Laserfiche WebLink
Y lf? <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(Ma1ID0/YYYY) <br />o4ro <br />n <br /> 5 <br />otz <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />1PRODUCER 4' + <br />r <br />h Ri <br />i <br />M <br />k & I <br />S CAME: NTACT <br />erv <br />a <br />s <br />s <br />nsurance <br />ces PHONE FAX <br /> <br />CA License 110437153 - <br />_(Air_ No. Extl: A/C Nor <br />- <br />777 South Figueroa Street E-MAIL <br />A 90017 <br />L <br />A <br />l ADDRESS: <br />os <br />nge <br />es, C <br />Attn: Lon Bryson (213)-346.5464 _ __ _ INSURER(S) AFFORDING COVERAGE NAIC a <br />06510 -AECOM-CAS-12/13 Orange CA MCELA 0412 CA INSURER A ; Zurich American Insurance Company 16535 <br />INSURED <br />AECOM Technical Service <br />Inc INSURER B : <br />. <br />, <br />(f.k.a. DMJM Hams) <br />INSURER C: Illinois Union Insurance Co <br />27960 <br />/ <br />999 Town and Country 2 <br />0+/ ( ?b? r< apd$ <br />6 <br />??? <br /> <br />D : N/A <br />INSURER <br />NS <br /> <br />N/A <br />Orange, CA 928 <br />8 / ---- - <br /> INSURER E : <br />;Z <br /> INSURER F : <br />COVERAGES CERTIFICATE NUMBER: LOS-001363106-19 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPE OF INSURANCE A? UBR POLICY NUMBER iMMIDDIYYYY) M WOVYYYY LIMITS <br />A GENERAL LIABILITY GLO 596589104 04101/2012 04/0112013 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY _ <br />DA A T REND- <br />PREMISES o urrence 1,000, <br />$ <br /> CLAIMS-MADE OCCUR <br />11 5 <br />000 <br /> _ MED EXP (Anyone person) , <br />$ <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> <br /> GENERAL AGGREGATE $ 1,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMA/OP AGG $ 1,000,000 <br /> <br /> <br />RO- LOC <br />X POLICY P <br />IFrT <br /> <br />$? <br />A AUT OMOBILE LIABILITY' BAP 5965893 04 0410112012 04/01/2013 COMBINED SINGLE LIMIT 1 <br />000 <br />000 <br /> <br />X <br />ANY AUTO Ea_gdel dy,__. <br />BODILY INJURY (Per person) <br />-- _ <br />, <br />. <br />$ <br /> ALL OWNED <br />AUTOS SCHEDULED <br />AUTOS <br />O BODILY INJURY (Per accident) $ <br /> <br />HIRED AUTOS N <br />N-OWNED <br />AUTOS PROPERTY DAMAGE <br /> <br />(per accident) <br /> <br />$ <br /> $ <br /> UMBRELLALIAB ] __? CCCUR EACH CCURRENCE $ <br /> EXCE5S LIAB LAIMS•MADE AGGREGATE $ <br /> <br /> DED RETENTION $ <br /> WORKERS COMPENSATION W C STATU- OTH- <br /> AND EMPLOYERS' LIABILrTY Y I N Y I_ IMITSS - I ER <br /> <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br /> <br />N/A <br />E.L. EACH ACCIDENT -- <br />$ <br /> (Mandatory in NH) <br />If yes, describe under E. L. DISEASE - EA EMPLOYE <br />_ <br />----- $ <br /> DESCRIPTION OF OPERATIONS below _ <br />E.L. DISEASE • POLICY LIMIT $ <br />C ARCHITECTS & ENG. EON G21654593 10108/2011 04/01/2013 Per Claim/Agg $1,000,000 <br /> PROFESSIONAL LIAB. ""CLAIMS MADE"" Defense Included <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) <br />RE: CONTRACT NO, A-2008-216, ON-CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT NO. 60100544) <br />THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES NAMED AS ADDITIONAL. INSURED FOR GL & AL COVERAGES <br />BUT ONLY AS RESPECTS WORK PERFORM <br />, <br />ED BY OR ON BEHALF OF THE <br />NAMED INSURED. SUCH INSURANCE AFFORDED SHALL BE PRIMARY INSURANCE AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND <br />NOT CONTRIBUTORY INSURANCE FOR GENERAL LIABILITY COVERAGE. A WAIVER OF SUBROGATION IS PROVIDED FOR THE GENERAL LIABILITY AND AUTO LIABILITY COVERAGES. <br />f. <br />/?C ?TCIf?ATr u11, ,-ter,-. <br />The City of Santa Ana <br />Attn: Sheri Barkley, Public Works Design <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Lama, ?,., <br />A.Ssistant City Attorney <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />TW EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />David Denihan <br />rs Iyao-Zuni AGUHU GURPURATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD