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1, ~ ~' _ DATE (MM/DD/YYYY) rACORD CERTIFICAT F LIABILITY INSURAN 4/1/2009 4/1/2008 ~, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Lockton Companies, LLC-L Los Angeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 19800 MacArthur Blvd., Suite 550 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HOLDER CA License #OF15767 . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine CA 92612 949-252-4400 INSURERS AFFORDING COVERAGE NAIC # INSURED I INSURERA: NewHantpshirelnsuranceCompany 23841 nc. ~ ~.~~j„~22Z DMJM+HARRIS, Insurance Company of the State of PA 19429 1075642 605 Third Avenue ~`~~JJ((~~ INSURER e : New York NY 10158 ~7 ~., D INSURER C l~ ' ~ L`.J1~Vlh l~ (\!~' INSURER D INSURER E coveRAGes AECTE01 OE THE POLICIES OF INSURANCE LISTED BELOW rlwvt esten wau~lr iv m~ uwan.w ,..-.,.•~r- ~-.----- • -•- -~ ~- - -- R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHE EREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH S THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H MAY PERTAIN , , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS EACH OCCURRENCE ~ XXXXXXX GENERAL LIABILITY DAMAGE TO RENTED $ XXXXXXX COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence MED EXP (Any one person) $ XXXXXXX CLAIMS MADE ~ OCCUR NOT APPLICABLE XXXXXXX PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ XXXXXXX PRODUCTS -COMP/OP AGG $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX ANY AUTO ALL. OWNED AUTUS BODILY INJURY (Per person) $ XXXXXXX ABLE SCHEDULED AUTOS NOT APPLIC HIRED AUTOS BODILY INJURY $ XXXXXXX (Per accident) I NON-OWNED AUTOS I I PROPERTY DAMAGE accident) P $ XXXXXXX ( er AUTO ONLY - EA ACCIDENT $ XXXXXXX GA RAGE LIABILITY NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX ANY AUTO AUTO ONLY: AGG $ XXXXXXX EACH OCCURRENCE $ XXXXXXX EXCESS/UMBRELLA LIABILITY XXXXXXX AGGREGATE $ OCCUR ~ CLAIMS MADE NOT APPLICABLE $ XXXXXXX ^ UMBRELLA FORM $ XXXXXXX DEDUCTIBLE XXXXXXX RETENTION $ _ __ __ _ _ _ ___. _._ __ --- -- ~ -~ WC STATU- OTH- A WC1929178 AOS ~ ) 4/1/2008 4/1/2009 X TORY LIMITS ER A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC1929179 (CA) 4/1/2008 4/1/2009 E.L. EACH ACCIDENT $ 1+~~~~~~~ A ANY PROPRIETOR/PARTNER/F>CECUTIVE OFFICER/MEMBER EXCLUDED? WC1929181 (FL) 4/1/2008 4/1/2009 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 , ~ If yes, describe under NO WC1929182(OR) 4/1/2008 4/1/2009 LDISEASE-POLICY LIMIT E $ 1,000,000 A SPECIAL PROVISIONS below . A OTHER WC1929184(OHWA,W[,WV,WY 4/1/2008 4/1/2009 Statutory Limits-See Above A Worker's Compensation WC1929183 TX) WC1929180 MA 4/1/2008 4/1/2008 4/1/2009 4/1/2009 B DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: City of Santa Ana On-Call Contract for Civil Engineering and Landscaping Services ~ ' _. ~ ~ ~ ~j s ~~ City of Santa Ana Public Works Agency Office of the Executive Director Attn: Souri Amirani 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL. 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ..__.,.:_ ___:.:__._ ___._....,,e .,.....,... ~:~..~ in Ihn'Orndure/ se[tinn above anC 5 cifv the cli cod AECTEOT ©ACORD CORPORATION 1988