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<br />, -MAISH -i/i/ , ~~IN!~IJR~~CE
<br /> CERTIFICATE NUMBER
<br /> --.......~.... .,..:..........., SEA-000614085-04
<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 OR ALTER THE COVERAGE
<br /> SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br /> CALIFORNIA LICENSE NO. 0437153 COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br />URSCA -ALL-W/PRO- SFO URSA A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />INSURED 2/'Ofp ~ COMPANY
<br /> URS CORPORATION AMERICAS B AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
<br /> 100 CALIFORNIA STREET
<br /> SUITE 500 N/pJO COMPANY
<br /> SAN FRANCISCO, CA 94111 C INSURANCE CO OF THE STATE OF PA
<br /> COMPANY
<br /> D AMERICAN HOME ASSURANCE CO
<br /> THIS :;~O CERTIFY THAT POLICIES OF INSURANCE DESCRIBE~ B'~::'SSUED TO THE INSURED ~~~i~~R 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 MAY
<br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
<br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />LTR DATE (MMIDDNY) DATE (MMIDDfYY)
<br />A GENERAL LIABILITY GL933-2537 04/01/03 04/01/04 GENERAL AGGREGATE $ 2,000,000
<br />-
<br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS. COMP/OP AGG $ 2,000,000
<br /> 'l J CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
<br /> - OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
<br /> FIRE DAMAGE (Anyone fire) $ 1,000,000
<br /> MED EXP IAnv one oerson\ $ 5,000
<br />A AUTOMOBILE LIABILITY 826-1308 AOS 04/01/03 04/01/04 $ 1,000,000
<br />- COMBINED SINGLE LIMIT
<br />A ~ ANY AUTO 826-1309 MA 04/01/03 04/01/04
<br />D - ALL OWNED AUTOS 826-1310 TX 04/01/03 04/01/04 BODILY INJURY $
<br /> SCHEDULED AUTOS (Perperiion)
<br /> -
<br /> ~ HIRED AUTOS BODILY INJURY $
<br /> ~ NON.()WNED AUTOS (Per accident)
<br /> PROPERTY DAMAGE $
<br /> GARAGE LIABILITY Ayn{UY IOU A:' 1U I' AUTO ONLY. EA ACCIDENT $
<br /> - /'/:1 OTHER THAN AUTO ONLY: . ~;:_-' "
<br /> - ANY AUTO JJ./
<br /> ~'q ~ 0 EACH ACCIDENT $
<br /> " ;;0., / AGGREGATE $
<br /> EXCESS LIABILITY Deputy Cit, Attorney EACH OCCURRENCE $
<br /> R ~MBRELLA FORM AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM $
<br />A WORKERS COMPENSATION AND 708-5561 CA 01/01103 01/01/04 X I T~~$ItJNs I I oJ~ ,,"'.,' ,"'.
<br /> EMPLOYERS' LIABILITY $ 1,000,000
<br />C 708-5562 AOS 01/01103 01/01/04 EL EACH ACCIDENT
<br />A THE PROPRIETOR! R:NCL 708-5563 NY, OH, WA, WI, WV 01/01/03 01101/04 EL DISEASE-POLICY LIMIT $ 1,000,000
<br /> PARTNERSIEXECUTIVE EL DISEASE-EACH EMPLOYEE $ 1,000,000
<br /> OFFICERS ARE: EXCL
<br /> IOTHER
<br />B PROF. LIABILITY (E&O) 819-4168 04/01/03 04/01/04 EACH CLAIM $1,000,000
<br /> CLAIMS MADE FORM AGGREGATE $1,000.000
<br />DESCRIPTION OF OPERATlONSllOCATIQNSNEHICLESISPECIAL ITEMS
<br />RE: PROJECT NO. 57-09961035.01: CENTERLINE PROJECT NOISE REVIEW. THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, &
<br />VOLUNTEERS ARE ADDITIONAL INSUREDS WITH RESPECT OPERATIONS PERFORMED BY OR FOR THE NAMED INSURED AS RESPECTS
<br />GENERAL LIABILITY. THIS INSURANCE IS PRIMARY PER POLICY FORM. SEVERABILITY OF INTEREST/CROSS LIABILITY APPLIES.
<br />I"..n LCLSSc_ };! " I IV", ',,?} ,Se,,;;;: ,"',"" '"C- +
<br /> '.
<br /> SHOULD ANY OF THE POLICIES OESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
<br /> THE INSURER AFFORDING COVERAGE WILL E~ MAIL -----3D DAYS WRITTEN NOTICE TO THE
<br /> CITY OF SANTA ANA CERTIFICATEHOLOERNAMEDHEREIN.~~~
<br /> 20 CIVIC CENTER PLAZA --,
<br /> P.O. BOX 1988 ~
<br /> SANTA ANA, CA 92702 JSll~ =
<br /> MARSH USA INC.
<br /> BY; Michio Nekota ~(",.LL
<br /> ;; '" / ,","- '"", VALID i\$ 01': .04/01/03
<br />
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