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A4CC>R1Y CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 02/17/20 1 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 CONTACT NAMr Willis Insurance Services of California, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 PHONE 877_945-7378 FAx 888-467-2378 EADDRESS -MAIL certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co of Pittsburgh 19445-100 INSURED URS Corporation dba URS Corporation Americas INSURERB:Zurich American Insurance Company 16535-100 INSURER C: Insurance Company of the State of PA 19429-100 600 Montgomery Street, 26th Floor San Francisco, CA 94111 INSURER D: Illinois National Insurance Co. 23817-001 INSURER E: Lloyd's of London & British Companies 15792-004 INSURERF: Lexington Insurance Company 19437-000 COVERAGES CERTIFICATE NUMBER_ 15526951 RFVISIr1N NI IMRFR• 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 ITR TYPE OF INSURANCE DD' SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY y GL4376534 5/1/2010 5/1/2011 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Eaoccurence $ 11000, 000 X COMMERCIAL GENERAL LIABILITY MEDEXP (Any one person) $ 10,000 CLAIMS-MADEFx-]OCCUR PERSONAL& ADV INJURY $ 2,000,000 X XCU, BFPD X Contractual Liability GENERALAGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 ( $ B AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BAP938521501 5/1/2010 AS TO FORM 5/1/2011 , C OMEcNECSINGLE LIMIT $ 2,000,000 X BOD ILY I NJ URY(Per person) $ BODILY INJURY(Per accident) $ AUTOS HIREDAUTOS NON-OWNEDr�7T PROPERTYDAMAGE (Per accident) $ $ — f) 1',1111 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ . H C AGGREGATE $ EXCESS LIAB CLAIMS -MADE RYA DED RETENTION $ $ Aftww C D A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ffMancltoryinNH)REXCLUDEDI ff yes, describe under DESCRIPTION OF OPERATIONS below NIA IWC20635053 WC20635054 20635055 1. WC20635052 WC20635051 1/1/2011 1/1/2011 1/1/2011 1/1/2011 1/1/2012 1/1/2012 l/l/2012 1/1/2012 X E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 E PE0801821/PE0801657 5TTF2610 5 1 2011 F Professional Liability 015438088 5/1/2010 5/l/2011 $1,000,000 Each Claim w/Limited Contractual - Claims Made Policy $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach Acord 101, Addltonal Remarks Schedule, if more space is required) Re: Tava Development The Workers' Compensation coverage shown above does not apply in monopolistic states. In the States of ND, OH, WA and WY, Workers' Compensation coverage is provided by the State Fund. In those States, the above -referenced policies provide Stop -Gap Employers' Liability only. See Attached City of Santa Ana Attn: Clerk of The City Council 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702 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 Coll:3272948 Tpl:1199784 Cert:15526951©1988-2010ACORDtORPORATION- All riahtcrpcprvpd ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD