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<br />"t;: } MARSH ~~l;tRTI~JCj).TE<>..JN SI.JR.ANC E
<br />..~ ~ CERTIFICATE NUMBER
<br /> .w........ ............. ....,.~,' SEA-000538788-03
<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 />RSCA -ALL-W/PRO- STA URSA CG201 A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />INSURED COMPANY
<br /> URS CORPORATION AMERICAS B AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
<br /> 100 CALIFORNIA STREET o&i7
<br /> SUITE 500 COMPANY
<br /> SAN FRANCISCO, CA 94111 fJ/J-vO)..- C INSURANCE CO OF THE STATE OF PA
<br /> COMPANY
<br /> D AMERICAN HOME ASSURANCE CO
<br />COVERAGES Thiscflrtlfic.t&.Ulli!rs~d.and.r.IlI~""..nY'llr..viou$lyii$$h~ceriificale forth.. polley p"riOd'noledb~lpw. '. 5
<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 />-- ---~- -~-_. -- -_.
<br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />LTR DATE IMMIDDIYY) DATE (MMIDD/HI
<br />A G ENERAlllABIUTY 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 /> '1 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 (Anv one nerson) $ 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 /> (Per person)
<br /> - SCHEDULED AUTOS
<br /> .><.. HIRED AUTOS BODilY INJURY $
<br /> .><.. NON-OWNED AUTOS (Peraccidenl)
<br /> APPROVED I\.S TO FOI M PROPERTY DAMAGE $
<br /> GARAGE LIABILITY /"j;)) f ' j P AUTO ONLY. EA ACCIDENT $
<br /> - I.
<br /> - ANY AUTO , OTHER THAN AUTO ONLY:
<br /> L~a Sheedy 7 I EACH ACCIDENT $
<br /> "'enutv City All rney , $
<br /> i AGGREGATE
<br /> EXCESS UABILlTY I EACH OCCURRENCE $
<br /> ~ ,UMBRELLA FORM I AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM I $
<br />A WORKERS COMPENSATION AND 708-5561 CA 01/01/03 01/01104 I X I T"6~~ItJ,~s I I ol~- , " ,
<br />EMPLOYERS'L1ABIUTY ER
<br />C 708-5562 AOS 01/01/03 01101104 I EL EACH ACCIDENT $ 1,000,000
<br />A THE PROPRIETOR! R'NCL 708-5563 NY, OH, WA, WI, WV 01101/03 01/01/04 i El DISEASE.POLlCY LIMIT $ 1,000,000
<br /> PARTNERS/EXECUTIVE I EL DISEASE-EACH EMPLOYEE $ 1,000,000
<br /> OFFICERS ARE: EXCl
<br /> 10' HER i
<br />B PROF. LIABILITY (E&O) 819-4168 04/01/03 04/01/04 I EACH CLAIM $1,000,000
<br /> CLAIMS MADE FORM I AGGREGATE $1,000,000
<br />DESCRIPTION OF OPERA TIONS/lOCATIONSNEHIC lESISPECIAllTEMS
<br />RE: PROJECT #H100000368.01 MINNIE/STANDARD STREET IMPROVEMENT PROJECT MANAGER: JEFF CHAPMAN
<br />SEE ATTACHED ADDITIONAL INSURED ENDORSEMENT.
<br />CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE Tl1EREOF,
<br /> ,"' INSURER AFFORDING COVERAGE WILL E~ MAIL -----10 OAYS WRITTEN NOTICE TO THE
<br /> CITY OF SANTA ANA CERTIFICATEHOLDERNAMEDHEREIN,~~
<br /> ATTN: CLERK OF THE CITY COUNCIL
<br /> 20 CIVIC CENTER PLAZA (M.30) l<l~M,l()(H::lQ(~~~~~~~~E
<br /> PO BOX 1988 ~l9<~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
<br /> SANTA ANA, CA 92702 MARSH USA INC.
<br /> BY: Michio Nekota 7.v..L)t,.,LL
<br /> --~-
<br /> MM 1 (3/02) VALID AS OF: 04/01103
<br />
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