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Client#: 1257049 305LEIGHGRO <br />ACORDT. CERTIFICATE OF LIABILITY I N ry DATE (MM/DD/YYYY) <br />4/01/2015 <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 />TACT <br />PRODUCER CON <br />Kathy Waters <br />BB&T Insurance Services PHONE 714 941-2938 rax <br />AIC Na Ext _ A/C, No): <br />o Orange County E-MAIL KWaters@bbandt.com <br />2400 _ __-__ <br />ate a Venue to ADDRESS: ® INSURER(S) AFFORDING COVERAGE NAIC # <br />Anaheim, CA 92806 INSURERA: Travelers Property Casualty Co 256----[74 <br />INSURED <br />Roy <br />Leighton Consulting Inc <br />17781 Cowan Ste. 100 <br />Irvine, CA 92614-6009 <br />CERTIFICATE NUMBER: <br />INSURER B : <br />INSURER C.' <br />INSURER D: <br />INSURER E: <br />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 CONTRACTOR 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 />- -- <br />WSR <br />LTR <br />TYPE OF INSURANCE _ <br />AME <br />INSR <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />_ <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISESEa occurrenceL_ <br />MED EXP (Any one person) <br />CLAIMS -MADE OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />_ <br />PRODUCTS --COMP/OP AGG <br />$ <br />PRO- <br />P <br />POLICY RO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />_ _ <br />_ <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />P <br />BODILY INJURY (Per accent <br />id <br />( ) <br />$ <br />NON-OWNEDPROPERTY <br />HIRED AUTOS AUTOS <br />DAMAGE ---....---- <br />(Per accident)_ _ _ _ _ _ <br />$ <br />$ <br />UMBRELLA LIABOCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR CLAIMS -MADE <br />DED RETENTION $ _ <br />_ <br />_ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROP RIETOR/PARTNER/EXECUTIVEE.L. <br />EXCLUDED? � <br />N / A <br />PJU67151 C20314 <br />09/01/2014 <br />09/01/201 <br />WC STATOTH- <br />TORY LIMITS ER <br />_ <br />EACH ACCIDENT <br />$11,000,000OFFICER/MEMBER <br />E.L. DISEASE- EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />__ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below _ <br />E.L. DISEASE- POLICY LIMIT <br />- <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) <br />Verification of Insurance <br />Re: Leighton Proj A-2006-097/Agrmt # A-2011-100, Environmental Consultant Services <br />REVIEWED BYr / <br />EUNICE HEREMA (PC 1 OF 1 ) <br />(LC)City Of Santa Ana its SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />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 />Santa Ana CA 92702 <br />Q 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#5 13972643/M 12895695 LXM C N <br />