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Clierl 1257049 305LEIGHGRO
<br />DATE (MM/Di
<br />FwT(��
<br />TM CERTIFICATE OF LIABILITY INSURANCE 3/12/2015
<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 NAME: Kathy Waters
<br />BB&T Insurance Services PHONE ......... .. ------- __._________ --------------- -_-_--_1__ T—FAX
<br />714 941-2938
<br />I (A/
<br />of Orange County E-MAIL
<br />2400 Katella Avenue Ste 1100 ADDRESS, KWaters@bbandt.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />Anaheim, CA 92806 Lexin ton Insurance Com an I9437
<br />INSURED
<br />17781 Cowan Ste. 100
<br />Irvine, CA 92614-6009
<br />COVERAGES
<br />CERTIFICATE NUMBER:
<br />INSURER A: W 11 J
<br />INSURER 13: Travelers Property Casualty Co -_ 2_5_674_
<br />INSURER C :
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />M&RUNEEMPAR
<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 1-0 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 />HUSIR
<br />LTR
<br />TYPE OF INSURANCE ____
<br />ADDLSUBR
<br />INSR
<br />WVD
<br />------
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MM/DDIYYYY)
<br />__
<br />POLICY EXP
<br />JIV1WDDfYYYY)
<br />— -- --------------
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />065463440
<br />02114/2015
<br />02/14/2016
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE A OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence)
<br />$50,000
<br />MED EXP (Any one person)
<br />$Excluded
<br />PERSONAL & ADV INJURY
<br />GENERAL AGGREGATE
<br />_$1,000,000
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG
<br />$2,000,000
<br />F-7 PRO- Fy]
<br />POLICY,
<br />I ^I JECT I — I LOG
<br />Overall Policy
<br />General
<br />Aggregate
<br />$$5,000,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BA0305L814TIL15
<br />02114/2015
<br />02/14/2016
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />ANY AUTO
<br />ALL. OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />X NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMKC_E_
<br />_(Per _accident ___
<br />A
<br />X
<br />UMBRELLA LAB LXJ OCCUR ____
<br />---- -------
<br />006546318
<br />02/14/2015
<br />02/14/2016
<br />EACH OCCURRENCE
<br />$5,000,000
<br />EXCESS LIAB CLAIMS MADE
<br />AGGREGATE
<br />$51.000,1000
<br />-DED � X� RETENTION$10000
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />N /A
<br />IWC _STAT_U-_T_7_0TH-
<br />TQRY_U1M1iSJ�
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />A Prof/Pollutn Liab 013001524 02/14/2015 02/14/2011 $2,000,000 Per Claim
<br />Claims Made $4,000,000 Aggregate
<br />$50,000 Ded
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Additional Insured applies on General Liability per Lexington's Additional Insured
<br />Owners, Lessees or Contractors endorsement LX4316 06/14 and LX9605 10/01 attached to the General Liability
<br />policy as required by written contract. Primary wording applies to General Liability per Lexington's
<br />endorsement LX9838 08/05 attached to policy. LE IG-rrON CONSULTING INC, AGREIEMENT A-2006-097 & A-20,11-'100
<br />REVIEWED BY� EUNICE SRC- REDIA (PG 1 OF 8)
<br />Re: Leighton Proj A-2006-097/Agrmt # A-2011-100, Environmental Consultant Services
<br />AT
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />(LC)City of Santa Aria its THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />officers, employees, agents, ACCORDANCE WITH THE POLICY PROVISIONS.
<br />volunteers and representatives
<br />20 Civic Center Plaza M-36 AUTHORIZED REPRESENTATIVE
<br />C f A CA 92702
<br />an a na, - 2
<br />Z L J
<br />@ 1988-2010 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2010105) 1 of I The ACORD name and logo are registered marks of ACORD
<br />#S13846239/M13708441 LXMCN
<br />
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