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N-2009-138 <br />A~ ~ _.. -_ _ _ _. _ <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 11!23/2009 <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />SUITE 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1255 23RD STREET, N.W. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />WASHINGTON, DC 20037 <br />Attn: SHARON HENNING - T-202-263-7600 <br />500625--GAUWP-09-10 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Hartford Flr@ In3urance CO 19682 <br />MAXIMUS <br />INC <br />AND ALL SUBSIDIARIES <br />, <br />. <br />11419 SUNSET HILLS ROAD <br />R <br />T INSURER e: Twin City Fire Insurance Co 29459 <br />ES <br />ON, VA 20190 INSURER c: Hartford Insurance Company Of Midw 37478 <br /> INSURER D: American International Specialty Lines Ins Co 26883 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NS <br />LTR ADD' <br />INSR TYPE OF INSURANCE POLICY NUMBER POL1CV EPFECTNE <br />DATE (MWDDlYYYY) POLICY EXPIRATION <br />DATE (MYIIDDIYYYY) LIMITS <br /> H 1 000 000 <br />A x COMMERCIAL GENERAL LIABILITY 42UUNTE6206 05/01/2009 05/01/2010 PREM SET Ea occurrence $ 1,000,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10,000 <br /> PERSONAL & ADV INJURY $ 1 <br />000 <br />000 <br /> GENERAL AGGREGATE , <br />, <br />$ 2,000,000 <br /> <br /> GENERAL AGGREGATE LIMIT APPLIES PE PRODUCTS -COMP/OP A 2,000,000 <br /> X POLICY ~ LOC <br /> <br /> <br />A AUT <br /> <br />X OMOBILE LIABILITY <br />ANY AUTO <br />42UUNTE6206 <br /> <br />05101!2009 <br /> <br />05/01/2010 <br />COMBINED SINGLE LIMIT <br />~ accdent) <br />$ 1,000,000 <br /> ALL OWNED AUTOS <br />SCHEDULED AUTOS BODILY INJURY <br />(Per person) $ <br /> HIRED AUTOS <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY +7~~ t p J ~ ~ ~ <br />s I _,' • <br />- <br />AUTO ONLY - EA ACCIDENT <br />$ <br /> ANYAUTO ~ x ~~ <br />~ ~~~J~~i~ EA ACC $ <br /> ` /~~.._ <br />~ AUTOONLYN <br /> EXCESS /UMBRELLA LIABILITY ~C (,,, j--~- _ ~ EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE )"lUtl 5L!(t <br />5' <br />~ --_ ,~__ AGGREGATE $ <br /> <br /> <br />D <br />C i <br />y <br />`xa,ii4/lC 1.11 <br />Y ~ 1; $ <br /> EDU <br />TIBLE . <br />l) r ; ~ ~ ; $ <br /> RETENTION $ <br /> WORKER <br />EMPLOYE COMPENSATION AND <br />RS' LIABILITY X WC STATU• OTH- <br />B <br />~ECUTIVE Y! N 42WBRMG3741 (WI) <br />42WNMG3740 {AOS) 05/01/2009 <br />05/01/2009 05/0112010 <br />05/01/2010 <br />L. EACH ACCIDENT <br />1,000,000 <br />C OFFICERMIEMBER EXCLUDED .L.DISEASE-EAEMPLOYE $ 1,000,000 <br /> Mandatary in NH)!f s, describe antler <br />ECIAL PROVISIONS below .L. DISEASE -POLICY LIMIT $ 1,000,000 <br /> <br />D OTHER <br />PROFESSIONAL <br />08-081-21-61 <br />08/01/2009 <br />08/01/2010 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />RE; PROJECT 5 9/24!2007; STATE MANDATE CLAIMING <br />THE CITY OF SANTA ANA AND ITS AGENTS ARE INCLUDED AS ADDITIONAL INSUREDS UNDER THE GENERAL LIABILITY COVERAGE AS <br />REQUIRED BY CONTRACT WITH THE NAMED INSURED. <br />CERTIFICATE HOLDER CLE-002228214-15 CANCELLATION <br /> SHOULD ANY OF 7HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />20 CIVIC CENTER PLAZA, M-17 3O DAYS WRITTEN NOTICE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, <br />SANTA ANA, CA 92702 <br /> BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br />~(~ ~ ~~~~ <br />/ r'~i=r ~. ~ ~ Sri./ ~ a G ~' ~ !~ ` '" <br />UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. <br /> AUTHa SQEDREPRESENfATNE <br />ffll ( <br /> TimOthy <br />M. SBSSef <br />AcvKU z5 (zoD9/U1) ®1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />