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PRODUCER DATE (MM/DDIYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 04/01/2008 04/04/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR TER THE VERA E A RDED BY HE POLlCIE BEL W. Lockton Companies, LLC-L Los Angeles 19800 MacArthur Blvd., Suite 550 CA License #OF15767 Irvine CA 92612 949-2524400 INSURERS AFFORDING COVERAGE INSURED 1075642 DMJM+HARRIS, Inc. 605 Third Avenue New York NY 10158 INSURER A Insurance Co. State ofPenns lvania INSURER B National Union Fire Insurance Co. INSURER COVERAGES AECTEO 1 OE INSURERiS-\- Ajii'HORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR b<1';!~-rri~rJ.f~E PJ'A'4~~ri~rJ~~?N LTR TYPE OF INSURANCE POLICY NUMBER LIMITS ~ERAL LIABILITY FACH OCClIRRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE FIRE DAMAGE IAnv one fire\ $ XXXXXXX I CLAIMS MADE D OCCUR MED EXP 'Arw one oersonl $ XXXXXXX - PERSONAL & ADV INJURY $ XXXXXXX - GENERAL AGGREGATE $ XXXXXXX ~'L AGGREFl ~IMIT APn IPER PRODUCTS - COMPIOP AGG $ XXXXXXX PRO" POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ XXXXXXX ANY AUTO NOT APPLICABLE (Eaaccident) - - ALL OWNED AUTOS BODlL Y INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) - r- HIRED AUTOS BODILY INJURY $ XXXXXXX NON-OWNED AUTOS {Per accident) r- r- PROPERTY DAMAGE $ XXXXXXX (Per accident) R~GE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EAACC $ xxxxxxx AUTO ONLY AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX :J-OCCUR D CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX ~ : 0 UMBRELLA $ XXXXXXX DEDUCTIBLE FORM I, xxxxxxx RETENTION $ $ XXXXXXX A WCRKERS COM~ENSATION AND WC2921235 (AOS) 04/01/2007 04/01/20U8 X li~R~Vi~~T!': i I~~H- A EMPLOYERS' LIABILITY WC2921236 (CA) 04/0 1/2007 04/01/2008 I 000 000 EL EACH ACCIDENT $ A WC2921237 (FL) 04/01/2007 04/0 1/2008 EL. DISEASE - EA EMPLOYEE $ I 000 000 A WC2921238 lOR) 04/01/2007 04/01/2008 EL. DISEASE - POLICY LIMIT $ I 000 000 B OTHER WC2921239 (OH,WA, WI,WV,WY) 04/01/2007 04/0 1/2008 Satutary Limits - See Above Worker's Compensation DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: City of Santa Ana On-Call Contract for Civil Engineering and Landscaping Services ~ CERTIFICATE HOLDER I I ADDITIONAL INSURED" INSURER LETTER: CANCELLATION 2828881 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City at Santa Ana fI' ,(, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN Public Works Agency Office of the Executive Director NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Sauri Amirani IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza, 4th Floor REPRESENTATIVES. Santa Ana, CA 92701 . AUTHORIZED REPRESENTATIVE ~ _ -' , -// ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify II>e clienl code 'AECfE01'. @AtORD CORPORATION 1988 N THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING