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t <br />ACORDw, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) <br />4i1i2009 7i8i2008 <br />PRODUCER Lockton Companies, LLC-L Los Angeles THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />19800 MacArthur Blvd., Suite 550 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #OF15767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Irvine CA 92612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />949-252-4400 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED DMJM HARRIS, Inc. INSURER A : New Hampshire Insurance Company 23841 <br />1075642 AECOM Technology Corporation INSURER B : insurance Company of the State of PA 19429 <br />999 Town & Country Road <br />Orange CA 92868 INSURER C : <br />INSURER D : <br />INSURER E : <br />_ _- .__ - ___ ♦ r , A t nu THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <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 />LTR <br />ADD'L <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMIDD/YY) <br />POLICY EXPIRATION <br />DATE (MWDD/YY) <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />DAMAGE RENTE <br />PREM SET Ea occurence <br />$ XXXXXXX <br />MED EXP (Any one person) <br />$ XXXXXXX <br />CLAIMS MADE OCCUR <br />NOT APPLICABLE <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />PRO - <br />POLICY JECT LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />EOMaBcINEDtSINGLE LIMIT <br />$ XXXXXXX <br />(Per INJURY <br />$ XXXXXXX <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ XXXXXXX <br />PROPERTY DAMAGE <br />(Per accident) <br />$ XXXXXXX <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ XXXXXXX <br />OTHER THAN EA ACC <br />$ XXXXXXX <br />ANY AUTO <br />NOT APPLICABLE <br />$ XXXXXXX <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />OCCUR CLAIMS MADE <br />$ XXXXXXX <br />UMBRELLA <br />DEDUCTIBLE 0 FORM <br />NOT APPLICABLE <br />$ XXXXXXX <br />$ XXXXXXX <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />WC1929178 (AOS) <br />4/1/2008 <br />4/1/2009 <br />TH- <br />XI WC ORY LIA IT OER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />A <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />WC1929179 (CA) <br />WC1929181(FL) <br />4/l/2008 <br />4/l/2008 <br />4/l/2009 <br />4/l/2009 <br />E.LDISEASE- EAEMPLOYEE <br />$ 1,000,000 <br />A <br />If <br />SPEC desPROVISIO No <br />SPECIAL PROVISIONS below <br />WC1929182 (OR) <br />4/l/2008 <br />4/l/2009 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />A <br />A <br />B <br />OTHER <br />Workers Compensation <br />WC1929184 OHWA,WI,WV1VN <br />WC1929183 ) <br />WC1929180 MA) <br />I 4/l/2008 <br />4/1/2008 <br />4/l/2008 <br />4/l/2009 <br />4/1/2009 <br />4/l/2009 <br />Statutory Limits - See Above <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />City of Santa Ana On -Call Contract for Civil Engineering and Landscaping Services <br />3709568 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />20 Civic Center Plaza, Ross Annex (M-36) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Santa Ana CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESMTrArPV <br />OCnRD1 25 /2nnl /nRl For auestfans reaardino this certificate. contact the number listed in the'Producee section above ands city the cli cod AECTEor. ® ACORD CORPORATION 1988 <br />