Laserfiche WebLink
<br />ACORD", <br /> <br />CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 04/;;i2006 <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 /> <br />877-945-7378 <br /> <br />PRODUCER <br /> <br />willis North America, Inc. <br />26 Century Blvd. <br />P. o. Box 305191 <br />Nashville, TN 372305191 <br /> <br />Regional Cert Center <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />ORB Corporation d.b.a. URB Corporation Americas <br />600 Montgomery Street, 25th Floor <br />San Francisco, CA 94111 <br /> <br />INSURER A" National Union Fire Ins Co of Pittsburgh <br />INSURERS: Insurance Company of the State of PA <br />INSURERC:American International South Insurance Co <br />INSURER 0: Lexington Insurance Company <br />INSURERE: Lle d's of London/A.F. Beazle S dicate <br /> <br />19445-100 <br />19429-100 <br />40258-001 <br />19437-000 <br />15792-200 <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 />I~~: ~~~i TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE Pg~!f:IEXPIRATlON LIMITS <br />A ~NERAL LIABILITY GL177-4688 4/1/2006 5/1/2007 EACH OCCURRENCE $ 1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY ~~~~~l~9E~~~J~~ncel $ 1 000 000 <br /> . I CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 5 000 <br /> JL XCU , BPPD PERSONAL & ADV INJURY $ 1 000 000 <br /> ~ Contractual Liabilitv GENERAL AGGREGATE $ 2 000 000 <br /> ~'l AGG~ErilE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $ 2 000 000 <br /> POLICY X :,~RT lOC <br />A ~TOMOBILE LIABILITY CA826-2357 4/1/2006 5/1/2007 COMBINED SINGLE LIMIT 2,000,000 <br /> (Eaaccidenl) $ <br />A JL ANY AUTO CA826-2360 4/1/2006 5/1/2007 <br />A - ALL OWNED AUTOS CA826-2361 4/1/2006 5/1/2007 BODilY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODilY INJURY <br /> (Per accident) . <br /> - NON.OWNED AUTOS <br /> - PROPERTY DAMAGE , <br /> (Per accident) <br /> ~RAGE LIABILITY AUTO ONLY. EAACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC , <br /> AUTO ONLY: AGO , <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> ~:~rOCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND SPEC WC1359817 1/1/2006 1/1/2007 X I T~~~Trrrg~ I IOJ~- <br /> EMPLOYERS' LIABILITY <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE CA WC1359815 1/1/2006 1/1/2007 E.l. EACH ACCIDENT $ 1 000 000 <br />C OFFICER/MEMBER EXCLUDED? GA WC1359816 1/1/2006 1/1/2007 E.l. DISEASE - EA EMPLOYEE $ 1 000 000 <br />B : If yes, describe under AOS WC1359818 1/1/2006 1/1/2007 <br /> SPECIAL PROVISIONS below E.l. DISEASE- POLICY LIMIT $ 1 000 000 <br />D OTHER 1155961 E&O 4/1/2006 ~~1~2007 <br />E I Professional Liability MLPOO05 4/1/2006 5/1/2007 $1,000,000. Each Claim <br /> Iw/Limited Contractual - $1,000,000. Aggregate <br /> i Claims Kade Policv <br />DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESfEXCLUSIONS ADDED BY ENDORSEMENT/sPECIAL PROVISIONS <br />Re: Project No. 57-09961035.01; Centerline Project noise review. <br />The City of Santa Ana, Its Officers, Agents, Employees, & Volunteers are Additional Insureds with <br />respect operations performed by or for the Named Insured as respects General Liability. This <br />Insurance is Primary per policy form. Severability of Interest/Cross Liability applies. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />f<.." <br /> <br />~. <br /> <br />Co11:1587838 Tp1:485099 <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL~Xil.MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'IXIUl"DIIlH~L <br />~YJx'1Plvnr~UUXlDlQfliDDiC~:XIfiKlJl.lllOiKlU[XilrlHiDCGIiK <br />XIlI!lIX <br />UT ORllED REPRESE~ <br /> <br /> <br />@ACORD ORPORATION 1988 <br /> <br />I <br />V.:.q~ <br />" / <br /> <br />/ /'; <br />! / <br /> <br />City of Santa Ana <br />20 civic Center Plaza <br />P.O.Box 1988 <br />Santa Ana, CA 92702 <br /> <br />ACORD 25 (2001/08) <br />