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<br />ACORD," ....... [~uJ!~;J.,~) ~;;TI{~~0TI;~~0{,0; ..;; OATE(MM/OO/YYYY)
<br /> ;"'" 12/26/2007
<br />PRODllCF.R THIS CERTIFICATE IS ISSUED AS A MA ITER OF INFORMATIOS ONLY
<br /> ADn Risk Services, Inc. of Massachusetts
<br /> 99 High Street A- ;;J.OOG -/5f<' AND CONFERS NO RIGHTS UPON TIlE CERTIFICATE HOLDER. TIDS
<br /> Boston MA 02110 USA CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TIlE
<br /> N - ;;Wo 3-055 COVERAGE AFFORDED BY TIlE POLICIES BELOW.
<br />PllONE -'866' 283 7122 FAXJ847' 953-5390 INSURERS AFFORDING COVERAGE NAIC#
<br />I''IISrRED INSURER A American zurich Ins Co 40142
<br /> camp Dresser & McKee Inc. INSURER B zurich American Ins Co 16535
<br /> ONE CAMBRIDGE PLACE
<br /> 50 HAMPSHIRE STREET lNSURER c ACE American Insurance company 22667
<br /> CAMBRIDGE MA 021390000 USA
<br /> N"SURER D Lloyd's of London 0005FI
<br />~.,;?? Jl\"SVRER E
<br /> ;;'. il7Ma; .ADlil\l
<br />THE POLICIES OF INSURANCE LISTED BELOW HA VB BEEN ISSUED TO TIlE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA lED NOTWTI1lSTANDING
<br />ANY REQUIREMENT, TERM OR CGNDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIllS CERTIFlCATE MAYBE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIlE TERMS, EXCLUSIONS AND CGNOmONS OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />lNSR <\ODD' POLlCY EFFECTIVE POLlCY J:XPlRATI01",
<br />LTR INS-Ri TYPE OF I~SlTRANn: POLICY I\CMBER DATEIMM\DD\YY) DATEIMM\DmYY) LT:\1lTS
<br />B r-- GL0837663212 01/01/08 01/01/09 EACH OCC\JRRENCE: $1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY commercial General Liabi $100.000
<br /> DAMAGE TO RENTED
<br /> CUJMS MADE ~ OCClIR PREMISES (Ea occurence)
<br /> ME )o.l'(Anvoneperson)
<br /> PERSONAL & ADV I~JURY $1.000.000
<br /> GE"<ERAL AGGREGATE 12,000,000
<br /> GEN'L AGGREGATE Ll'vllT APPLlE~ PER
<br /> PRODUCTS _ COVlPiOP AGG 12,000,000
<br /> o POLICY I2J PRO- D LOC
<br /> JECT
<br />B AUTOMOBILE LL4..BILlTY BAP 8376631-12 01/01/08 01/01/09 COMBINED SINGLE LIMH
<br /> X ANY AL,O BUSINESS AUTO COVERAGE (EaaccidenH 12,000,000
<br /> - ALL O'W""lED AUTOS
<br /> - BODfL Y INJURY
<br /> SCHEDULED AUTOS (Perpersonl
<br /> X HIRED AUTOS BODILY INJURY
<br /> X NON O\l,'NED AUTOS lPeraccidenl)
<br /> -
<br /> PROPERTY DAM.....GE
<br /> ,... (Per accident}
<br /> GARAGE LIABILITY AUTO 01\1.., Y - EA ACCIDENT
<br /> B ^"Y AUTO OTHER THAN E.....ACC
<br /> AUTOO~LY
<br /> AGG
<br />C EXCESS flJMBRELLA LIABILITY XOOG2388589A 01/01/08 01/01/09 EACH OCCURRENC.E $5,000,000
<br /> ~ OCCUR 0 COMMERCIAL UMBRELLA COVE 15,000,000
<br /> CLAJMS MADE AGGREGATE
<br /> 8DEDUCTffiLE
<br /> RETENTION $100,000
<br />A we." 00,,1, 01/u,/u. "'/"'1"' X I~~RY ;~~~~-I I~JH.
<br /> WORKERS COMPESSATION AND WORKERS COMPENSATION
<br /> EVlPWYERS' LIABILITY EL. EACH ACCIDENT $1,000,000
<br /> ANY PROPRIETOR i PARTN"ER,' EXECUTIVE
<br /> OFFlCER/]....fEMBER EXCLUDED? E L. DlSEASE-EA EMPLOYEE $1,000.000
<br /> Iryes, describe under SPECIAL PROVISIONS EL DISEASE-POLICY LIMIT $1,000,000
<br /> below
<br />D QK0801367 01/01/08 Ol/UI/O" per Claim USD $3,000,000
<br /> OTHER Prof Architects & Engi nE
<br /> Agg regate USD 13,000,000
<br /> Arch; t&Eng prof
<br />DESCRJPTION OF OPERATIO~SILOCA TIOKS/VEHICLESIEXl'LUSlONS ADDED BY E"lDORSEMENT,'SPECIo\L PROVISIONS
<br />Re: City of Santa Ana Grant Execution support. employees are included as additional insured with respect to
<br />City of Santa Ana, its officers, volunteers and
<br />General Liability. This coverage is primary and non contributory. waiver of subrogation applieswith respect to -
<br /> ....;ni'<..; << ;;;;;;;;~;;;;;;;;."'...i'i'n
<br /> city of Santa Ana S~lOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA,"ICELLED BEFORE THE EXPIRATION
<br /> Attn: Clerk of the City counei 1 DATE THEREOF, THE ISSUING INSURER WILL E~IBE:'''OR T9 MAIL
<br /> 20 civie Center plaza 30 DAYS 'tVRIITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br /> P.o. Box 1988 Bur F\lI:.'W.I: TO S9 r~' !;II \hI:. lHPGf;E: tlG 08hl~ 'TlfHT 9R hl' BIhITY
<br /> OF .~w ]';nIB 'W9rlTIIE nr~' 'HER, ITS 'Cr;:rFf~ OR RH}lE~Ul'TI"E.
<br /> Santa Ana CA 92701 USA
<br /> AUTHORIZED REPRESENTATIVE ...t.-.......~......, o/.~ , , t/.
<br /> m ,.c. .....;;;;,..;., ..... ;........;;;;....;;;.. ;i'ni' ;;;. ;;;;;;..;;;;;;.;;;.;;; ,,-,
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