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ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE 01/04/2008 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 4.?OO7-liPtj ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. N-?oD\ - 0:2-3 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. o. Box 305191 Nashville. 'l'R 372305191 ,,-;)'ODd-~ INSURERS AFFORDING COVERAGE NAIC# /j II ~ 7 INSURED ORS Corporation d.b.a. ORB Corporation Americas INSURER A: National Union Fire Ins Co of Pittsburgh 19445-100 ODD Montgomery Street, 25th Floor INSURERS: American Home Assurance Company 19380-100 San Francisco, CA 94111 INSURERC; Insurance Company of the State of PA 19429-100 INSURER 0: Lloyd's of London/A.F. Beazley Syndicate 15792-200 I INSURER E: Lexinqton Insurance ComDanv 19437-000 A.X;d-j-075 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II~~:~~~~ TYPE OF INSURANCE POLICY NUMBER ~1-+;~ EFFECTIVE POLICY EXPIRATION UMITS A I ~ERALLlABIUTY GL197-9807 5/1/2007 5/1/2008 EACH OCCURRENCE $ 1 000 000 I ' X I COMMERCIAL GENERAL LIABILITY ~~~O~~~9E~~6~gnce) $ 1 000 000 I CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 10 000 I rlL-XCU , BFPD PERSONAL & ADV INJURY $ 1 000 000 ~Contractual Liabilitv GENERAL AGGREGATE . 2 000 000 ~'lAGGREGATE LIMIT APnS PER: PRODUCTS - COMP!OP AGG . 2 000 000 POLICY ~ ~~R,: lOC A ~TOMOBILE LIABILITY CA826-2672 5/1/2007 5/1/2008 COMBINED SINGLE LIMIT CA826-2675 5/1/2007 5/1/2008 (Eaaccident) . 2,000,000 A ~ ANY AUTO B ~ ALLOWNEDAUTOS CA826-2674 5/1/2007 5/1/2008 BODILY INJURY (Per person) . '- SCHEDULED AUTOS - HIREO AUTOS BODILY INJURY $ NON-OWNEO AUTOS (Per accident) - - PROPERTY DAMAGE $ (Peraccidenl) ~RAGELIA.'LITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC . AUTO ONLY: AGG . EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE . P OCCUR D CLAIMS MADE AGGREGATE . . R DEDUCTIBLE . RETENTION . . A WORKERS COMPENSATION AND WC1593661 1/1/2008 1/1/2009 X I T"i,~~T~T.~~ I 10J,';'- I EMPLOYERS' L1ABlLITY C ANY PROPRIETORlPARTNERlEXECUTIVE WC1593662 1/1/2008 11/1/2009 E.L EACH ACCIDENT . 1 000 000 A OFFICERlMEMBER EXCLUDED? WC1593663 1/1/2008 1/1/2009 E.L DISEASE - EA EMPLOYEE . 1 000 000 C Ii yes, descnbe under WC1593665/WC1593666 1/1/2008 1/1/2009 E.L. DISEASE - POLICY LIMIT . 1 000 000 SPECIAL PROVISIONS below D OTHER MMP 0005 5/1/2007 5/1/2008 E Professional Liability 1156494 E&O 5/1/2007 5/1/2008 $1,000,000. Each Claim w/Limited Contractual - $1,000,000. Aggregate Claims Made Policv DESCRIPTION OF OPERATlONSlLOCATlONS/VEHICI..ES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Project# H100000368.01 Minnie/Standard Street Improvement Project Manager: Jeff Chapman It is agreed that City of Santa Ana ie included as an Additional Insured as respects to General Liability. CERTIFICATE HOLDER CANCELLA nON City of Santa Ana Attn: Clerk of The City Council 20 Civic Center Plaza(M-30) P.O.Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POUCtES BE CANCEI..I..ED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WlI..I..JMN!I!I.IPI'I[XKMAII.. .lL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF"Q[IUtUUK.~L 1'6VtWl!'1ra1I!iy,,'1Il!1'N'.III\V'1PiVYiYllIfYilmIVV"lItrViVN'IlMP\1II~lIXXlIrM<<ac ACORD 25 (2001108) Co11:2216592 Tp1:728088 @ACORD ORPORATION1988