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DMJM HARRIS 4 -2008
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DMJM HARRIS 4 -2008
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Entry Properties
Last modified
6/23/2021 3:02:06 PM
Creation date
9/22/2008 1:47:55 PM
Metadata
Fields
Template:
Contracts
Company Name
DMJM HARRIS
Contract #
A-2008-216
Agency
PUBLIC WORKS
Council Approval Date
8/18/2008
Destruction Year
2026
Document Relationships
AECOM (FORMERLY DMJM HARRIS) 4A-2011
(Amended By)
Path:
\Contracts / Agreements\A
AECOM 4B -2013
(Amended By)
Path:
\Contracts / Agreements\A
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TE 1 <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/1/2010 DA4/1/2009 ' <br />PRODUCER Lockton Insurance Brokers, LLC 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 #01`15767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Irvine 92612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />949-252-4400 <br />INSURED AECOM Technology Corporation <br />1075642 AECOM USA, Inc. <br />605 Third Avenue <br />New York NY 10158 <br />COVFRA11179 AF.CTF01 OF <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A : Travelers Property Casualty Company of America 25674 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E <br />IIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN' <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 />ADD'L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MM/DD/YY) <br />DATE (MM/DD/YY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ XXxx'XXX <br />COMMERCIAL GENERAL LIABILITY <br />_ <br />DAMAGE TO RENTED <br />PREMISES Ea occurence <br />$ �C}CXiXX1V <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 <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ XXXXXXX <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />(Per person) <br />$ }%XXX3CXX <br />BODILY INJURY <br />$ XXXXXXX <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ XXXXXXX <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ XXX�CXXX <br />NOT APPLICABLE <br />OTHER THAN EA ACC <br />$ XXXXXXX <br />ANY AUTO <br />AUTO ONLY: <br />AGG <br />$ XXXXXXX <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />OCCUR CLAIMS MADE <br />❑ UMBRELLA <br />NOT APPLICABLE <br />$ XXXXXXX <br />DEDUCTIBLE FORM <br />$ XXXXXXX <br />$ XXXXXXX <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />TRJUB-4245B231-TIL-09 <br />4/l/2009 <br />4/1/2010 <br />X ORY IMITS OTH <br />A <br />EMPLOYERS' LIABILITY <br />(AZ,MA,OR,W1) <br />4/1/2009 <br />4/1/2010 <br />1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />A <br />OFFICERIMEMBER EXCLUDED? <br />TC2JUB-4245B22A-TIL-09 <br />4/1/2009 <br />4/1/2010 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />A <br />H yes,desALCP be ISIO NO <br />SPECIAL PROVISIONS below <br />(All Other States) <br />4/l/2009 <br />4/1/2010 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS APPROVED AS TO FORM <br />RE: Design Services for <br />the First Street bridge widening project. <br />All <br />Laura6titt' Sheedy 7 <br />Assistant City Attornev <br />11V11 <br />2828939 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 />Public Work Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attn: Jason Gabriel <br />20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br />AUTHORIZED REPRES0117 <br />ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the'Producee section above an city [he cli cod AECTE01'. © ACORD CORPORATION 1 QRR <br />
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