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ACORN' CERTIFICATE OF LIABILITY INSURANCE an/2012 <br />DA47/2/DD/YIYY) <br />4/1/2011 <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 polrcy(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 Lockton Insurance Brokers, LLC <br />19800 MacArthur Blvd., Suite 550 <br />CA License #OF15767 <br />Irvine 92612 <br />949-252-4400 <br />ICONTACT <br />NAME <br />(AC,No, Ext : n/c No): <br />E-MAIL <br />ADDRESS: <br />INSURER(SI AFFORDING COVERAGE <br />NAIC # <br />INSURER A : Travelers Property Casualty Co of America <br />25674 <br />INSURED AECOM Technology Corporation <br />1075642 AECOM USA, Inc. <br />605 Third Avenue <br />New York NY 10158 <br />INSURER B : <br />INSURER C : <br />INSLIRER D <br />INS RER : <br />INSURER F : <br />COVFROr,FS AF.CTFf)1 nF. CFRTIFICOTE NUMRFR- 7929919 REVISION NUMRFR- XXXXXXX <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 TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />- POLICY EXP <br />fMMIDDfYYYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />XXXXXXX <br />NOT APPLICABLE <br />DAMAGE TO RENTED <br />XXXXXXX <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence <br />MED EXP (Any oneperson) <br />XXXXXXX <br />CLAIMS -MADE ❑ OCCUR <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />a accident <br />$ XXXXXXX <br />ANY AUTO <br />NOT APPLICABLE <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />AUTOS OWNED gUTOSULED <br />BODILY INJURY (Per accident <br />$ Y{}{}{X�{ X <br />PROPERTY DAMAGE <br />Per accidenP <br />$ XXXXXXX <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />NOT APPLICABLE <br />AGGREGATE <br />$ XXXXXXX <br />DED I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />N <br />4/1/2011 <br />4/l/2012 <br />WC STATU- OTH- <br />X T CSTLIMATTS <br />A <br />Y/N <br />C] <br />NIA <br />/iTRJUB-4245B231-11 <br />TC J�g4 Q B22A-11 <br />4/l/2011 <br />4/l/2012 <br />E.L. EACH ACCIDENT <br />1 <br />$ 1 000000 <br />A <br />OFFICERIMEMBEREXCLUDED?ECUTIVE <br />(Mandatory in NH) L <br />(All Other States) <br />E.L. DISEASE - EA EMPLOYEE <br />1,000,000 <br />II yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />RE: Design Services for the First Street bridge widening project. <br />CERTIFICATE HOLDER CANCELLATION <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 />2828939 <br />AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />Public Work Agency <br />Attn: Jason Gabriel <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2010/05) ©1988-201VACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />