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DMJM HARRIS - AECOM 3
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READY TO DESTROY IN 2020
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DMJM HARRIS - AECOM 3
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Entry Properties
Last modified
3/31/2017 12:57:17 PM
Creation date
12/19/2006 1:18:41 PM
Metadata
Fields
Template:
Contracts
Company Name
DMJM HARRIS - AECOM
Contract #
A-2006-304
Agency
PUBLIC WORKS
Council Approval Date
11/20/2006
Insurance Exp Date
4/1/2009
Destruction Year
2020
Notes
Amended by A-2010-004
Document Relationships
AECOM (FORMERLY DMJM HARRIS) 3A - 2010
(Amended By)
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\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2020
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ACOW. CERTIFICATE OF LIABILITY INSURANCE 4/1/2010 <br />TE 1 <br />DA 4/1/2009 ' <br />PRODUCER Lockton Insurance Brokers, LLC <br />19800 MacArthur Blvd., Suite 550 <br />CA License #OF15767 <br />Irvine 92612 <br />949-252-4400 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED AECOM Technology Corporation <br />1075642 AECOM USA, Inc. <br />605 Third Avenue <br />New York NY 10158 <br />INSURER A : Travelers Property Casualty Company of America 25674 <br />INSURER B <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES AECTE01 OE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <br />U RGrRC CR IAIIVC OR rRVUUI.CK AHU 11711:tKl UJUA I t HOLDER. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'LPOLICY <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />POLICY <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ XXXxy,_xX <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED �, <br />PREN1iSES Ea occurellce +� xyCXXXX, <br />MED EXP (Any one person) $ XXXXXXX <br />CLAIMS MADE ❑ OCCUR <br />NOT APPLICABLE <br />PERSONAL 8 ADV INJURY $ XXXXXXX <br />GENERAL AGGREGATE $ XXxxXXX <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ XXXYs—� <br />PRO - <br />POLICY JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea accident) $ XXXXXXX <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />(Per person) $ XXXXXXX <br />HIRED AUTOS <br />BODILY INJURY $ XXXXXXX <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ XXXXXXX <br />(Per accident) <br />GE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ XXXXXXX <br />NOT APPLICABLE <br />OTHER THAN EA ACC $ XXXXXXX <br />ANY AUTO <br />AUTO ONLY: <br />AGG $ XXXXXXX <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ XXXXXxx <br />AGGREGATE $ XXXXXXX <br />OCCUR FICLAIMS MADE <br />NOT APPLICABLE <br />E]UMBRELLA <br />$ XXXXXXX <br />DEDUCTIBLE FORM <br />$ XXXXXXX <br />$ XXXXXXX <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />TRJUB-4245B231-TIL-09 <br />4/1/2009 <br />4/1/2010X <br />WC STATU OTH- <br />TORY LIMITS ER <br />A <br />EMPLOYERS' LIABILITY <br />7�,i <br />/AZ'MA- <br />�,OIZ,WI) � <br />4/1/2009 <br />4/1/2010 <br />1,000,000 <br />A <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER <br />E.L. EACH ACCIDENT $ <br />EXCLUDED? <br />TC2JUB-4245B22A-TIL-09 <br />4/1/2009 <br />4/1/2010 <br />ASPECIAL <br />7,� If yes, describe under <br />PROVISIONS below 1V o <br />All Other States) <br />4/1/2009 <br />4/1/2010 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Design Services for the First Street bridge widening project. APPROVED AS 'TO FORM <br />Laurat,Stitt Sheedy <br />Assistant City Attorney <br />City of Santa Ana <br />Public Work Agency <br />Attn: Jason Gabriel <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2001/08) <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 />For questions regarding this certificate, contact the number listed in the'Producee section above and specify the clilrl[ codVAECTEor. © ACORD CORPORATInN 1 QRR <br />
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