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~ ACORD,~ CERTIFICATE OF LIABILITY INSURANCE peas 1 of z ~ 04/03/20D6 <br />PRODUCER <br />Nillin North America, Inc <br />26 Century Hlvd. <br />P. o. Box 305191 <br />Nashville, TN 372305191 <br />877-945-7378 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />INSURED <br />Regional Cart Gataz <br />URS Corporation d.b.a. IIRB Cozpozetion Americas <br />600 Montgomery Street, 25th Ploor <br />San Francisco, CA 94111 <br />INSURERS AFFORDING COVERAGE I NAICB <br />INSURER B: ineureace Com an of the Stntn of PA 19429-100 <br />INSURER C: American International South IABYranCa CO 40258-001 <br />INSURER O: Lexiaoton Insurance Comonnv 19437-000 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />INBR ADD' rypE OFINSURANCE POLICY NUMBER POLICY EFFECTVE POLICY EXPIRATON LIMBS <br />A i GENERAL LIABILITY GL177-4688 4/1/2006 5/1/2007 EACH OCCURRENCE $ 1 000. DOO <br /> X COMMERCIAL GENERAL LIABILITY OMIAGE TO RENTED <br />PREMISES Ea acwrance <br />$ 1 OOO OOO <br /> CLAIMS MADE ~ OCCUR MEO EXP (Any onB person) $ 5 000 <br /> X XCU, BFPD PERSONALBADV INJURV $ 1, OOO, DOO <br /> X Contractual Litbilit GENERAL AGGREGATE § 2 OOO 000 <br /> GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ 2 OOO OOO <br /> POLICY g PRO- LOC <br />A auT OLlosaE UABam CA826-2357 4/1/2006 5/1/2007 <br /> COMBINED SINGLE LIMIT <br />E <br />$ 2,000,000 <br />A R ANVnuro CA826-2360 4/1/2006 5/1/2007 ( <br />eaeeitlene) <br />A ALL OWNEDAUTOS CA826-2361 4/1/2006 5/1/2007 <br /> BODILY INJURV § <br /> SCHEDULED AUTOS (PBrparson) <br /> HIRED AUTOS BODILY INJURV <br /> <br />NON~OWNED AUTOS <br />(PeraaiWnt) § <br /> PROPERTY DAMAGE <br /> $ <br /> (PBr sccitlenli <br /> WR AGE LIABILITY AUTO ONLY~EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EAACC $ <br /> AUTOONLV: AGG $ <br /> EXCEBS LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CWMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE § <br /> RETENTION $ § <br />H WORKERS LOMPENSATON AND <br />EMPLOVERB' LIABILITY SPEC WC1359817 1/1/2006 1/1/2007 X wC 6TA^U- OTH- <br />A ANV PROPRIETDR/PARTNER/E%ECUTIVE CA WC13S9815 1/1/2006 1/1/2007 EL EACH ACCIDENT 8 1 OOO OOO <br />L. <br />I OWICER/MEMBER E%CLUDEDT <br />II <br />B <br />tl <br />ib <br />M GA SPC1359916 1/1/2006 1/1/2007 E.L. DIBEASE-EA EMPLOYEE S 1 OOO 000 <br /> <br />$ y <br />S, <br />eccr <br />er <br />e u <br />SPECIAL PROVISIONS below <br />w 5981 <br />1 1 2006 <br />1 ], 2007 <br />EL DISEASE~POLICV LIMIT <br />E 1 00o O D <br />D OTHER 1155961 Efi0 4 1 2006 5 1 2007 <br />E Profeeeional Liability MLP0005 4/1/2006 5/1/2007 51,000,000. Each Claim <br />v/yimitad Contractual - $1,000,000. Aggregate <br />1 ime Made Polic <br />w uvnyLVl:w nl,rvi'VCNIGLniYCA0.U51UN8 nBn[n aY ENDONBEMENTISPECIAL PRDVISIONS <br />Project No. 57-09961035.011 Centerline Project noise review- <br />The City o£ 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. 3everabillty of Interest/Cross Liability applies. <br />~. <br />City of Santa Ana <br />20 Civic Canter Plaza <br />P.D. BOx 1988 <br />Snntn Ana, CA 92702 <br />D25 (2001Po8) n Co11:1587838 Tp1:4850! <br />L <br />SHOULD ANY OF THE ABDVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL x4a11nnaxx MAIL 3O DAYS wRmFN <br />NOTCE TO THE CERDFICATE HOLDER NAMED TO THE LEFt7CODCx10xiL1CY000[ffiL1C7>aL <br />o~xmclcusnxamcacmxxi>tcxlx~ncxxxnracemDlcxxa~xaDOlmtxxlmm~x4cxac <br />REPRESE AH7 TIVE <br />OACORD QORPORATION 1988 <br />