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ACORD TM CERTIFICATE OF LIABILITY INSURANCE Date (M R) 2/1/2011 zo11 TH.'S 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 require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Heffernan Insurance Brokers License No. 0564249 NAME: A/� No, Ext : 714- 997 -8100 aC No : 714-460-9935 EMAIL ADDRESS: 1855 W. Katella Ave., Ste 255 Orange, CA 92867 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Property Casualty Co 25674 INSURER B: Travelers Indemnity Co of America T & B Planning 17542 E. 17 th St., Ste 100 Tustin CA 92780 > INSURER C: Continental Casualty Co. 20443 INSURER D: CLAIMS-MADE n OCCUR INSURER E: 680708OP536 02/01/11 INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: ' REVISION NUMBER: THIS IS TO CERTIFY THAT 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM/ D/YYY LIMITS GENERAL L LIABILITY EACH OCCURRENCE $2,000,000 DAMAGE PREMISES PREMISES S (RENTED occurrence) $1,000,000 A X COMMERCIAL GENERAL LIABILITY 680708OP051 02/01 /11 02/01 /12 B CLAIMS-MADE n OCCUR 680708OP536 02/01/11 02/01/12 'r MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L. AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $4,000,000 $ POLICY X PROJECT F LOC - A AUTOMOBILE LIABILITY 680708OP051 02/01/11 02/01/12 COMBINED SINGLE LIMIT (Ea accident) $Ind in GL BODILY INJURY (Per person) $ B ANY AUTO 680708OP536 02/01/11 02/01/12 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ CUP708OP616 02/01111 02/01/12 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION $0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE/ OFF/CER/MEMBEREXCLUDED? � U133393T344 02/01/11 02/01/12 (Mandatory in N.H.) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability MCA288294144 09/20/10 09/20/11 Per Claim Aggregate $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Projects as on file with the insured including but not limited to San Lorenzo Lift Station & San Lorenzo Lift Station MND. City of Santa Ana is named as additional insured on Eenerall liability policy-see attached endorsement. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Public Works Agency THE POLICY PROVISIONS. Corporate Yard, M -84 AUTHORIZED REPRESENTATIVE 220 S. Daisy Ave. Santa Ana, CA 92703 ACORD 25 (2010/05) R( t t p1 -8 -2010 ACORD CORPORATION. All rights reserved. ,v, _ The ACORD name and logo are registered marks of ACORD 7