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Ali °® CERTIFICATE OF LIABILITY INSURANCE PATE page 1 of 2 2 /2013 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 Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230 -5191 CONTACT NAME: PHONE FAX (VC, N EXT: 877- 945 -7378 JC No: 888 - 467 -2378 E -MAIL ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC k 4/1/2013 INSURERA: Greenwich Insurance Company 22322 -001 DAMAGE TO RENTED INSURED Atkins North America, Inc. INSURERB:American Guarantee & Liability Insurance 26247 -001 INSURERC:Underwriter's at Lloyds 15792 -001 2001 NW 107th Avenue Miami, FL 33172 -2507 INSURER D: INSURER E: $ 10,000 PERSONAL & ADV INJURY $ 11000,000 INSURER F: X Contractual Liability COVERAGES CERTIFICATE NUMBER: 19539414 RFVISIAN NUMBER: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDI SUB POLICY NUMBER POLICY EFF POLICY EXP 4/1/2014 LIMITS • GENERAL LIABILITY Y Y CGG740901602 4/1/2013 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 11000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREG ATE LIMIT APPLIES PER: POLICY FX PRO- CT X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 • AUTOMOBILE LIABILITY y Y CAH740901702 4/1/2013 4/1/2014 EOaBINED)SINGLELIMIT $ 2,000,000 X BODILY INJURY(Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS X BODILY INJURY(Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PE TY AMA E Per accident $ • X UMBRELLALIAB X OCCUR AUC924234901 4/1/2013 4/1/2014 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $ 25, 000, 000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $Zero • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE7 OFFICER/MEMBER EXCLUDED? N/A Y CWG740901502 4/1/2013 4/1/2014 X T RYLIMIT R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatary in NH) fyes, de scribe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OFOPERATIONS below C Professional Liability Claims Made B080111209P13 4/1/2013 4/1/2014 $1,000,000 Each Claim & $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is requir 1 Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A+ XV Underwriters at Lloyd's London AM Best Rating: A XV. Professional Liability policy written on claims -made basis. Laura Stitt Sh eei7 Assistant City: ornev There are no Deductibles or Self- Insured Retentions on the General Liability, Automobile Liability and workers Compensation and Umbrella covers es. City of Santa Ana Public Works Agency M -36 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 I IV14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U4UUJ-2 1Y1:lQ.LU /U1 l:erL: lybd 7414 W1Vtsts -2UI O ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD