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ADDITIONAL INFORMATION Los-001007701-02 <br />DATE (MM/DD/ )05/24/2010 <br />PRODUCER <br />Marsh Risk & Insurance Services <br />CA License #0437153 <br />777 South Figueroa Street <br />Los Angeles, CA 90017 <br />Attn: Lori Bryson (213)-346-5464 <br />06510-AECOM-CAS-10/11 AECTE MCELA 0412 CA <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER F. <br />AECOM Technical Service, Inc. <br />(f.k.a. DMJM Harris) <br />INSURER c_ <br />INSURER H. <br />999 Town and Country <br />Orange, CA 92868 <br />INSURER I: <br />TEXT <br />-Us <br />Waiver of Transfer Of Rights Of Recovery Against Others To <br />POLICY NUMBER Eff. Date of Pol. - Exp. Date of Pol. Eff. Date of End <br />Agency No. Addl. Prem Return Prem <br />BAP 5965893 02 4/1/2010 - 4/1/2011 <br />This endorsement is issued by the company named in the Declarations. It changes the policy <br />on the effective date listed above at the hour stated in the <br />Declarations. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ <br />IT CAREFULLY- <br />Na rned Insured <br />AECOM Technical Service, Inc. (f.k.a. DMJM Harris) <br />This endorsement modifies. insurance provided under: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIERS COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />GARAGE COVERAGE FORM <br />SCHEDULE <br />Name of Person or Organization: <br />The City of Santa Ana <br />Public Works Design Engineering <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />CONTRACT NO. A-2008-216, ON -CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT NO. <br />60100544) <br />THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES <br />We waive any right of recovery we may have against the designated person or organization shown <br />in the schedule because of payments we make for injury <br />or damage caused by an "accident' or "loss" resulting from the ownership, maintenance, or use of a covered "auto" for which a Waiver of $ularogation is <br />required in conjunction with work performed by you for the designated person or organization. <br />The waiver applies only to the desigwata� on or <br />organization shown in the schedule. <br />U-CA-320-BCW (4194) Page 1 of 1 <br />pRuv �� <br />SGi``l <br />Laura �t�cic, <br />n ssistant. <br />CERTIFICATE HOLDER <br />The City of Santa Ana <br />Attn: Sheri Barkley, Public Works Design Engineering <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />o/ Mansh Risk 3 Insurance Services <br />David Denihan <br />Pag 4 I/� <br />