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,q �ao7- 111 Z,3 ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE M- V) an/zoos lvs /zoo? PRODUCER Lockton Companies, LLC -L Los Angeles THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 19800 MacArthur Blvd., Suite 550 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA License #OF15767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Irvine CA 92612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 949 - 252 -4400 INSURERS AFFORDING COVERAGE NAICk INSURED - -- Metcalf & Eddy, Inc. T"." URER A The ins Co of the State of Pen s Ivania 19429 1075642 — -- - - 999 Town &Country Road SURERB National Union Fire la, Co Pttsburgh PA 19445 Orange CA 92868 INSURER C - - INSURER D._ • • r,lv�� uJl ev DLLUVY HAVE HtleN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THIS CERTIFICATE MAY BE ISSUED OR THE TERMS, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH INSH ADD'L L POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION C.E TE M MONY DA MID IYYII LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY NOT APPLICABLE r �� EACH OCCURRENCE sXXXXXXXXXX DAMAGE T RENTED PREMISES IEa occuren<e SXXXXXXXXXX lr CLAIMS MADE OCCUR - -- MED EXP (Any one person) sXXXXXXXXXX PERSONAL_8 -- - ADV INJURY _ sXXXXXXXXXX GENERAL AGGREGATE SXXXXXXXXXX GE AGGREGATE LIMIT APPLIES PEfl. PRODUCTS - COMPIOP_AGG sXXXXXXXXXX IP POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE COMBINED SINGLE LIMIT (Ea accident) SXXXXXXXXXX ALL OWNED AUTOS 1 SCHEDULED AUTOS BODILY INJURY IPer person) SXXXXXXXXXX IIIC HIRED AUTOS NONOWNED AUTOS BODILY INJURY (Per accident) sXXXXXXXXXX PROPERTY DAMAGE (Per acciden t) sXXXXXXXXXX _ SAGE LIABILITY AUTO ONLY - EA ACCIDENT SXXXXXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC sXXXXXXXXXX SXXXXXXXXXX AUTO ONLY AGO EXCESSIUMBRELI -A LIABILITY EACH OCCURRENCE sXXXXXXXXXX ' OCCUR CLAIN S MADE NOT APPLICABLE AGGREGATE sXXXXXXXXXX UMBRELLA ❑ SXXXXXXXXXX _ SXXXXXXXXXX DEDUIBLE FORM CT DETENTION 5 _ sXXXXXXXXXX • WORKERS COMPENSATION AND WC292I235 (ADS) 4/1 /211117 4/I /2008 'X WC STATU- OTH- A EMPLOYERS' LIABILITY EL EACH ACCIDENT '$1,000,OOO ANY PROPRIETORIPARTNEflIEXECUTIVE WC292123h.(CA) 4/1/2007 4/1 /ZOO$ A oFDCE BIMEMBun EXCLUDED? WC2921237 (FL) 4/]/2007 4/1/2008 - _ _- E L DISEASE - EA EMPLOYEE $1,000,000 A SPECIALS PROVISIONS below NO WC2921238 (OR) 4/1/2007 4/1/200$ E.L. DISEASE POLICY B OTHER - LIMIT $1,000,000 Worker's Cnmpensatind WC2921230 fOH,WA,WLWV,WYI 4/1/2007 4/1/200$ 'Statu m tory Liits - See Above DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: West Station Facilities Upgrade 3500368 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Public Works Agency Attn: Steve Worrall, RE Sr CIVII Engineer NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 220 S. Daisy Avenue, MSS P.O. Box 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92702 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25)2001108) For questions rega rding this cengma¢. Correct the number listed In the Poster., feoeonabos..nd.WelFlb.Cll.ntco CT¢r A, 4 d@Nt= COA11 CORPORATION 1986