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® ? <br />CERTIFICATE OF LIABILITY INSURANCE <br />A ° DNY09 <br />F <br />( <br />page 1 of 2 041 <br />291 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis Insurance Services of California, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED URS Corporation dba URS Corporation Americas INSURER& National Union Fire Ins Co of Pittsburgh 19445-100 <br />2020 E. First Street, Suite 400 <br />A <br />CA 92705 <br />?1 <br />S <br />t <br />Q <br />f <br />INSURERB:Zurich American Insurance Company <br />16535-100 <br />an <br />a <br />na, <br />? <br />/S7? <br />? <br />VAy <br /> INSURER C: Insurance Company of the State of PA 19429-100 <br />A INSURER D: Lloyds of London & British Companies 15792-004 <br />vvvwww INSURERE:Lexington Insurance Company 19437-000 <br />COVERAGES <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 />INSR <br />T DD' <br />TYPEOFINSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />YV POLICY EXPIRATION <br />AT (MWDDJYYYY) <br />LIMITS <br />A X GENERAL LIABILITY GL0919652 5/1/2009 5/1/2010 EACHOCCURRENCE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES (Ea occurence) <br />$ 1 000, 000 <br /> <br /> CLAIMS MADE F X I OCCUR MED EXP (Anyone person) $ 10,000 <br /> X XCU, BFPD PERSONAL & ADV INJURY $ 2,000,000 <br /> X Contractual Liability GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> POLICY X PR? LOC <br />B AUT OMOBILE LIABILITY BAP938512500 5/1/2009 5/1/2010 <br />COMBINED SINGLE LIMIT <br /> <br />X <br />ANY AUTO <br />(Eaaccident) $ 2,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS y ?7 <br />BODILY INJURY <br /> NON-OWNED AUTOS <br />(Per accident) $ <br /> ?? <br /> pR?v ? DAMAGE <br /> AP r <br />-- <br /> <br />(Par <br />accident) <br />$ <br /> , . <br /> GA RAGE LIABILITY edy AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO aL{(2 IL Pu ? <br />btOTYI`'ti OTHERTHAN EAACC $ <br /> ? <br />C <br />Glty. AUTO ONLY: AGG $ <br /> EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />c WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY WC4990858 1/1/2009 1/1/2010 X TCRYLIMIT eR <br /> V <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE <br />? WC4990859 1/1/2009 1/1/2010 E.L. EACH ACCIDENT $ 2,000,000 <br /> <br />A OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />WC4990862 <br />1/1/2009 <br />1/1/2010 <br />E.L.DISEASE-EA EMPLOYEE <br />$ 2,000,000 <br /> If yes, describe under <br />C SPECIAL PROVISIONS below WC4990857 WC4990860 1 1 2009 1/1/2010 E.L. DISEASE-POLICY LIMIT $ 2,000,000 <br />D OTHER PE0801821 PE0801657 5/l/2009 5/1/2016 <br />E Professional Liability 6502371 5/1/2009 5/1/2010 $1,000,000 Each Claim <br /> w/Limited Contractual - <br />$1,000,000 Aggregate <br /> Claims Made Policy <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included <br />as Additional Insured(s) as respects the General Liability policy, where required by written <br />contract. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Attn: Hamid Torkamanha RE RESENTATIVES. <br />20 Civic Center Plaza - Ross Annex (M-36) UT ORIZEDREPRESE ATIpLT VE <br />Santa Ana, CA 92701 \r/,V\- <br />ACORD25(2009/01) Coll:2685535 Tpl:919464 Cert:124756 1 01988-2009ACORDCORPORATI .Allrightsreserved. <br />The ACORD name and logo are registered marks of ACORD