|
<br />-.-. -
<br />._--<~;;> !\4)A.RSH .2c,2 ',Ec.' ............... )lj.I",.i"".D.Il.M~E
<br /> CERTIFICATE NUMBER
<br /> ,.,cc' SEA-000614183-03
<br />PRODUCER THIS CERTIFICATE 15 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 />I JRSCA -ALL-WIPRO- SFO URSA ,^Co A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />INSURED N/ 1/0~~/ COMPANY
<br /> URS CORPORATION AMERICAS B AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
<br /> 100 CALIFORNIA STREET
<br /> SUITE 500 COMPANY
<br /> SAN FRANCISCO, CA 94111 C INSURANCE CO OF THE STATE OF PA
<br /> COMPANY
<br /> D AMERICAN HOME ASSURANCE CO
<br />,,,! ,,,.. ')iE'2.:)x ....2'..,:E
<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 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 IMM/DDIYY) DATE (MMIDDIYY)
<br />A GENERALLIABIUTY GL933-2537 04101103 04/01104 GENERAL AGGREGATE $ 2,000,000
<br />-
<br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> , I 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 nersonl $ 5,000
<br />A AUTOMOBilE LIABILITY 826-1308 AOS 04/01103 04101104 $ 1,000,000
<br />- COMBINED SINGLE LIMIT
<br />A ~ ANY AUTO 826-1309 MA 04/01103 04101/04
<br />D - ALL OWNED AUTOS 826-1310 TX 04/01103 04101/04 BODilY INJURY $
<br /> (Per person)
<br /> - SCHEDULED AUTOS
<br /> ~ HIRED AUTOS BODilY INJURY $
<br /> ~ NON.OWNED AUTOS (Per accident)
<br /> - PROPERTY DAMAGE $
<br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
<br /> -
<br /> - ANY AUTO OTHER THAN AUTO ONLY: c')":;,:;""":;""
<br /> - EACH ACCIDENT $
<br /> AGGREGATE $
<br /> EXCESS LIABILITY EACH OCCURRENCE $
<br /> ==i UMBRELLA FORM AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM $
<br />A WORKERS COMPENSATION AND 708-5561 CA 01101/03 01101104 X I T~~$l~JHs I I uJ~ ., ....'i:;:;,
<br />EMPLOYERS' LIABILITY
<br />C 708-5562 AOS 01101/03 01101104 EL EACH ACCIDENT $ 1,000,000
<br />A THE PROPRIETOR! R'NCL 708-5563 NY, OH, WA, WI, WV 01101/03 01101/04 EL DISEASE-POLICY LIMIT $ 1,000,000
<br /> PARTNERS/EXECUTIVE EL DISEASE-EACH EMPLOYEE $ 1,000,000
<br /> OFFICERS ARE: EXCl
<br /> (j'f'fffif
<br />B PROF. LIABILITY (E&O) 819-4168 04101/03 04101/04 EACH CLAIM $1,000,000
<br /> CLAIMS MADE FORM AGGREGATE $1,000,000
<br />DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClESISPECIAlITEMS
<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 INTERESTICROSS LIABILITY APPLIES.
<br />CERTIFICATE HOLDER :;:0'2, C',c";;,,"" ~AOlI'" , ::.,':;.!!c ;;'). ,,,.....
<br /> :'C"C"~')'
<br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
<br /> THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAil --...-3..Q DAYS WRITTEN NOTICE TO THE
<br /> CITY OF SANTA ANA CERTIFICATE HOLDER NAMED HEREIN, BUT FAilURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br /> 20 CIVIC CENTER PLAZA
<br /> PO BOX 1988 LIABILITY OF ANY KINO UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
<br /> SANTA ANA, CA 92702 ISSUER OF T11IS CERTIFICATE.
<br /> MARSH USA INC.
<br /> BY; Michio Nekota ~c..LL
<br /> ..... : ............... '. VAUD AS OF: 04/01/03
<br />
|