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ACCIIIi CERTIFICATE OF LIABILITY INSURANCE <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />Page 1 of 2 <br />03/27/2p 4 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEDBY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />Willis of New York, Inc.PHONE <br />c/o 26 Century Blvd.EXT)Air. <br />877-945-7378 FAX 8138-467-2378 <br />E-MAIL Certl fl Cate8QW11116. com <br />P. 0. Box 305191 <br />Nashville, TN 37230-5191 <br />NSURER(S)AFFORDING COVERAGE NAIC# <br />INSURERA: Greenwich Insurance Company 22322-001 <br />4/1/2014 <br />INSURED Atkins North America, Inc. <br />INSURERS: American Guarantee & Liability Insurance 26247-001 <br />INSURER C: Underwriter's at Lloyds 15792-001 <br />2001 NW 107th Avenue <br />Miami, FL 33172-2507—ra�C�� <br />INSURER D: <br />INSURERE: <br />INSURERF: <br />""'�f'l.fal/ J <br />COVERAGES CERTIFICATE NUMBER: 21333303 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />rypE OFINSURANCE <br />DD' <br />i <br />SUB <br />WVD <br />POLICYNUMBER <br />POLICYEFF <br />POUCYEXPLTR <br />LYL <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />Y <br />Y <br />CGG740901603 <br />4/1/2014 <br />4/1/2015 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />DAMAGETORENTED <br />PREMISES Eeoccwence <br />$ 300,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Anyone person) <br />$ 10 000 <br />CLAIMS -Mil OCCUR <br />X <br />PERSONAL&ADV INJURY <br />1 <br />$ 11000,000 <br />Contractual Liability <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES <br />PER: <br />PRODUCTS -COMP/CP AGG <br />2,000,000 <br />POLICY X PRO- ArITX <br />LOC <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />CAH740901703 <br />4/1/2014 <br />4/1/2015 <br />CO eo tlEDI SINGLE LIMIT(Ed <br />000,000 <br />BODILY INJURY(Per person) <br />L$25 <br />X ANYAUTO <br />X ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per eccidenl <br />HIREDAUTOS NON -OWNED <br />PROPERTY DAMAGEAUTOS (Poraccd y <br />B <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />AUC924234902 <br />4/1/2014 <br />4/1/2015 <br />EACHOCCURRENCE <br />000 000 <br />AGGREGATE <br />$ 25,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE [N i <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />Y <br />CWG740901503 <br />4/1/2014 <br />4/1/2015 <br />X WC srATu- orH- <br />E,LEACHACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE "EA EMPLOYEE <br />$ 11000,000 <br />fMendatoryio NH) <br />f yes, describe under <br />E. L. DISEASE POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS We. <br />C <br />Professional <br />B080111209P14 <br />4/1/2014 <br />4/l/2015 <br />$1,000,000 Each Claim & <br />Liability <br />$1,000,000 Annual Aggregate <br />Claims Made <br />11/11/1961 Retrodate <br />DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES(Attach Acord 101, Additonal Remarks Schedule, if morespace is required)AF - <br />Greenwich Insurance Companies Best Rating A XV rpp%o 13'3 A ... <br />American Guarantee and Liability Insurance Company Best Rating A+ XV <br />Underwriters at Lloyd's London AM Best Rating: A XV. '-"yam <br />Professional Liability policy written on claims -made basis. <br />;tY AttornOV, <br />ppG <br />There are no Deductibles or Self -Insured Retentions on the General Liability, Au'Ylmobile Liability <br />and Workers Compensation and Umbrella coverages. <br />CERTIFICATE HOLDER CANCELLATION <br />PIS <br />Coll:4373372 Tpl:1788066 Cert:21333303 ©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />Public Works Agency M-36 <br />t <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />PIS <br />Coll:4373372 Tpl:1788066 Cert:21333303 ©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />