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ACORDTR CERTIFICATE OF LIABILITY' <br />INS URANCE "DATEfMMI °D YY >I. <br />DSb1/03 <br />PRODUCER <br />ADD Risk Services, Inc. of Massachusetts <br />99 High Street <br />Boston MA 02110 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />PHONE • 666 266 -7475 FAX • (866 467 -7847 <br />COMPANY Zurich American Ins Co <br />A <br />INSURED <br />COMPANY Lloyd's Of London <br />Camp Dresser & McKee Inc. <br />One Cambridge Place <br />COMPANY <br />50 Hampshire Street <br />C <br />COMPANY <br />Cambridge MA 021390000 USA <br />D <br />?COVERAGES <br />THIS IS TO CERTIFY THAT THE POL UBS 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 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTq <br />TYPE OF IlVSDRAN('E <br />➢OLICY NDMFER <br />POL /CY EFFECTIVE <br />OAYC(MM/DONY) <br />POLICY EXPIRATION <br />DAT6(IMdrDD1YY) <br />LWIS <br />A <br />GENERALLIABILITY <br />GLO8370632 -07 <br />01rD1J03 <br />01/01/04 <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS- COMP /OPAGG <br />$2,000,000 <br />7( COMMERCIALOENERALLIABILTY <br />Cornm.mial General Lability <br />PERSONAL AAW WJURY <br />$1,000,000 <br />' LWMSMADE OOCCUR <br />EACH OCCURRENCE <br />$1,000,000 <br />OWNER'S& CONTRACTOR'S PROT <br />FIRE DAMAGE(Any ore firm <br />$100000 <br />MED EXP(Am one owson) <br />$5,0(70 <br />• <br />AUTCMOEILEUABILITY <br />8APS376631 -07 <br />01/01/03 <br />01/O1l04 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />}{ <br />ANYAUTO <br />BUSINESS AUTO COVERAGE <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />( Per {anon) <br />SOUILY INJURY <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(PSr ec[ICenl) <br />PROPERTY OM4AGE <br />GARAGE LIABILITY <br />- ` <br />AUTOONLY- EAACCIDENT <br />ANY AUTO <br />OTH ER THAN AUTO ONLY: <br />EACHACCEENT <br />AGGREGAT <br />EXCESSLIASILITY <br />DCTU[ Cii <br />! Y <br />n11l1rRCV <br />EACH OCCURRENCE <br />AGGREGATE <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />• <br />WORKER'S COMPENSATION AND <br />WC 8378839 -D6 <br />01/01/03 <br />01/01PO4 <br />}{ WC STATD• 0TH- <br />y'i' v - -J <br />R k9k!7` <br />EMPLOYERS' LIABWTY <br />EL EACH ACCIDENT <br />$1,000,000 <br />THE PROPRIETOR/ rV7 INCL <br />PARTNERSIEXECUTNE <br />EL DISEASE- POUCYLWIT <br />$11000,0DO <br />EL DISEASEiA ENPLOYEE <br />§1,000,000 <br />OFFICERSARE EXCL <br />B <br />QK0301307 <br />ARCHITECTS d ENGINEERS E &O <br />01/01/[x! <br />01101/04 <br />Eau CWI Agwawtc $1,000,000 <br />7{ Armi,&En8 Prof <br />DESCRIPTION OF OPERA 710NSILOCATKINSNEMCLESWECfAL 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. Wai,er of subrogation agar ieawith respect to <br />CERTIFIEATE'HOLDER a .., . ''.:' %'' H « .., .•;'I ?" _::._:CANGELLLATION • .. • -., <br />SHOULD ANY OF THE ABOVE OESCROED POLICIES BE CANCELLED BEFORETHE <br />City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL BIDEAVORTO MAIL <br />Attn: Joe Parco <br />30 DAYS WRITTEN NOTICE i0 THE CERTInCATE HOLDER NAMED TO THE LEFT. <br />20 Civic Center Plaza <br />'k Ao, —, qIG, --__ Q0". w s <br />Santa Ana CA 92701 USA <br />AUYHORRED REPRESENTATIVE <br />1ifCOHa:2ES 1196 ' _ - <br />Certificate No: 570006036036 Holder Identifier: <br />