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,44Cc'Ro CERTIFICATE OF LIABILITY INSURANCE <br />DATE ,YYYY) <br />03I29/2013 <br />2013 <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 ADDITIONALINSURED, thZ poitFy(i4sf st 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 South Figueroa Street <br />Los Angeles, CA 90017 <br />CONTACT - <br />NAME: <br />PHONE T FAx <br />N - AIC No : <br />— _-�— <br />E-MAIL -- <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Attn: Lori Bryson (213)-346-5464 <br />06510 -BOYLE-CAS7-13-14 - NEWP CA _ <br />__ <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED <br />AECOM USA, Inc. <br />--- - <br />INSURER B <br />INSURER C :Illinois Union Insurance Co <br />27960 <br />AECOM TECHNICAL SERVICES, INC. <br />1501 QUAIL STREET <br />NEWPORT BEACH, CA 92660ry �� -(may <br />INSURER D : NIA <br />---------_ <br />NIA <br />INSURER E : <br />-------- <br />C� � ��L 0"l.'��{{ t^ <br />------- ------ <br />INSURER F : <br />----- <br />- - -- nGVIJ1V17 IYVIVICCR: <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 />INSIR <br />TYPE OF INSURANCE <br />ADDLLTR <br />SUBRr <br />POLICY NUMBER <br />T POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />T-------------- ------ <br />LIMITS <br />A <br />GENERAL LIABILITY <br />_ X _COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE T OCCUR <br />1GL0 5965891 05 <br />04/01/2013 <br />04/01/2014 <br />. <br />EACH OCCURRENCE <br />—RENTED--- <br />$ 2,000,000 <br />I DAMAGE TO <br />_PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />$ 1,U�U,O�� <br />$_ 5,000 <br />- -- <br />PERSONAL & A INJURY <br />$ 2,000AOO <br />-- <br />- - <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />-_ <br />$ 2,000,000 <br />$ 4,000,000 <br />$ ----_- -_.- <br />------ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- LOC <br />JFCT <br />A <br />AUTOMOBILE <br />Y, <br />LIABILITY <br />ANY AUTO <br />AI_L OWNED SCHEDULED <br />AUTOS _ _ AUTOS <br />HIRED AUTOS NON -OWNED- <br />AUTOS <br />I <br />BAP 5965893 05 <br />04/01/2013 <br />04/01/2014 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />BODILY IN J! 1RY (PE:r person) <br />�----- ----- <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Per accident <br />$ --- -- <br />---- <br />$ <br />-----_--______ <br />$ <br />_ <br />UMBRELLA LWB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />^- <br />,O <br />EACH OCCURRENCE <br />- <br />$ <br />AGGREGATE <br />------ ---- <br />$ <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED9 ❑ <br />(Mandatory in <br />If yesdescribe under <br />, er�-E <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />, sS1St 1.T3f C;ty A;; <br />Orrw <br />WC STATU- I IOTH- <br />-J1QRY­LW11,�-J-_ I ER <br />_E.L.EACHACCIDENT__- <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />.L DISEASE - POLICY LIMIT <br />$ <br />C <br />ARCHITECTS & ENG. <br />EON G21654693 <br />04/01/2013 10/08/2014 <br />Per Claim / Aggregate $1,000,000 <br />PROFESSIONAL LIAB. I <br />"""""CLAIMS MADE""""" <br />l <br />I I <br />Defense Included <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />Re: As -needed basis for various pubic works projects. <br />CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED FOR GL & AI_ COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SUCH <br />INSURANCE AFFORDED SHALL BE PRIMARY AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND SHALL BE EXCESS AND NOT <br />CONTRIBUTORY INSURANCE FOR GENERAL LIABILITY COVERAGE. <br />r^FQTICIr`A-rC ur\1 nro _ <br />City of Santa Ana <br />Public Works Design Engineering <br />20 Civic Center Plaza (M36) <br />Santa Ana, CA 92702-0000 <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 />v IYoa-LUTU A4,UKU t,;UKPUKATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />