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DATE(MM /DD /YYYY) - <br />ACORD„ CERTIFICATE ©F iA i ,3 <br />' 1VS R NC' lz /ze /zoo? <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />PRODUCER Risk Services, Inc. of Massachusetts <br />AND CONFERS NO RIGHTS LION THE CERTIFICATE HOLDER. THIS <br />99 High Street �_app(o��cj S' DOES NOT AMEND, EXTEND OR ALTER THE <br />Boston MA 02110 USA CERTIFICATE <br />yUO'{- k 3 ( COVERAGE AFFORDED BY THE POLICIES BELOW. <br />11 - INSURERS AFFORDING COVERAGE NAIC # <br />PHONE- 866 283 -7122 FAX- 847 953 -5390 <br />American Zurich Ins Co 40142 <br />•• <br />u <br />,I INSURER <br />e <br />INSURED Co 16535 <br />Camp Dresser & McKee Inc. Zurich American Ins CO <br />'� <br />ONE CAMBRIDGE PLACE Lloyd's Of London 0005FI <br />Y <br />9Y. <br />50 HAMPSHIRE STREET <br />CAMBRIDGE MA 021390000 USA <br />x <br />10 May . <br />LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POICY PERIOD INDICATED. NOTWITHSTANDING <br />OR MAY <br />THE POLICIES OF INSURANCE <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br />TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD' pOLICS NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />TYPE OF INSURANCE DATE(MWDD \YY) DATE(MM\DDWY) <br />LTR NS <br />GLo837663212 01/01/08 01/01/09 EACH OCCURRENCE 81,000,000 <br />B ERAL LIABILITY Commercial General Liab DAMAGETORENTED $100,000 <br />X COMMERCIAL GENERAL LIABILITY PREMMSES(Eaoccurenvl <br />CLAIMS MADE ® OCCUR : ED E (.Anv one person , ULKI <br />PERSONAL &ADV PULMY $1,000,000 <br />GENERAL AGGREGATE $2,000,000 <br />fi <br />O <br />O <br />GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS- COMPiOP AGO $2,000,000 <br />a <br />ry <br />O <br />F] POLICY' © PRO- ❑ LOC <br />v <br />ECT <br />B <br />AUTOMOBILE LIABILITY' <br />BAP 8376631 12 <br />01/01/06 <br />01/01/09 <br />COMBINED SINGLE LIMIT <br />S2,000,000 <br />BUSINESS AUTO COVERAGE <br />(Ea accident) <br />Z <br />X ANY AUTO <br />Y <br />ALL OWNED AUTOS <br />BODILY INJURY <br />W <br />V <br />( Per person) <br />4 <br />SCHEDULED AUTOS <br />X HIRED AtiT05 <br />BODILY INJURY <br />el <br />U <br />(Per accideml <br />X NON OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per a_,Ient) <br />AUTO ONLY - EA ACCIDENT <br />GARAGE LIABILITY <br />ANY AUTO <br />OTHER THAN EA ACT <br />ACT ONLY AGO <br />EACH OCCURRENCE <br />EXCESS ILMBRELLA LIABILITY <br />AGGREGATE <br />ElOCCUR ❑ CLAIMS MADE <br />BDEDUCTIBLE <br />RETENr10N <br />WC 1 <br />17n77— <br />X <br />WC STATII <br />A <br />OTH- <br />E <br />A <br />WORKERS COMPENSATION AND <br />WORKERS COMPENSATION <br />EL EACH ACCIDENT <br />$1,000,000 <br />0 <br />EMPLO]'ERS' LIABILITY' <br />� <br />ANY PROPRIETOR! PARTNER I EXECUTIVE <br />EL. DISEASE- EAE.MPLOYEE <br />$1.0 0,000 <br />OtTJCERMEMBER EXCLUDED? <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />Ifyae, descnbe under SPECIAL PROVISIONS <br />below <br />QK0801367 <br />01701708 <br />1 1 <br />Per claim usD $3,000, <br />- <br />C <br />OTHER <br />Prof Architects & Engine <br />Aggregate usD $3,000,000 <br />Archit &Eng Prof <br />DESCRIPTION OF OPERATION'S'LOCATIONS,.ICLES /EXCLUSIONS ADDED DY ENDORSEMEN- ('/SPECIAL PROVISIONS <br />Re: 43431 <br />officers, volunteers and employees are included as additional insured with respect to <br />City of Santa Ana, its <br />General and Automobile Liability. This coverage is primary and non - contributory. <br />city of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />MSUKERWTLL "^^^=MAIL <br />Attn: Clerk of the City council <br />DATE THEREORTHE ISSUING <br />DAYS WBITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />f <br />20 Civic Center Plaza <br />Y) NRII 9* <br />- <br />P.O. BOX 1988 <br />r� <br />Santa Ana CA 92701 USA <br />AUTHORIZED REPRESENTATIVE <br />� <br />�$r:nRVen <br />