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A� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2
<br />12/2 /2010
<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 />Willis Insurance Services of California, Inc.
<br />2Century Blvd.
<br />P. O. Box 305191
<br />Nashville, TN 37230-5191
<br />JJ11 S 1 V
<br />�--" �
<br />CONTACT
<br />NAME:
<br />HONE FAX
<br />/CO 877-945-7378 A/C No: 888-467-2378ANEXT:
<br />E-MAADDRESS: certificates@willis.com
<br />INSURER(S)AFFORDINGCOYERAGE
<br />NAIC#
<br />INSURERA:Na tional Union Fire Ins Co of Pittsburgh
<br />19445-100
<br />INSURED URS Corporation dba URS Corporation Americas
<br />INSURER B: Zurich American Insurance Company
<br />16535-100
<br />INSURERC:Insurance Company of the State of PA
<br />19429-100
<br />600 Montgomery Street, 26th Floor
<br />San Francisco, CA 94111 11 rrIIII
<br />INSURER D: Illinois National Insurance Co,
<br />23817-001
<br />INSURERE: Lloyd's of London & British Companies
<br />15792-004
<br />INSURERF: Lexington Insurance Company
<br />19437-000
<br />COVERAGES CERTIFICATE NUMBER: 15206210 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 />T'YpE OF INSURANCE
<br />DD'
<br />SUB
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPJJIL
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />GL4376534
<br />5/1/2010
<br />5/1/2011
<br />EACHOCCURRENCE
<br />$ 2,000,000
<br />DAMAGETORENTED
<br />PREMISES Eaoccurence
<br />$ 11000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />MED EXP (Anyone person)
<br />$ 10,000
<br />PERSONAL& ADV INJURY
<br />$ 2,000,000
<br />X XCU, BFPD
<br />X
<br />Contractual Liability
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />POLICY X PROT- LOC
<br />$
<br />B
<br />AUTOMOBILE LIABILITY
<br />BAP938521501
<br />5/1/2010
<br />5/1/2011
<br />COBINEDSINGLELIMIT
<br />(Ea Maccident)
<br />$ 2,000,000
<br />BODILY INJURY(Per person)
<br />$
<br />X ANY AUTO
<br />ALLOWNED SCHEDULED���
<br />AUTOS AUTOS
<br />�)i,} '•"
<br />t j
<br />BODILY INJURY(Per accident)
<br />$
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />;:�,-
<br />_PROPERTY
<br />/
<br />R PE Y DAMAGE
<br />Peraccident
<br />$
<br />$
<br />7
<br />UMBRELLALIAB
<br />EXCESS LIAB
<br />j
<br />OCCUR
<br />CLAIMS -MADE
<br />--,cC.'y
<br />^s
<br />iTd
<br />bjtilli" pt
<br />1; 01 � �,;''.
<br />EACHOCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />DED RETENTION$
<br />$
<br />C
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVEYI1
<br />N/A
<br />WC20635054/WC20635055
<br />WC20635052
<br />1/1/2011
<br />1/1/2011
<br />1/1/2012
<br />1/1/2012
<br />X T Y LIMITS I OETR
<br />E.L. EACH ACCIDENT
<br />$ 2,000,000
<br />A
<br />D
<br />OFFICER/MEMBER EXCLUDED? [I
<br />(Mandatory in NH)
<br />f yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />I
<br />WC20635051
<br />WC20635053
<br />1/1/2011
<br />1/1/2011
<br />1/1/2012
<br />1/1/2012
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 2,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 2,000,000
<br />E
<br />PE0801821/PE0801657
<br />5/1/2010
<br />5/1/2011
<br />F
<br />Professional Liability
<br />015438088
<br />5/1/2010
<br />5/1/2011
<br />$1,000,000 Each Claim
<br />w/Limited Contractual -
<br />$1,000,000 Aggregate
<br />Claims Made Policy
<br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required)
<br />The Workers' Compensation coverage shown above does not apply in monopolistic states. In the
<br />States of ND, OH, WA and WY, Workers' Compensation coverage is provided by the State Fund. In
<br />those States, the above -referenced policies provide Stop -Gap Employers' Liability only.
<br />See Attached
<br />Workers Compensation policies aipply as indicated below:
<br />a.cn t tna,M t n nvLUr_n t.APIGtLLA I IUN
<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 />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />Coll:3218136 Tpl:1199784 Cert:15206210©1988-2010ACORDt:ORPORATION.All riahtsreserved
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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