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<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE <br />01/04/2008 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> A- .;)001-1 It> tj ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Century Blvd. t.V:U;o\ - 0:2-3 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. O. Box 305191 <br /> Nashville. TN 372305191 ~-~ODd-5tt' INSURERS AFFORDING COVERAGE NAIC# <br /> 1/ II .-' 1 <br />INSURED URB corporation d.b... URS Corporation Americas IN5URERA: National Union Pire Ins Co of Pittsburgh 19445-100 <br /> 600 MOntgomery Street. 25th Floor INSURERS: American Home Assurance Company 19380-100 <br /> San Francisco, CA 94111 <br /> INSURER C: Insurance Company of the State of PA 19429-100 <br /> INSURERD: Lloyd's of London/A.P. Beazley Syndicate 15792-200 <br /> I INSURER E: Lexinaton Insurance COll1Danv 19437-000 <br /> <br />A.~-OI5 <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />II~~ ~.P.,~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT1VE POLICY EXPIRATlON LIMITS <br />A I GENERAL UABlLITY GL197-9807 5/1/2007 5/1/2008 EACH OCCURRENCE . 1 000 000 <br /> I ~ COMMERCIAL GENERAL LIABILITY ~~~~l~9E~~~6~~nce\ . 1 000 000 <br /> I I CLAIMS MADE [i] OCCUR MED EXP (Anyone person) . 10 000 <br /> Ix XCU. BFFD PERSONAL & ADV INJURY . 1 000 000 <br /> I..x.. Contractual Liabilitv GENERAL AGGREGATE . 2 000 000 <br /> ~'L AGGREGATE LIMIT APMS PER: PRODUCTS - COMP/OP AGG . 2 000 000 <br /> I POLICY !Xl ~~R,:: LOC <br />A ~OMOBILE LiABILITY CA826-2672 5/1/2007 5/1/2008 COMBINED SINGLE LIMIT <br /> . 2,000,000 <br />A fZ- ANY AUTO CA826-2675 5/1/2007 5/1/2008 (Eaaccident) <br />B f-- ALLOWNEDAUTOS CA826-2674 5/1/2007 5/1/2008 BODILY INJURY <br /> (Per person) . <br /> f-- SCHEDULED AUTOS <br /> f- HIRED AUTOS BODILY INJURY <br /> (Peraccideni) . <br /> f-- NON-OWNED AUTOS <br /> f-- PROPERTY DAMAGE . <br /> (Per accident) <br /> =iAG. LIABILITY AUTO ONLY- EA ACCIDENT . <br /> ANY AUTO OTHER THAN EAACC . <br /> AUTO ONLY: AGG . <br /> ~~SfUMBRELLA LIABILITY EACH OCCURRENCE . <br /> OCCUR 0 CLAIMS MADE AGGREGATE . <br /> ~ DEDUCTIBLE . <br /> . <br /> I RETENTION . . <br />A WORKERS COMPENSATION AND WC1593661 1/1/2008 1/1/2009 X I T';!;~~m~< I IOJ~' <br /> EMPLOYERS' LIABILITY <br />C I rv PROPRIETOR/PARTNER/EXECUTIVE WC1593662 1/1/2008 1/1/2009 EL EACH ACCIDENT . 1 000 000 <br />A OFFICER/MEMBER EXCLUDED? WC1593663 1/1/2008 1/1/2009 EL DISEASE - EA EMPLOYEE . 1 000 000 <br /> II yes, ooscribeunder WC1593665/WC1593666 1'1'2008 1'1/2009 1 000 000 <br />C SPECIAL PROVISIONS belOW EL DISEASE - POLICY LIMIT . <br />D OTHER MMP 0005 5/1/2007 5/1~2008 <br />E Professional Liability 1156494 E&O 5/1/2007 5/1/2008 $1,000,000. Each Claim <br /> IW/Limited Contractual - $1,000,000. Aggregate <br /> Claims Made Polic <br />DESCRIPTION OF OPERATlONSlL.OCATlONSlVEHICLESlEXCLUstONS ADDED BY ENDORSEMENTJSPECIAL PROVISIONS <br />Re: Project# H100000368.01 Minnie/Standard Street Improvement Project Manager: Jeff Chapman <br />It is agreed that City of Santa Ana is included as an Additional Insured as respects to General <br />Liability. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />ACORD 25 (2001108) <br /> <br />Co11:2216592 Tp1:728088 <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Yl3HlfJl\Jl\1(XI[MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L.E~IIII.'!e1ll1111!lVWlr~L <br />MYM!I!''Uly"V5Ml5f:IlDJ[>>K~~B:itI,..varIVMM~lfW'VlMlIHl'1mt <br />1I1l1l1X <br />UT RIZEDREPRES~ <br /> <br /> <br />@ACORO ORPORATION1988 <br /> <br />City of Santa Ana <br />Atto: Clerk of The City Council <br />20 Civic Center Plaza(M-30) <br />P.O.Box 1988 <br />Santa Ana, CA 92702 <br />