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,.— I <br />A >a CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />F04/04/2011 <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 <br />Marsh Risk 8 Insurance Services <br />CA License #0437153 <br />CONTACT <br />NAME: <br />PHONE EX A/C, No): <br />777 South Figueroa Street <br />Los Angeles, CA 90017 <br />Attn: Lon Bryson (213)-346.5464 <br />E-MAIL <br />PRODUCER <br />CUSTOMER I <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />06510-AECOM-CAS-11/12 ORANG CA MARK 2/13 <br />INSURED <br />INSURER A: Zurich American Insurance Company <br />16535 <br />AECOM Technical Services, Inc. <br />999 W. Town 8 Country Road <br />Orange, CA 92868 <br />INSURER B : <br />INSURER C : Illinois Union Insurance Co <br />27960 <br />INSURER D : N/A <br />N/A <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: LOS-001285583-06 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DO/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GLO 5965891 03 <br />04101/2011 <br />04/01/2012 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 'T OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATELIMITAPPLIESPER: <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />POLICY 7 PRO- LOC <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BAP 5965893 03 <br />04/01/2011 <br />04/0112012 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />NON -OWNED AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />WC STATU- OTH- <br />T RY R <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT I <br />$ <br />O <br />PROFESSIONAL LIAB. <br />EON G21654693 CLAIMS MADE"" <br />04I01I2010 <br />10I08I2011 <br />Per a�IlA_gg- dV E1) AS TO FORM' <br />S� �,/; <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />lam`--'r <br />�ura Stitt Shee <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 />I;ANI;tLL.A I IUN <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 Risk & Insurance Services <br />David Denihan <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) -The ACORD name and logo are registered marks of ACORD <br />