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<br />ii ,- Ab~...I4..ii\...}\....'...\....\\.". ......................11.... ............... ..\.....\.... ..................\ .~;;J.i '"" ... CERTIFICATE NUMBER...
<br />i ,..~.....:...C....~...7C.......,.. ........ .......................... ...i............ .............. .................... :~!~'f.;..S....... ....................... SEA-0006140BS-09 ,;::
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONfERS
<br />MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br />P. O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OA ALTER THE COVERAGE
<br />SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br />CALIFORNIA LICENSE NO. 0437153
<br /> COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br />URSCA -ALL-W/PRO-04-05 SFa URSA A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />INSURED COMPANY
<br />URS CORPORATION B LEXINGTON INSURANCE COMPANY
<br />dba URS CORPORATION AMERICAS A -,;l,{X)':} - C"N~
<br />600 MONTGOMERY STREET COMPANY
<br />25TH FLOOR C INSURANCE CO OFTHE STATE OF PA
<br />SAN FRANCISCO, CA 94111
<br /> COMPANY
<br /> 0 NIA
<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 />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />LTR DATE (MMiODNY) DATE (MM/DDNY)
<br />A GENERAL LIABILITY 706-1033 04/01105 04/01/06 GENERALAGGREGRATE $ 2,000,000
<br /> ~ COMMERCIAL GENERAL LIABILITY PRODUCTs-caMP/OP AGG $ 2,000,UOO
<br /> ~ 0 CLAIMS MADE 0 OCCUR PERSONAL & ADV INJURY $ 1,000,000
<br /> - OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
<br /> FIRE DAMAGE (Any orle lire) S 1,000,000
<br /> - $ 5,000
<br /> MED EXP (Anyone person)
<br />A _AUTOMOBILE LIABILITY 826-2024 (AOS) 04/01105 04/01106
<br /> COMBINED SINGLE LIMIT $ 1.000,000
<br /> ~ ANY AUTO
<br /> - ALL OWNED AUTOS BODIL Y INJ URY
<br /> (Per persorl) $
<br /> SCHEDULED AUTOS
<br /> X HIRED AUTOS RM BODll Y INJURY
<br /> APPROVEl AS TO F $
<br /> X NON.OWNED AUTOS (per accident)
<br /> , f;/ ' II PROPERTY DAMAGE $
<br /> I.' )
<br /> ~, /, I' .
<br /> GARAGE LIABILITY . Laur( siArt Sheedy AUTO ONL y. EA ACCIDENT $
<br /> I-
<br /> ANY AUTO Assistan (t>ity Altornc\ OTHER THAN AUTO ONLY; :...........,...............
<br /> I- EACH ACCIDENT 5
<br /> AGGREGATE $
<br /> EXCESS LIABILITY EACH OCCURRENCE $
<br /> ~ UMBRELLA FORM AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM .
<br />A WORKERS COMPENSATION AND 7155121 (CA) 01/01/05 01/01/06 . I we STATU-,1 I OTH-
<br /> EMPLOYERS' LIABIliTY X TORY LIMITS ER
<br />C 7155122 (AOS) 01/01/05 01101106 EL EACH ACCIDENT 5 1,000,000
<br />C THE PROPRIETORI ~I 7155118 EXCLUD. CA,AOS, GA 01101/05 01/01/06 EL DISEASE.POLlCY LIMIT $ 1,000,000
<br /> PARTNER.SIEXECUTIVE X INCL
<br />F nlOlO"lC:lO"q<l. ARIC:' EXCL 71SS119 (GA\ 01/01/05 01/01106 EL DISEASE-EACH EMPLOYEE $ 1.000.000
<br /> OTHER
<br />B PROF. LIABILITY (E&O) 1155287 04101105 04/01/06 EACH CLAIM $1.000,000
<br /> CLAIMS MADE FORM AGGREGATE $1,000,000
<br />DESCRIPTION OF OPERATIONSfLOCATIONStVEHICLES/SPECIAL 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 PER POLICY FORM. SEVERABILITY OF INTEREST/CROSS LIABILITY APPLIES.
<br />....y~?r>r'Yt".flj ...... ." ...........
<br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
<br />CITY OF SANTA ANA DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL KN~ MAIL 30 DAYS
<br />20 CIVIC CENTER PLAZA WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,~>U'AcllC~
<br />P.O. BOX 19B8 ~Dllte()OO(NlO((!II8~J0mIlil~~XXXX
<br />SANTA ANA, CA 92702 .lUI:KI8l~~~KSX~XJeaIJ(~XXXX
<br /> EKJlIl[>OOl:UKXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
<br /> MARSH USA INC
<br /> BY; Mlchlo Nekota 7.wd.Jt..L.L
<br />1<............. <.......i....:...... ......))................ ... ......\'''[,0 As 6{ ........ ,
<br />
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