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:..~ <br />~ ..~~"ol - l/3 <br />*ACORDTM CERTIFICATE OF INSURANCt Certifcate Number lA-1 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br /> UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER <br />Marsh Canada Limited THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 1100, 222 - 3rd Avenue SW COMPANIES AFFORDING COVERAGE <br />Calgary, AB T2P 064 <br />INSURED COMPANY A Federal Insurance Company <br />Telvent Farradyne Inc. coMPANV B Liberty Mutual Insurance Company <br />1390 Piccard Drive, Suite 200 <br />MD 20850 <br />ill <br />COMPANY C American Home Assurance Company <br />Rockv <br />e, <br /> COMPANY D Chubb Insurance Company of Canada <br /> COMPANY E <br />COVERAGES <br />CO. <br />LTR TYPE OF INSURANCE POLICY NUMBER EF POLICY POLICY <br />FECTIVE DATE EXPIRATION DATE LIMITS <br /> MMIDD/YY MMIDD <br /> GENERAL AGGREGATE $ 2,000,000 <br />A NERAL LIABILITY <br /> GE <br />LIABILITY PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> COMMERCIAL GENERAL <br />^ ^ CLAIMS MADE ® OCCUR. PERSONAL 8 ADV INJURY $ 2,000,000 <br /> ® PRODUCTS6COMPLETED OPERATIONS EACH OCCURRENCE $ 2,000,000 <br /> SUDDENBACCIDENTALPOLLUTION 35$']0']']2 O6/O1/O9 O6/Ol/lO <br />FIRE DAMAGE (Any one fire) <br />$ <br /> BODILY INJURY AND PROPERTY DAMAGE <br /> BLANKET CONTRACTUAL LIABILITY <br /> CROSS LIABILITY MED EXP (Any one person) $ 10,000 <br /> EMPLOYERS LIABILITY <br /> SEVERABILITY OF INTEREST <br />B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> ANY AUTO <br />BODILY INJURY (Per Person) <br />$ <br /> ALL OWNED AUTOS <br /> ASl-B71-170470-049 06/01/09 06/01/10 <br /> ^ scHEDULEDAUros BODILY INJURY (Per Accident) $ <br /> <br /> ^ HIRED AUTOS <br /> NON-OWNED AUTOS PROPERTY DAMAGE $ <br /> AUTO ONLY - EA ACCIDENT $ <br />-' <br /> GARAGE LIABILITY OTHER THAN AUTO ONLY: <br /> ANY AUTO <br />EACH ACCIDENT <br />$ <br /> AGGREGATE $ <br />C EXCESS LIABILITY EACH OCCURRENCE $ 3,000,000 <br /> uMBRELLA FORM BE 125 8646 06/01/09 06/01/10 $ <br /> OTHER THAN UMBRELLA FORM AGGREGATE $ <br />B WORKERS' COMPENSATION AND <br />X we sTAruTOav <br />LIMITS OTHER <br /> EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 <br /> ® INCL WC2-B71-170470-039 06/01/09 06/01/10 EL DISEASE-POLICY LIMIT $ 1,000,000 <br /> 7HE PROPRIETORI PARTNERSI <br /> EXECUTIVE OFFICERS ARE: ^ EXCL <br /> EL DISEASE EACH EMPLOYEE $ 1,000,000 <br /> PROFESSIONAL LIABILITY /ERRORS 8 <br />D OMISSIONS LIABILITY EACH CLAIM, EACH WRONGFUL ACT $ 5,000,000 <br /> 35789699 06/01/09 O6/O1/lO ANNUAL AGGREGATE $ 5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /SPECIAL ITEMS <br />RE: PROOF OF INSURANCE COVERAGE <br />understood and agreed that the City of Santa Ana, PWA -Transportation & Traffic Engineering Department, is added as an Additional Insured, with respect to the <br />It is hereb <br />y <br />above-noted general liability coverages, but only as their interest may appear with respect to the operations of the Named Insured described above. <br />Insurance is Primary and Non-Contributory. <br /> ER CANCELLATION <br /> CERTIFICATE HOLD SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE <br />COVERAGE WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br /> THEREOF. THE INSURER(S) AFFORDING <br />NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL <br /> Ana <br />f S <br />t <br />C <br />t IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER(S) AFFORDING COVERAGE, <br /> an <br />a <br />t <br />y O <br />`J THEIR AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. <br /> PWA -Transportation & Traffic Engineering MARSH CANADA LIMITED 7 <br />" <br /> 20 Civic Center Plaza <br />OR 1 <br />~ 1 <br />,-fit l =~r1s~'1 <br /> Santa Ana, CA 92701 <br />AppRUV~:ll <br />AS TO F <br />''ss <br />` <br /> <br />Attn: Vinh Nguyen, P.E., Sr. Civil Engineer /~~ <br />J' MM1 (3102) VALID AS OF: 3Jun-09 <br />Laura S tt Sheedy <br />Assistant City Attorney <br />