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ACORD <br />CERTIFICATE OF LIABILITY INSUR DA <br />) <br />~, <br />ANCE 4/1/2010 4/1/2009 <br />PRODUCER Lockton Insurance Brokers, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />19800 MacArthur Blvd., Suite 550 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #OF15767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Irvine 92612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />949-252-4400 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED AECOM Technology Corporation INSURER A : Travelers Property Casualty Company of America 25674 <br />1075642 AECOM USA <br />I <br />, <br />nc. <br />605 Third Avenue <br />INSURER B <br />New York NY 10158 INSURER C <br /> INSURER D <br /> INSURER E <br />rn,i~ow~re. AL`l~TL'!~1 ~r r u~c n~.,r,~,...~~................______..____.._--__._ <br />ER. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />T <br />PERIOD NDICATED <br />NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSI <br />N <br />, <br />O <br />S AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR ADD'L <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE (MM/DD/YY) POLICY EXPIRATION <br />DATE (MMIDD/YY) <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ ~{~'X}~' <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Ea occurence' <br />$ X~''.XXXXr`i <br /> CLAIMS MADE ^ OCCUR NOT APPLICABLE MED EXP (Any one person) $ XXXXXXX <br /> PERSONAL & ADV I X <br /> NJURY $ <br />XXXXXX <br /> GENERAL AGGREG X <br /> ATE $ <br />XXXXXX <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG XXX}~'~'~ <br /> <br />PRO- { <br />$ <br /> POLICY JECT LOC <br /> AU TOMOBILE LIABILITY <br /> <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ XXXXXXX <br /> <br /> ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS <br />NOT APPLICABLE BODILY INJURY <br />(Per person) <br />$ XXXXXXX <br /> <br /> HIRED AUTOS <br /> <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) <br />$ XXXXXXX <br /> <br /> <br /> PROPERTY DAMAGE $ XXXXXXX <br /> (Per accident) <br /> GARAGE LIABILITY <br />NOT APPLICABLE AUTO ONLY - EA ACCIDENT $ XXX3~{XX <br /> ANY AUTO OTHER THAN EA ACC $ XXXXXXX <br /> AUTO ONLY: <br /> AGG $ XXXXXXX <br /> EXCESS/UMBRELLA LIABILITY <br /> EACH OCCURRENCE $ XXX~~~~X <br /> OCCUR ~ CLAIMS MADE <br />NO AGGREGATE $ X~i'XXX}~{ <br /> <br />^ UMBRELLA T APPLICABLE $ XXXXXXX <br /> DEDUCTIBLE FORM <br />$ XXXXXXX <br /> RETENTION $ $ XXXXXXX <br />'4 WORKERSCOMPFNSATIONAND TRJUB-4245B231-TIL-09 4/1/2009 4/1/2010 WCSTATU- OTH- <br />Y <br /> <br />P' EMPLOYERS' LIABILITY TORT' LIMITS tR <br />` <br /> t~,~DR,Wn 4/1/2009 4/1/2010 <br /> <br /> <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER F>(CLUDED7 <br /> <br />T <br />2 <br />' <br />' <br />E. L. EACH ACCIDENT 1,000 000 <br />$ , <br /> C <br />JUB-42,45B22A_ <br />I <br />IL-09 4/1/2009 4/1/2010 <br />', SPECIAL P <br />N <br />(All Oth <br />S E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> ROVISIONS below <br />O ei <br />tates) 4/1/2009 4/1/2010 <br /> <br />OTHER E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONSlLOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />RE: Design Services for the First Street bridge widening project. <br />APPROVFi~ AS TO FORM <br />i _ <br /> <br />Laura~Stitti Sheedy <br />Assistant City Attorney <br />rFRTirli^eTC un, n~o <br />28939 <br />City of Santa Ana <br />Public Work Agency <br />Attn: Jason Gabriel <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />ACORD 25 (2001/08) <br />For questions regartling this cert~cate, contact the number listed in the'Producef section above and speciry the cliEtlrcod AECreo,'. ©ACORD CORPORATION 1988 <br />