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A �`® CERTIFICATE LIABILITY INS Page 1 of 2 <br />03/30/ 15 <br />THIS CERTIFICATE IS ISSUED AS A 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 AFFORDED BY 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(ies)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. <br />c/o 26 Century Blvd. <br />PHONE FAX <br />/C Nn F:XT)• 877- 945 -7378 — (jE�O) 888- 467 -2378 <br />P. a. Box 305191 <br />E-MAIL certificates @willis.com <br />Nashville, IN 37230-5191 <br />INSURER(S)AFFORDINGCOVERAGE <br />NAIL# <br />INSURER A: Greenwich Insurance Company <br />22322 -001 <br />__.. <br />INSURED <br />Atkins North .America, Inc. <br />INSURERB:American Guarantee & Liability Insurance <br />-- <br />26247 -001 <br />— — <br />INSURERC:Underwriter's at Lloyds <br />— <br />15792 -001 <br />2001 NW 107th Avenue <br />Miami, FL 33172 -2507 <br />INSURER D: <br />INSURER E: <br />NSURERF: <br />COVERAGES CERTIFICATE NUMBER: 23001119 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 />TYPEOFINSURANCE <br />DDL <br />SUB <br />POLICYNUMBER <br />I POLICYEFF <br />POLICY EXP <br />LIMITS <br />,A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Y <br />Y <br />CGG740901604. <br />"4/l/2015 <br />4/1/2016 <br />EACHOCCURRENCE <br />$ 11000,000 <br />PREMISS ENTEI <br />�_ a.Sc rence) <br />$ 300 000 <br />X <br />M ED EXP (Anyone person) <br />$ 10,000 <br />Contractual Liability_ <br />PERSONAL &ADVINJURY <br />$ 1 000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY [:X] PRO- LOC <br />JECT X. <br />G_ENERALAGGREGATE <br />$ 2-000,000_._ <br />PRODUCTS- COMP /OPAG0 <br />G <br />, 000 <br />$ 2 00OTHER: <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />CAH740901704 <br />4/1/2015 <br />4/1/2016 <br />EOMBIINEED>INGLELIMIT <br />$ 2,000,000 <br />X <br />BODILY INJURY(Per person) <br />$ <br />ANY AUTO <br />ALLOWNED '--SCHEDULED <br />AUTOS jAUTOS <br />X <br />er accent <br />( ) BODILY INJURY Pid <br />$ <br />X <br />HIREDAUTOS X jNON -OWNED <br />AUTOS <br />PROPERTYDAMAGE <br />(Per accident) <br />$ <br />$ <br />B <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />AUC924234903 <br />4/1/2015 <br />4/1/2016 <br />EACHOCCURRENCE <br />$ 25,00,,,000 <br />AGGREGATE __` <br />$ 00,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I RETENTION$ <br />_25, <br />$ <br />p <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY ® <br />ANYPROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />fMandatoryinNH) <br />ff yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />Y <br />CWG740901504 <br />4/1/2015 <br />4/1/2016 <br />X TH- <br />— °- — <br />�_E.L. EACH ACCIDENT <br />$ 1,000,000 <br />- - -- <br />IE•LDISEASE - EA EMPLOYEE <br />- <br />$ 1,000,000 <br />iE.L.DISEASE - POLICY LIMIT <br />--"" <br />$ 11000,000 <br />C <br />Professional <br />B080111209P15 <br />4/1/2015 <br />4/1/2016 <br />';$1,000,000 Each Claim & <br />Liability <br />,$1,000,000 Annual Aggregate <br />Claims Made <br />ill/11/1961 Retrodate <br />DESCRIPTION OFOPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) <br />Greenwich Insurance Companies Best Rating A XV <br />American Guarantee and Liability Insurance Company Best Rating A+ XV <br />Underwriters at Lloyd's London AM Best Rating: A XV. <br />Professional Liability policy written on claims -made basis. <br />There are no Deductibles or Self - Insured Retentions on the General Liability, Automobile Liability <br />and Workers Compensation and U rella cov ra es <br />AT"K:IN;y N yF T' .I Ap1lWER� CA A...2010...005 REVIEWED BYE <br />EUNICE FIEREDIA (PG '1 OF 'T 3) <br />City of Santa Ana <br />Public Works Agency M -36 <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />l•fer Ill t lagwilyll•J el <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 />AUTHORIZED REPRESENTATIVE <br />/ T A A <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />