABILITY WC 2057247597 CA ONLY <br />11lD1/2DD5 <br />11/D1/2DD6 <br />EL EACHAGCIDEM __ <br />$ 1,DOQ,ODD <br /> <br />C <br />THE FROPRiEroR, LX NCL WC 2057247602 RETRO (OR,VA,W) <br />11/D112DD5 11/01!2006 <br />EL DISEASE~POLICV LIMIT DDD <br />$ _1,DDD, <br />~ <br /> vARTNERSlExECI1TIVE <br />OFFICERS APE'. EXCL EL DISEASE EA EMPLOYEE OOD <br />S <br />1 000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES(SPECIAL ITEMS <br />(PB #18526) AGREEMENT A-2003-173 RE: DOWNTOWN ADAPTIVE SIGNAL SYSTEM PROJECT. SANTA ANA ADVANCED TRAFFIC MANAGEMENT <br />SYSTEM. EXCLUDING WORKERS COMPENSATION, THE CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL <br />INSURED. THIS INSURANCE IS PRIMARY PER THE POLICY TERMS AND CONDITIONS. THIS INSURANCE IS PRIMARY AND NON CONTRIBUTORY TO <br />ANY OTHER INSURANCE HELD BY THE ADDITIONAL INSURED. <br />CER-fIFICATE~:HOLDER CANCBLLATC<1r! <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~%~ MAIL <br />20 CIVIC CENTER PLAZA 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />SANTA ANA, CALIFORNIA 92701 <br />AUTHORIZ EPRESENTATIr~ <br />~L~/t-3iC Q~ ~,L7d~j9 CL 10242936 <br />AGC#RD 28-5(1185} rk1A00R0!COAPORR?'~'f988-: <br />PARSON 200028'S.FP3PARSONNEW 02-03 RECOVERED.FPS <br />