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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DABa'"2o11N` YYYY' <br />II <br />FDA <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: R the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 <br />Marsh Risk& Insurance Services <br />CA license #0437153 <br />777 Soulh Figueroa SVeel <br />Los Angeles, CA 90017 <br />Ann: Lori Bryson (213).346.5464 <br />AM AC <br />PHONE FAX <br />IQ -A C. Nol: <br />- - <br />EiIAIL <br />A DREss'. <br />USTOMER <br />CCUSTOMER ID 9 <br />INSURERS AFFORDING COVERAGE <br />NAICa <br />06510-AECOM-CAS-11/12 ORANG CA MARK 2/13 <br />INSURED <br />AECOM Technical Services. Inc. <br />INSURER A: Zundt Amencan Insurance Company <br />16535 <br />INSURER B : <br />_. <br />999 W, Town & CDuney Road <br />W SURER L ; IIIin06 Union IOWldnCe CO <br />Drdrlge, CA 92868 <br />27960 <br />INSURER D: N/A <br />N/A <br />INSURER E <br />_ _ <br />INSURER F: <br />CVVEKAtiES CERTIFICATE NUMBER: LOS001285583M+ 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 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTq <br />TYPE OF INSURANCE <br />BR <br />POLICY NUMBER <br />MP CY EFF <br />ICY EXP <br />NITS <br />A <br />GENERAL LABILIT''/ <br />GLO 596S89103 <br />Oa012011 <br />04/0112012 <br />EACH OCCURRENCE <br />f 1,OW,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE T OCCUR <br />PREMISES aurron <br />E 1,000.000 <br />MED EXP (Any one Peron) <br />f 5,000 <br />PERSONAL S ADV INJURY <br />S 2,1)(4,000 <br />GENERAL AGGREGATE <br />S ZOD0,000 <br />GENT AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />S 4,000,000 <br />POLICY <br />7 PR6 LOG <br />f <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BAP 596589303 <br />041012011 <br />04/012012 <br />COMBINED SINGLE LIMIT <br />(Eaacciden0 <br />S 2000000 <br />BODILY INJURY Per person) <br />ALL OWNED AUTOS <br />S <br />BODILY I NJURY(Per accidant) <br />S <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERLY DAMAGE <br />(Per eaddenl) <br />E <br />NONAWNED AUTOS <br />S <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS LIAR <br />ILA, MADE <br />AGGREGATE <br />f <br />DEDUCTIBLE <br />E <br />E <br />RETENTION <br />WORKERS COMPENSATION <br />ANDEMPLOYERSUABILRY YIN <br />My PROPRIETOP/PARTNER/EXECUThT <br />OFFICERIMEMBER EXCWDEDI ❑ <br />(Menderory In NMI <br />Irye6 describe undm <br />DESCRIPTIONIJ <br />OF OPERATIONS below <br />NIA <br />WCSTATU- OTH- <br />E.L. EACH ACCIDENT <br />E <br />E.L. DISEASE-EAEMPLDYE <br />E <br />E.L. DISEASE -POLICY LIMIT 1 <br />E <br />C <br />ARCHrtECTSflENG. <br />PROFESSIONAL LIAR. <br />EONG21654897 <br />'CLAIMS MADE"' <br />011012010 <br />1GrOfl2011 <br />PerCleiM,ryy,VEll AS TO F(11�°A�P° <br />B 2MD000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Abch ACORD 101, AWffi I I Remerm $chWYIe. N mare space IF regahed) <br />UIFi SL;u S1hce <br />City Attorney <br />CITY OF SANTA ANA <br />DEPT PUBLIC WORKS <br />ATTN: JASON GABRIEL <br />20 CIVIC CENTER PLAZA (M-36) <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <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 />AUTHORMD REPRESENTATIVE <br />or Mmh Rlek S Imurenee SVYI... <br />David Denihan <br />reserved. <br />^��^�'� IANNP...I I ne AcvRU name and logo are registered marks of ACORD <br />