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ACORD' <br />CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER Lockton Insurance Brokers, LLC <br />19800 MacArthur Blvd., Suite 550 <br />CA License #OF15767 <br />Irvine 92612 <br />949-252-4400 <br />NSURED AECOM Technology Corporation <br />1075642 AECOM USA, Inc. <br />fka: DMJM*Harris, Inc. <br />605 Third Avenue <br />New York NY 10158 <br />4/1/2011 <br />INSURERS AFFORDING COVERAGE <br />WRURFRq - Travelers Property Casualty Co of Atnenca <br />DATE (MM/DD/YYYY) <br />4/1/2010 <br />NAIC # <br />25674 <br />COVERAGES AECTEO 1 OE THIS Ge EeRTIFICATE OFe 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 />ADD-L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MMDD/YY) <br />DATE (MWDD/YY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S XXXXXXX <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occuranca <br />s XXXXXXX <br />MED EXP (Anyone parson) <br />$ XXXXXXX <br />CLAIMS MADE OCCUR <br />NOT APPLICABLE <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />s XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />PRO- <br />POLICY JECT LOG <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />s XXXXXXX <br />ANY AUTO <br />(Ea —id—t) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />(Per person) <br />$ XXXXXXX <br />BODILY INJURY <br />S XXXXXXX <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accitlent) <br />s XXXXXXX <br />'✓ L, i� AS <br />FORMT O <br />�-1 <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />s XXXXXXX <br />ANY AUTO <br />NOT APPLICABLE <br />G�- v✓ <br />_. __.. <br />OTHER THAN EA ACC <br />$ XXXXXXX <br />- li..LC S <br />AUTO ONLY AGG <br />ee(1 <br />$ XXXXXXX <br />EXCESSNMBRELLA LIABILITY <br />. +t:i f) L City Attorney <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />OCCUR CLAIMS MADE <br />UMBRELLA <br />= <br />NOT APPLICABLE <br />$ XXXXXXX <br />s XXXXXXX <br />DEDUCTIBLE FORM <br />$ XXXXXXX <br />RETENTION $ <br />A <br />WORKERS CO MPENSATION AND <br />TRJUB-4245B23-1-10 <br />4/1/2010 <br />4/1/20I1 <br />X I WC STATLI- OTH- <br />T RY LIMIT ER <br />EMPLOYER$' LIABILITY V / N <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />A <br />ANYPROPRIETOR/PARTNER/EXECUrIVE <br />N <br />(AZ,MA,OR,WI) <br />4/1/2010 <br />4/1/2011 <br />A <br />OFFICER/MEMSER EXCLUDED'I <br />(Mandatory In NH) <br />TC2JUB 4245B22 A 10 <br />4/1/2010 <br />4/1/2011 <br />E.L_ DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />A <br />ayes, °eeP—SIO <br />SPECIAL PROVISIo1Js below <br />All Other States <br />( ) <br />4/1/2010 <br />4/1/2011 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONWLOCATION" VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVLSIONS <br />RE: Design Services for the First Street bridge widening project_ <br />\aCrtllr lliAlC AVLUCK I.JAN{.JGLLAIIVN <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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 REPRESENTATIVES. <br />AUTHORIZED REPRES <br />ACORD 25 (2009/01) A iqss-1db9ACOIR15 CORPORATION. All rights reserved <br />The ACORD name and lD o are re Istered marks Of ACORD <br />For auastions rmartlina M,s cartilic,M. contact Ma number li Tatl in Ma'Producor sMion aEeve end awciN O,a cllani cotlrt-AECTEOt'. <br />