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A -zo -o-7S ACORD. CERTIFICATE OF LIABILITY INSURANCE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR Page 1 of 3 01/04;2008 PRODUCER 877 - 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION nn Willie North America, Inc. 26 Century Blvd. Oi 172�i P. O. Box 305191 Nashville, IN 372305191 fJ -:10 Do'1- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# n r, Attn: Clerk of The City Council GENERALUABIU INSURED URS Corporation d.b.a. URS Corporation Americas 600 ac Montgomery Street, 25th Ploor Fr San Pran Francisco, CA 94111 INSURERA: National Union Fire Ins Cc of Pittsburgh 19445 -100 INSURERS: American Home As C Assurance Company Y 19380 -100 INSURERC: Insurance Company of the State of PA 19429 -100 Santa Ana, CA 92702 INSURER D: L10 d'e of London /A.F. Beasley Syndicate 15792 -200 INSURERE: Lexington Insurance Company 19437 -000 MED EXP Any ane person) COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 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 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 00' TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS A Attn: Clerk of The City Council GENERALUABIU GL197 -9807 5/1/2007 5/1/2008 EACHOCCURRENCE $ 11000,000 DAMAGE I R E NTED PREMISES YE. .Ccurencel $ 11000,000 Santa Ana, CA 92702 \I/�I/�`- LILKA COMMERCIAL GENERAL LIABILITY MED EXP Any ane person) $ 10,000 CLAIMS MADE 1z OCCUR PERSONAL &ADV INJURY $ 1,000,000 X XCU,BFPD X Contractual Liability GENERALAGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2,000,000 POLICY FX7 PRO F7 LOC A A AUTOMOBILE X LIABILITY ANYAUTO CA826 -2672 CA826 -2675 5/l/2007 5/1/2007 5/1/2008 5/1/2008 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,QOO BODILY INJURY (Per person) $ B ALLOWNEDAUTOS ' SCHEDULED AUTOS CA826 -2674 5/l/2007 5/1/2008 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident) $ GARAGELIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACHOCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC1593661 1/1/2008 1/1/2009 X I We STATU- OTH- E.L. EACHACCIDENT $ 1,000,000 C ANY PROPRIETORIPARTNER/EXECUTIVE WC1593662 1/1/2008 l/l/2009 A OFFICERIMEMBER EXCLUDED? If yes, describe under C SPECIAL PROVISIONS below WC1593663 WC1593665 WC1593666 l/l/2008 14142008 l/1/2009 1 1 2009 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 111 1,000,000 D OTHER MMP 0005 5/l/2007 5 1 f2 008 E Professional Liability 1156494 E &O 5/1/2007 5/1/2008 $1,000,000. Each Claim w /Limited Contractual - $1,000,000. Aggregate Claims Made Policy DESCRIPTION OF OPERATIONS /LOCATONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Project# H100000368.01 Minnie /Standard Street Improvement Project Manager: Jeff Chapman It is agreed that City of Santa Ana is included as an Additional Insured as respects to General Liability. CERTIFICATE HOLDER CANCELLATION ACORD 25(2001/08) C011:2216592 Tp1:728088 Cert:IOV57258 ® ACORD IORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL N920UN=MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE L City of Santa Ana AuSiOBCD�C Attn: Clerk of The City Council 20 Civic Center Plaza(M -30) AIL17YORIZED REPRESE ANT TVE P.O.Box 1988 Santa Ana, CA 92702 \I/�I/�`- LILKA ACORD 25(2001/08) C011:2216592 Tp1:728088 Cert:IOV57258 ® ACORD IORPORATION 1988