METCALF & EDDY 1B -2007 - Laserfiche WebLink

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a- ~ao7- I Z.~ ,I ~ - DATEIMMIODrvYYVI CERTIFICATE OF LIABILITY INSURANCE 4rv2oo$ I2rsx2uo7 ACORD ~, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Lockton Companies, LLC-L Los Angeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 19800 MacArthur Blvd., Suite 550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA License #OF75767 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine CA 92612 949-252-4400 ~ NAIC# INSURERS AFFORDING COVERAGE __ _ - INBURERA The lns Cu of the Sfate of Penns)Ivada19429 INSURED MelCBlf & Eddy, InC. National Union Frte Ins Cp PwsburKh Fa 1944) , NSURER a 1075642 999 Town & Country Road _ ~ - Orange CA 92668 INSURER C - - - " - INSURER D -. - - - - - ~ INSURER E THIS ERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. COVERAGES AECTEO t OE INSURERS AUTHORIZED REPR ED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR TERM OR CONDITION OF ANY CONTRACT OR OTHER ANY REQUIREMENT DOCUMENT EXCLUSIONS AND CONDITIONS OF SUCH ECT TO ALL THE TERMS , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE MAV PERTAIN . REIN IS SUBJ , AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. - __ -- POLICIES ION . INSR DD'L PODCY NUMBER POLICY EFFECTIVE POLICY EXPIRAT LIMITS ATE MI IYY D TE !OD V TR GENERAL LIABILITY ~ IABILITY NOT APPLICABLE L EACH OCCURRENCE SXXXXXXXXXX DAMAGE TO RENTED SXX,XA,XXXXXX PREMISES Loccurence COMMERCIAL GENERAL I MADE C]OCCUR MED EXP IAey one person) SXXXXXXXXXX XX CLAIMS PERSONAL & ADV INJURY SXXXXXXXX '' - - GENERAL AGGREGATE SXXXXXXXXXX ~~ _ PRODUCTS - COMPlOP AGG SXXXXXXXXXX GEN'L AGGREGATE LIMIT APPLIED PER 1 PRO LOC POLICY AuTOMOeILE LIABILITY COMBINED SINGLE LIMIT eXXXXXXXXXX IEa accidenrl ANY AUrD NOT APPLICABLE -- ALLOWNEDAUTOS 8001LV INJURY eXXXXXXXXXX Per person) L SCHEDULED AUTOS HIRED AUTOS BODILY INJURY 9XXXXXXXRXR (per accidentl NON-OWNED AUTOS I" PROPERTY DAMAGE SXX)(XXA')(~SXX -- Per acctlent) AUTO ONLY-EA ACCIDENT SXXXXXXXXXX GA(1AGE LIABILITY EA ACC SXXXXXXXXXX ANYauro . NOT APPLICABLE orHER THAN AUTO ONLV~ AGG SXXXXXXXXXX EACH OCCURRENCE SXXXXXXXXXX E%CESSIUMBRELLA LIABILITY NOT APPLICABLE AGGREGATE SXXXXXXXXXX occuR ~ CIAIMS MADE eXXXXXXXXXX UMBRELLA ~ ~ eXXXXXXXXXX FORM ~ DEDUCTIBLE ' eXXXXXXXXXX ~' RETENTION 5 4/I/2007 4/t/2008 WC STATU~ OTH- X I TSI A WORKERS COMPENSATION AND ITY ' WC292123$(AO$) 4/Ix20U7 411/ZND$ EL EACH ACCIDENT 51,000.000 LIABIL A EMPLOYERS ANV PROPRIETORIPARTNERIEXECUTIVE WC2921236.ICA) 4x1/2007 4II/2OO$ E L. DISEASE - EH EMPLOYE E 31 ADDANo oFHCERIMEMBER EzcLUDED? WC2921237 (FL) A If yes describe under r]Q WC2g2123$(OR) 4/1x2007 4/1/200$ EL. DISEASE-POLICY LIMIT SI X000.000 A SPECIAL PPDVISIONS below WhWV,WY) WA WC2Y2123910H 4/1/2007 4/I/2UU8 SlaNlpry Limits-See Above , . B OTHER W nrker's Compensation DES RIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXC WSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: West Station Facilities Upgrade //6 " 'yQ~'''~" CANCELLATION CERTIFICATE HOLDER SHONLO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OEFORE THE EXPIRATION 3500368 THE ISSUING INSURER WILL ENOEAVOfl TO MAIL GO DAYS WRITTEN THEREOF Cittyy of Santa Ana Public Works Agencyy . GATE NOTICE TO THE CERTIFICATE HOLDFA NAMED TO THE LEFT. BUT FAILURE TO DO BO SHALL Attn: Steve Worrell, P.E Sr Civil Engineer M85 Daisyy Avenue 220 S IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INBURFA, ITS AGENTS OR , . P.O. Boz 1988 gEPRESENTATIVES. Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE noo For GUesnons.egaraing ml: cennmele. cameome numcernalee In me'Proauc.r secronaeave ene apeclry rne<Ilenle~~e[-n~/{(~Vn1~liVnrV nn nvn .evo ACORD 25 (2001108) /f/