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�� <br />ACOIeO" CERTIFICATE OF LIABILITY INSURANCE Certiticata Number: 63 <br />V <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br />Marsh Canada Limited <br />UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER <br />$UI[@ 1100, 222 - 3rd Avenue SW <br />THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />Calgary, AB T2P 064 <br />INSURED <br />eOMpANYA Federal Insurance Company <br />20281 <br />TelVent USA Corporation <br />COMPANY B Liberty Mutual Insurance C'onTpa ny <br />23043 <br />1390 Piccard give, Suite 200 <br />COMPANY C Axis Keinsu rince ConTpany <br />20370 <br />Rockville, MD 20850 <br />COMPANY D <br />COMPANY E <br />COVERAGES <br />CO. <br />POLICY <br />POLICY <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />E %PIRATION DATE <br />LIMITS <br />DATE <br />(MM /DD /YY) <br />MM /DD /YY <br />A <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />$2.000,000 <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS— COMP /OP AGG <br />$2.000.000 <br />Q CLAIMS MADE ® OCCUR. <br />PRODUCTS 8 COMPLETED OPERATIONS <br />PERSONAL B ADV INJURY <br />$2.000.000 <br />SUDDEN 6 ACCIpENTPL POLLUTION <br />35870772 <br />Ob /OI /1 I <br />06/01/12 <br />EACH OCCURRENCE <br />$2.000 000 <br />BODILY INJURY AND PROPERTY DAMAGE <br />BLANKET CONTRACTUAL LIABILITY <br />FIRE DAMAGE (Any one fire) <br />CR099 LIABILITY <br />EMPLOYERS LIABILITY <br />MED E %P (Any one person) <br />$1 0,000 <br />9EVERABILITY OF INTEREST <br />B <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE uMIT <br />$1 p00 000 <br />ANY AUTO <br />BODILY INJURY (Per Parson) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />A 51 -F37 I -1 70470 -04 1 <br />O6 /O I / 1 1 <br />06/01 / 12 <br />HIRED AUTOS <br />BODILY INJURY (Par Accitlenl) <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />gUTO ONLY — EA ACCIDENT <br />ANY AUTO <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />AGGREGATE <br />C <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$3,000,000 <br />UMBRELLA FORM <br />C7 "X/752885/0 I /201 I <br />06/01 /I I <br />06 /U I / 1 2 <br />AGGREGATE <br />OTHER THAN UMBRELLA FORM <br />B <br />WORKERS' COMPENSATION AND <br />X <br />we srgruronY <br />oTHER <br />EMPLOYERS' LIABILITY <br />LIMITS <br />EL EACH ACCIDENT <br />$LOBO.BO6 <br />THE PROPRIETOR /PARTNERS / ® INCL <br />W C12 -B71- 170470 -051 <br />06/01/11 <br />06/01/12 <br />EL DISEASE - POLICY LIMIT <br />$1.000.000 <br />E %ECUTIVE OFFICERS ARE O EXCL <br />EL DISEASE EACH EMPLOYEE <br />$1.000 000 <br />PROFESSIONAL LIABILITY /ERRORS 6 <br />EACH CLAIM. EACH wRONGFVL AGT <br />$4,000,000 <br />A <br />OMISSIONS LIABILITY <br />35870772 <br />06/01/11 <br />06/01/12 <br />ANNUAL AGGREGATE <br />$4.000.000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS <br />RE: PROOF OF INSURANCE COVERAGE <br />It is hereby understood and agreed that the City of Santa Ana, PWA - Transportation 8 Traffic Engineering Department, is added as an Atlditional Insured, with respect to the <br />above -notetl general liability coverages, but only as their interest may appear with respect to the operations of the Named Insured described above. <br />Insurance is Primary and Non - Contributory. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD qNV OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE <br />F_ %PIRATION OgTE <br />�.It of Santa ARa <br />y <br />THEREOF. THE INSURER(51 AFFORDING COVERAGE WILL ENDEAVOR TO MAIL -,]"� DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE T L SUCH NOTICE SMALL <br />p" M <br />P `'V� - Trans OrtatlOn (X TTaII IC E'.n OInC'Crin <br />p p g <br />IMPOSE NO OBLIGATION OR LIADILITY OF ANY KING UPON THE INSURERI51 AFFORDING <br />THEIR AGENTS OR REPRESENTgTIVES O THE ISSUER OF THIS CERTIFICATE. <br />COVERAGE. <br />AUTHORIZED REPRESENTATIVE <br />2O CIVIC CCnLCr Pla1.3 <br />Santa A.na, CA 92701 <br />t� 1 �. i 'Lr��� �, <br />Attn: Vinh Nguyen, P.E., Sr. Civil Engineer - <br />-- .. nTaU 11�71 -: t..'I AC �'l7 <br />���� F: May ao, zott <br />wA A ���. <br />-� ,r 1z <br />+' Laura SI.�sLt �;hcedy <br />Assistant C�(Ly Attorrlav <br />AC ORD 25 (200'1/08) ©ACORD CORPORATION '1988 <br />* 'phe Automobile - A51 -B7 1- 1 70470 -040 and the Workers' Compensation -- WC'2 -B7 1- 1 70470 -050 placement was made by Marsh USA Inc. Marsh Canada Limited has <br />only acted in the role of a con sultan( to the client with respect to this placement whia;h is' indicated above for Your con venicnce. <br />