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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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ACOR0e DATE (MM/DDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 4/1/2011 5/20/2010 <br />PRODUCER Lockton Insurance Brokers, LLC <br />19800 MacArthur Blvd., Suite 550 <br />CA License #OF15767 <br />Irvine 92612 <br />949-252-4400 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED AECOM Teehnolog Corporation INSURER A: Travelers Property Casualty Co of America 25674 <br />1075642 AECOM Technical Services, Inc. INSURER B : <br />999 Town &-Country Road <br />Orange CA 92868 INSURER C : <br />INSURERD: <br />INSURER E <br />COVERAGES AECTE01 OE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <br />rumrocnrer ...—ID.— oeooeeeurnrnre no oonnrrreu nun rue reotrcrrnTc unr neo <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 />ADDT <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MM/DDIYY) <br />DATE (MMIDDIYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurence <br />$ XXXXXXX <br />CLAIMS MADE OCCUR <br />NOT APPLICABLE <br />MED EXP (Any one person) <br />$ XXXXXXX <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 />COMBINED SINGLE LIMIT <br />$ XXXXXXX <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />$ XXXXXXX <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />(Per person) <br />BODILY INJURY <br />$ XXXXXXX <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />APPROVE,-) <br />7� `, I� <br />r r RV v 1� <br />p C 7- <br />A S l® R <br />RTY DAMAGE <br />$ XXXXXXX <br />(Per accident) <br />GARAGE LIABILITY <br />Z <br />AUTO ONLY - EA ACCIDENT <br />$ XXXXXXX <br />ANY AUTO <br />NOT APPLICABLE <br />Laura <br />t,tt Speedy <br />OTHER THAN EA ACC <br />OTHERT A <br />$ XXXXXXX <br />$ XXXY—XYX <br />AGG <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />s XXXXXXX <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ XXXXXXX <br />$ XXXXXXX <br />NOT APPLICABLE <br />UMBRELLA <br />$ XXXXXXX <br />DEDUCTIBLE FORM <br />$ XXXXXXX <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />TRJUB-4245B23-1-10 <br />4/1/2010 <br />4/1/2011 <br />WC STATU- OTH- <br />X T RY LIMITSER <br />EMPLOYERS' LIABILITY Y / N <br />E.L. EACH ACCIDENT <br />$ 1,000 000 <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />T� <br />(AZ,MA,OR, ��7I) <br />4/1/2010 <br />4/1/2011 <br />A <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />TC2JUB 42451322 A 10 <br />4/1/2010 <br />4/1/2011 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />A <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />(All Other States) <br />4/1/2010 <br />4/1/2011 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Contract No. A-2008-216, On -Call Contract for Engineering and Landscaping Design Services (AECOM Contract No. 60100544). Waiver of Subrogation applies <br />per attached endorsement. <br />CERTIFICATE HOLDER CANCELLATION Ltvitvvoaol <br />110886430 "` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />The City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />Attn: Shen Barkley h Z ' VO I =', e NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Public Works Design Engineering <br />" (' J "' "'�' <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 REPRESEIOTIIMD i <br />I_CK.I :7 ayi`ItLk7C ; is <br />CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />For auestions reaardino this certificate. contact the number listed 'P in thero ucee section above and specify the client code'AECTE01'. <br />
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