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<br />AcoRa,oeR'1".ilei~>()FL.i~B'lllJY INSURA~E 07JMM~i;~~~~~IV;~
<br />
<br />PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />AON RISK SERVICES, INC. OF SOUTHERN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />CALIFORNIA INSURANCE SERVICES ~Pif:~H~Hb~';f~I~~C:;~o~g~~ ~~~,fEM~~~icFE;T~~~O~
<br />
<br />707 WILSHIRE BLVD., SUITE 6000 ~ COMPANIES AFFORDING COVERAGE
<br />LOS ANGELES, CA 90017 8? COMPANY HARTFORD INSURANCE CO. OF THE MIDWEST AM BEST:
<br />CONTACT: KEVIN BEBB (213) 630-2063 2001,;2 A TWIN CITY FIRE INSURANCE COMPANY A+, X!J
<br />INSUREO fJ.. J ,; ) '3 ~
<br />n J C Y HARTFORD UNDERWRITERS INSURANCE CO.
<br />MWH AMERICAS, INC., Pr ,Z.)' HARTFORD FIRE INSURANCE COMPANY
<br />(formerly: Montgomery Watson Americas, Inc.) ~
<br />380 Interlocken Crescent, Suite 200 C XXX Y HARTFORD CASUALTY INSURANCE COMPANY
<br />Broomfield, CO 80021 UXi
<br />
<br />r!:=~"T"'~"C'T7~7C~"~'"'C''7'':':':':':7''''' ....,......:....7........C)(.R,xY..... ... ..
<br />
<br />:CO~~~::CERTIF;~~~~THdpOLlCIES~~~=~~E~~~~~:~~HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION QF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />. CERTIFICATE MAY BE ISSUED QR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br />i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />CO
<br />LTR
<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />DATE (MMIDDlYY) DATE (MM/DDlYY)
<br />
<br />LIMITS
<br />
<br />GENERAL LIABILITY
<br />COMMERCIAL GENERAL LIABILITY
<br />
<br />CLAIMS MADE
<br />
<br />OCCUR
<br />
<br />GENERAL AGGREGATE $
<br />PRODUCTS - COMPIOP AGG $
<br />PERSONAL & ADV INJURY S
<br />EACH OCCURRENCE $
<br />FIRE DAMAGE (Anyone fire) $
<br />
<br />OWNER-S & CONTRACTOR'S PROT
<br />
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON-OWNED AUTOS
<br />
<br />~E:DEXP JAny on(3pel$on)
<br />
<br />s
<br />
<br />COMBINED SINGLE LIMIT S
<br />
<br />DODIL Y INJURY
<br />(Per person)
<br />
<br />BODILY INJURY
<br />(Per accident)
<br />
<br />$
<br />
<br />GARAGE L1ABIL.ITY
<br />ANY AUTO
<br />
<br />APPROVED AS TO FORM
<br />
<br />.~~
<br />
<br />I).pull l'Ill' AIWfftElY.
<br />
<br />PROPERTY DAMAGE
<br />
<br />$
<br />
<br />.
<br />,
<br />I
<br />I-~
<br />
<br />EXCESS L.IABILlTY
<br />UMBRELLA FORM
<br />OTHER THAN UMBRELLA FOI3.M__
<br />WORKERS COMPENSATION AND
<br />EM PLOVERS' LIABILITY
<br />
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN AUTO ONLY:
<br />EACH ACCIDENT $
<br />p.C3C;RE~ATE_ $_
<br />EACH OCCURRENCE $
<br />
<br />i
<br />,
<br />)-----------
<br />
<br />AGGREGATE
<br />
<br />s
<br />s
<br />
<br />"--1
<br />1,000,000
<br />1,000,000
<br />1.000,OQO ..
<br />
<br />~
<br />I
<br />I
<br />i
<br />
<br />THE PROPRIETOR!
<br />PARTNERS/EXECUTIVE
<br />OFFICERS ARE
<br />OTHER
<br />
<br />72 WEEZ5539
<br />INeL (CA & "All Other States")
<br />EX~____~_~..._____ _._~_
<br />
<br />5/01/2003
<br />
<br />5/01/2004
<br />
<br />WC STATU- QTH.
<br />X TORY LIMITS ER
<br />EL EACH ACCIDENT S
<br />EL DISEASE. POUCY LIMIT $
<br />EL DISEASE - EA EMPLOYEE $
<br />
<br />I DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESlSPECIAL ITEMS
<br />Re: Update Sewer Master Plan and Sewer Facilities Management Program
<br />
<br />"'---'--~.'~'-'-' '-'-"--'""~~-'-"-'-.'--.-,-,~..
<br />i CERTIFICATE HOl.DER
<br />:
<br />
<br />----.,-.,....,.~~",...,-,.,..,__.,-...<.'~-,.,--__T_'..__",.....~,___~.....
<br />
<br />Santa Ana (City of), its officers, agents, volunteers & employee~
<br />Attn: Mr. Ray Burk, Public Works Agency
<br />220 S. Daisy Avenue
<br />Bldg A, M-85
<br />Santa Ana, CA 92703
<br />
<br />CANCELLATION -reIllDAYSFOR NON-l>AYMENT Ql;PRII.I\.lM
<br />SHOULD ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCELLED BEFORE THE
<br />
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~9(I')(I"0 MAIL
<br />jO- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />ACORD 2$-5 (1J95)
<br />
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<br />
<br />~X'lt~~~DK~X~~J6li!ll:~XH~
<br />X'XX~~X'XB~
<br />AUTHORIZED REPRESENTATIVE ____~
<br />~-:; 14,092...,
<br />. . @AdORDCOf!POAATIOf'l~~1
<br />............... """''''''~.......m. ........ ............. ......... .. "''''''~.-.'''''~ (IAt<.....-
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