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<br />PRODUCER
<br />MARSH RISK & INSURANCE SERVICES
<br />P. O. BOX 193880
<br />SAN FRANCISCO, CA 94119-3880
<br />CALIFORNIA LICENSE NO. 0437153
<br />
<br />'T~' F INS>URA-N U( ~EeERTIFleATE NUMBER
<br />ct ':':~ SEA-000614183-0a
<br />.- .
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
<br />AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />COMPANY
<br />A NATIONAL UNION FIRE INS. CO, OF PITTSBURGH, PA
<br />
<br />URSCA -ALL-WiPRO-04-05 SFO URSA
<br />INSURED
<br />URS CORPORATION
<br />dba URS CORPORATION AMERICAS
<br />600 MONTGOMERY STREET
<br />25TH FLOOR
<br />SAN FRANCISCO, CA 94111
<br />
<br />COMPANY
<br />B AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
<br />
<br />~-
<br />
<br />COMPANY
<br />o NIA
<br />
<br />COMPANY
<br />C INSURANCECOQFTHESTATEOFPA
<br />
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />CO
<br />LTA
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />DATE (MM/DDIYY) DATE (MMfDOIYY)
<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />A _GENERAL LIABILITY GL933-3116
<br />;. jCOMME::RCIAL GENEHAL LIABiliTY
<br />ill CLAIMS MADE 0 OCCUR
<br />_ OWNER'S & CONTRACTOR'S PROT
<br />
<br />-
<br />
<br />04/01104
<br />
<br />04/01/05
<br />
<br />A _AUTOMOBILE LIABILITY
<br />..2 ANY AUTO
<br />_ ALL OWNED AUTOS
<br />f.- SCHEDULED AUTOS
<br />~ HIRED AUTOS
<br />0. NON-OWNED AUTOS
<br />
<br />I-
<br />
<br />826-1679 AOS
<br />
<br />04/01/04
<br />
<br />04/01/05
<br />
<br />APPROV Ei
<br />
<br />AS TO Fe RM
<br />
<br />GARAGE LIABILITY
<br />I-
<br />ANY AUTO
<br />l-
<br />I-
<br />
<br />l..~LII <.i
<br />
<br />jIlt! :');'iCCUY
<br />
<br />^;,:,""tililC '<.....-HY AllofilCY
<br />
<br />A
<br />C
<br />C
<br />E
<br />
<br />EXCESS LIABILITY
<br />n- UMBRELLA FORM
<br />H OTHER THAN UMBRELLA FORM
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />
<br />THE PROPRIETORI ~
<br />PARTNERS/EXECUTIVE X INCl
<br />OFFICERS ARE: EXCL
<br />
<br />7155121 (CA) 01/01/05 01/01106
<br />7155122 (AOS) 01/01/05 01101/06
<br />7155118 EXCLUD. CA,AOS, GA 01/01/05 01/01/06
<br />7155119 (GA) 01/01/05 01101106
<br />819-4168 04/01 104 04/01/05
<br />
<br />Oil-:!;:!
<br />
<br />B PROF. LIABILITY (E&O)
<br />CLAIMS MADE FORM
<br />
<br />LIMITS
<br />GENERAL AGGREGRATE $ 2,000,000
<br />PRODUCTS-COMP/OP AGG $ 2,000,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />EACH OCCURRENCE $ 1,000,000
<br />FIRE DAMAGE (Anyone fire) $ 1,000,000
<br />MED EXP (Anyone person) $ 5,000
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />BODilY INJURY
<br />(Pet person) $
<br />BODilY INJURY $
<br />(peraccidellt)
<br />PROPERTY DAMAGE $
<br />AlITO ONl Y- EA ACCIDENT $
<br />OTHER THAN AlITO ONLY:
<br />EACH ACCIDENT $
<br />AGGREGATE $
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />X I we STATU- ,I I OTH- ~
<br />TORY liMITS ER
<br />El EACH ACCI DENT $ 1,000,000
<br />El DISEASE-POLICY LIMIT $ 1,000,000
<br />EL DISEASE.EACH EMPLOYEE $ 1 000 000
<br />EACH CLAIM $1,000,000
<br />AGGREGATE $1,000,000
<br />
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
<br />RE: PROJECT NO. 57-09961035.01; CENTERliNE PROJECT NOISE REVIEW. THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, & VOLUNTEERS ARE
<br />ADDITIONAL INSUREDS WITH RESPECT OPERATIONS PERFORMED BY OR FOR THE NAMED INSURED AS RESPECTS GENERAL LIABILITY. THIS INSURANCE IS
<br />PRIMARY PEA POLICY FORM. SEVERABIUTYOF INTEREST/CROSS liABILITY APPLIES.
<br />
<br />.",.",..,...".,...,...,.., ",.,
<br />........,.".",..,...
<br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCEllED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE INSURER AFFORDING COVERAGE Will ENDEAVOR TO MAil 30 DAYS
<br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAilURE TO MAil SUCH
<br />NOT!CE SHAll IMPOSE NO OBLIGATION OR LIABiliTY OF ANY KIND UPON THE INSURER
<br />AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATlVES, OR THE ISSUER OF THIS
<br />CERTIFICATE.
<br />
<br />IcERT
<br />
<br />- .
<br />
<br />CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA
<br />PO BOX 1988
<br />SANTA ANA, CA 92702
<br />
<br />JAN04'05 Arl 9:42 PU!~
<br />
<br />. ,
<br />
<br />.
<br />
<br />MARSH USA INC
<br />BY; Michio Nekota ~~L
<br />.
<br />
<br />12127104
<br />
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