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•""'~ CERTIFICATE OF LIABILITY INSURANCE I DATE (M Mf O D1YYYYy 06109l011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THiS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Northeast, Inc. Parsippany NJ Office CONTACT NAME-. PHONE (866] 283-7122 FAX (847) 953-5390 (AIC. No. Ext); AIc. No. E-MAIL ADDRESS: 10 Lanidex Center west P.O. Box 608 INSURER(S) AFFORDING COVERAGE NAIC # Parsippany NJ 07054-4608 USA INSURED INSURER A: Zurich American Ins Co 16535 AMSC Geomatri x, Inc. 2101 Webster St., 12th Floor INSURER B: American Zurich Ins Co 40142 ------- Oakland CA 94612 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570042782707 REVISION NUMBER: THIS iS TO CERTIFY THAT 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. LiMITS SHOWN MAY HAVE BEEN REDUCED BY PAiD CLAIMS. Limits shown are as requested LTRICY EFF POLICY EXIP TYPE OF INSURANCE INSR WVD POLICY NUMBER MMjDD MM100"YY LIMITS A GENERAL LIABILITY Santa Ana CA 92702 USA G'LD 2 0 12 $1, DOD ,DOD EACH OCCURRENCEDAMAGE X COMMERCIAL GENERAL LIABILITY f�5 PREMISES Ea occurrence)$100 ,DDD CLAIMS -MADE F�] OCCUR MED Exp (Any one person) $5 , 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $290001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO JECT F_X LOC '°' AUTOMOBILE LIABILITY BAP 4 314 $- 00 _05/01/2011 0$ 01 2UlZ COMBINED SiNGLE LIMIT $1,000,000 E CCident BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) X ALL OWNED SCHEDULED AUTOS iAUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident X Com p/Gol I Ded $1, 0q UMBRELLA LIAB OCCUR WEPONIMEMMU --- EACH OCCURRENCE AGGREGATE EXCESS LIAS CLAIMS -MADE DED RETENTION B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y 1 N ANY PROPRIETOR 1 PARTNER 1 EXCUTIVE E OFFICER/MEMBER EXCLUDED? (Mandatary In NH) N I A WC350486610 05/01/2011 05/01/2012 x [WC STATU- ]OTH- TORY LIMITS ER E.L. EACH ACCIDENT $110009000 E.L. DISEASE -EA EMPLOYEE S1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000,000 A Archit&Eng Prof EOC938357803 05/01/2011 05/01/20121 Any One Claim $1,000,000 Professional/PollutionAggregate $1,000,000 SIR applies per policy terins & conditions DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Re: #8586. where required by written contract, The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insureds to General Liability policy and this insurance is Primary and Mon -Contributory with any other -insurance maintained by the Additional Insureds. APPROVED AS TO FORM CERTIFICATE HOLDER _,l //, CANCELLATION . , OV Laura St tt Sheedy ` ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Assistant City Attor POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Santa Ana, M-93 20 Civic Center Plaza Santa Ana CA 92702 USA ACORD 25 (2010105) @1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD d ti 0 ti Cv co I- 04 v ti 0 z v C3