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ACC> CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) ��. 0116013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC NAME: 99 HIGH STREET PHONE I FAX (A/C, No, Ext): 1 (A/C, No): BOSTON. MA 02110 E MAIL Attn: Boston cerVequest@ marsh ADDRESS: con) 1 Fax: 212948 431! _ — - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURER(S) AFFORDING COVERAGE NAIC If 838132- Telve -GAWUP -1314 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSURER A: National Union Fire Insurance Company ,19445 INSURED 19645206 0V01f2013 0110112014 INSURER B New Hampshire Insurance CO. 23841 TELVENT USA, LLC _ DAMA RENTED-- - - -� -- - -- PREMISES Ea occurrence) $ -000 5000 OOO : - _ -. 1390 PICCARD DRIVE SUITE 200 5.000 - INSURER C : HDI- Gerling America Insurance Company 41343 ROCKVILLE. MD 20850 _..._.. –. —.. GFNFRAL AGGREGATE $ 5,000,000 _ N'I_AGGREGAT E LIMIT APPLIES PER I INSURER D : X PRO- POLICY LOC ^ INSURER E AUTOMOBILE LIABILITY ! ;5196191 (AOS) 0110112013 01/01/2014 Ea aBINEDI SINGLE LIMIT j— S-- QJ( D � INSURER F: ;5196189 (MA) 011012013 0110112014 - -- - - - - BODILY INJURY (Pe person) , $ COVFRAGFR CFRTIFICATF IUIIIURFR• NVr'_AAr1G 1In_t1 RP \ /ICIf\(U IIJI IIIIRGB•A - -? -- ! BODILY INJURY (Per accidentt $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ACCORDANCE WITH THE POLICY PROVISIONS. - -- INSR . 'ADULT- SUBRT -_- POLICY EFF POLICY EXP LTR 1 TYPE OF INSURANCE INSR ! WVD I POLICY NUMBER MMIDD /YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY ' -- 19645206 0V01f2013 0110112014 EACH DCCURRENCE $ 5.000.000 X - I L GENERAL LIABILITY MERCI LGEN ABILITY - Sarah A Stevenson _ DAMA RENTED-- - - -� -- - -- PREMISES Ea occurrence) $ -000 5000 OOO X _� _ MED EXP (Any,one person) $ 5.000 - PERSONAL 8 ADV INJURY $ 5,000.000 _..._.. –. —.. GFNFRAL AGGREGATE $ 5,000,000 _ N'I_AGGREGAT E LIMIT APPLIES PER I r PRODUCTS AGC' I $ �___ - - -._5 00 9.000.000 X PRO- POLICY LOC I $ AUTOMOBILE LIABILITY ! ;5196191 (AOS) 0110112013 01/01/2014 Ea aBINEDI SINGLE LIMIT j— S-- 5,000000 B _ ANY AUTO ;5196189 (MA) 011012013 0110112014 - -- - - - - BODILY INJURY (Pe person) , $ -- ALL OWNED SCHEDULED B AUTOS 5196190 (VA) 01101!2013 j0110112014 - -? -- ! BODILY INJURY (Per accidentt $ ,AUTOS NON OWNED :. I- ___ —____ ____. —___ PROPERTY DAMAGE - - - _- - .HIRED AUTOS '� AUTOS �..F1Per ;. $ accitlen� - -_ _--. _. --- �- -- -_. iPHYSICAL DAMAGE $ 1.000.000 C X ! X OCCUR I , i CUD11986.01 0110112013 0110112014 � EACH OCCURRENCE $ 5.000 000 ExoESS gB1AB _S GLAIMS MAD_F' � I AGGREGATE 5.000000 JED RETENTION$ ! B WORKERS COMPENSATION � I WC 018112552 (CA) 01/0112013 0110112014 X WC STATU- , DTH AND EMPLOYERS' LIABILITY Y/ N I B ! 1 1 __SOAYJ.Ifid1T51 ER } ANY f ROPRIFTORIPARTNERIEXECUTIvF OF FICERlMEMBER EXCLUDED' F7N i NIA', IWC 018112553 (FL) 01/0112013 01/01/2014 1 ; E L EACH C-- ACCIDENT 4 5,000.000 (Mandatory in NH) !Additional WCIEL policies are shown S.000.D00 If Ye- describe under', E L. DISEASE - EA EMPLOYE $ _ - DESCRIPTION OF OPERATIONS below on the following page 1 I E L DISEASE - POLICY LIMIT $ 5,000,000 C PROFESSIONAL EOD11987 -01 101101/2013 X0110112014 PER OCCURRENCE 5000.000 E80LIABILITV AGGREGATE 5.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Ii ,s hereby unders!00C and agreed that the Cily of Santa Ana. PWA -- Transportation 8 Traffic Engineering Department, Is added as an Additional Insured, vnth respect to the above -noted general lability coverages hu! only as their Interest may appear with respect to the operations of the Named Insured described above Insurance IS Primary and Non - Contributory Waiver of subrogation Is applicable pursuant to policy terms and condmons See page 2 for additional text i City of Santa Ana ;1 Attn. Vinh Nguyen P E Sr CIVII Engineer SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PWA - Transportation 8 Traffic Engineering THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA. 92701 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Sarah A Stevenson U 1990 -2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD