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ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />16%-�
<br />DATE 12012 /YYYY)
<br />101302012
<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& INSURANCE SERVICES
<br />345 CALIFORNIA STREET, SUITE 1300
<br />CONTACT
<br />NAME:
<br />PHONE NC No):
<br />E-MAIL
<br />ADDRESS:
<br />CALIFORNIA LICENSE NO.0437153
<br />SAN FRANCISCO, CA 94104
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: National Union Fire Ins Co Pittsburgh PA
<br />19445
<br />URSCOR-ALL-PROF-12-13 SAN CA
<br />INSURED URS Corporation
<br />dba URS Corporation Americas
<br />INSURER B : Zurich American Insurance Company
<br />16535
<br />INSURER C : Illinois National Ins Cc
<br />23817
<br />2020 E. First Street, Suite 400
<br />Santa Ana, CA 92705
<br />INSURER D : Insurance Company Of The State Of PA
<br />19429
<br />INSURER E: Lexington Insurance Company
<br />19437
<br />INSURER F : Lloyd's Of London & British Companies
<br />115792
<br />COVERAGES CERTIFICATE NUMBER: SEA-002272403-06 REVISION NUMBER:8
<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 />MMIDDIYYYY
<br />POLICY EXP
<br />MM/DDIYYW
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />GL2491973
<br />11/01/2012
<br />09/01/2013
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />MMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE M OCCUR
<br />tXContractual
<br />O AS
<br />E�OR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />, BFPD
<br />Liability
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />'I
<br />Q�
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY X JECTPRO LOC
<br />11/01/2012
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP9385215
<br />09/01/2013
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 2,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY Pi
<br />(Per accident)
<br />$
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />1
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />SEE ATTACHED - ACORD 101
<br />01/01/2012
<br />01/01/2013
<br />X vuc STATU OTH-
<br />D
<br />C
<br />AND EMPLOYERS' LIABILITYER
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? �
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N / A
<br />SEE ATTACHED - ACORD 101
<br />SEE ATTACHED - ACORD 101
<br />01/01/2012
<br />01/01/2012
<br />01 /01/201 3
<br />01/01/2013
<br />E.L. EACH ACCIDENT
<br />2,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 2,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />2,000,000
<br />$
<br />E
<br />Prof. Liab w/Lmtd Contractual
<br />015498088
<br />11/01/2012
<br />09/01/2013
<br />Each Claim $1,000,000
<br />F
<br />Claims Made/ Retro 11-17-1938
<br />PP1205610
<br />11/01/2012
<br />09/01/2013
<br />Aggregate $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insureds as respects the General Liability policy, where required by written contract.
<br />This insurance is Primary over any similar insurance available to any person or organization we have added to this policy as Additional Insureds.
<br />. ww-r- I.AIYI.CLLA I IUIY
<br />City of Santa Ana
<br />20 Civic Center Plaza - Ross Annex (M-36)
<br />Santa Ana, CA 92701
<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 />Lynne Harrington
<br />U 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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