Laserfiche WebLink
<br />A <br />°? CERTIFICATE OF LIABILITY D <br />1M1DD(YYYY) <br />? <br />INSURANCE 030/ <br />03!2912012 <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 CONTACT <br />MARSH USA INC NAME: <br />TWO LOGAN SQUARE PIALC. NO N E? tL_ __ ! ?a C Not: <br />--- <br />PHILADELPHIA, PA 19103-2797 E-MAIL <br /> ADDRESS: <br /> INSURER(S) AFFORDING COVERAGE NAIC 0 <br />521990-Stand-Prof-12-13 01324 INSURER A : Zurich American Insurance Company 116535 <br />INSURED <br />Hill International <br />Inc INSURER 8: Amefican Guarantee & Liability Ins Co 126247 <br />, <br />. <br />Attn: Erin Leschak <br />INSURER C : Steadfast Insurance Company 26387 <br />303 Lippincott Centre <br />NJ 08053 <br />Marlton INSURER D : <br />, <br /> INSURER E : _ <br />I <br /> INSURER F : <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 />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />ADOLISUBR <br />INSR <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY LIMITS <br />A GENERAL LIABILITY ! '.GL04886794-02 04/01/2012 04101/2013 11 EACH OCCURRENCE S 1,000.000 <br />X <br />X COMMERCIAL GENERAL LIABILITY ( DA AGE E <br />1 <br />000 <br />000 <br />c <br />e <br /> <br />CLAIMS <br />M P <br />, <br />, <br />a oc <br />ncei $ <br />u <br />I <br />10 <br />- <br />ADE OCCUR ,000 <br />MED EXP (Any one person) $ <br /> ! PERSONAL & ADV INJURY $ 1,000.000 <br />- - .._ GENERAL AGGREGATE $ 2,000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 2,000,000 <br />PRO- X <br />I <br />POLICY <br />LOC j $ <br />A AU TOMOBILE LIABILITY BAP4886792-02 ! 04101/2012 1 0410112013 COMBINED SINGLE LIMIT 1 <br />000 <br />000 <br />1 X <br />ANY AUTO , <br />, <br />&a accldent?,_ _ <br />BODILY INJURY (Per person) I $ <br /> ALL OWNED SCHEDULED <br />-y <br />r AUTOS AUTOS <br />] NON-OWNED <br />1 BODILY INJURY (Per accident) 3 <br />X <br />HIRED AUTOS AUTOS <br /> <br />I PROPERTY DAMAGE <br /> <br />Per accident <br />$ <br /> ? $ <br />B j X UMBRELLA LIAB X OCCUR AUC4$8680902 04N712012 04/01/2013 F--EACH OCCURRENCE $ 10.000.000 <br />t EXCESS LIAR I? CLAIMS-MADE I <br />IAGGREGA7E 10,000,000 <br />$ <br />i DED RETENTION$ $ <br />A I WORKERS COMPENSATION ! WC4886795-02 04/01/2012 <br />04/0112013 X WC STATU- H- <br />AND EMPLOYERS' LIABILI Y y/ <br />N <br />L 1 <br />TORY IT <br />ANY PROPRIETOR/PARTNER/EXECUTIVE I <br />OFFICER'MEMBER EXCLUDED? FN <br />AI ! E.L. EACH ACCIDENT <br />I $ 1'000.000 <br />(Mandatory in NH) <br />Ir yes <br />describe under I E L DISEASE - EA EMPLOYE <br />L- _- $ 1.000.000 <br />, <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I S 1,000,000 <br />C (PROF, LIAB-ARCHITECTS & ENG. ECC 948235701 04/0112012 04!012013 UMIT 10 <br />000 <br />000 <br />, <br />, <br />I& CONTRACTOR'S POLLUTION <br />j <br />i <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />Re: Hill Project #PON-0 1324, City Project #06-1723 <br />Hill Project #PON-01324 City Project #06-1723 Federal project BHLS-5063(089) CM Services for First Street Bridge Replacement Over Santa .Ana River City of Santa Ana along with their respective officers, <br />directors, agents and employees are listed as Additional insureds on a Primary and Non-Contributory basis as respects General Liability and Automobile Liability but solely in regards to work being performed by or <br />on behalf of the named Insured as required by those entities with whom the named insured executes a written contract. Waiver of Subrogation applies as permitted bylaw <br />City of Santa Ana )^L{A?yt?p ,`, <br />20 Civic Center Plaza -Ross Annex (M-22) <br />Santa Ana, CA 92701 -- - <br />Ilk y <br />%s% <br />L.iP) ALll. Ui i <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 />of Marsh USA Inc. <br />Manashi Mukherjee <br />v IV136-21ilio AGORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD