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A� o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DDlYYYY)
<br />1o/300012
<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(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 />I,IARSH RISK & INSURANCE SERVICES
<br />345 CALIFORNIA STREET, SUITE 1300
<br />CALIFORNIA LICENSE NO.0437153
<br />SAN FRANCISCO, CA 94104
<br />C. NTACT -
<br />N ME:
<br />PHONE FAx
<br />wt c. Not:
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIL R
<br />INSURER A: National Union Fire Ins Co Pittsburgh PA
<br />19445
<br />URSCOR-ALL-PROF-12.13 SAN CA
<br />INSURED
<br />URS Corporation
<br />dba URS Corporation Americas
<br />2020 E. First Street, Suite 400
<br />Santa Ana, CA 92705
<br />INSURERS: ZUrchArnerican Insurance Company
<br />16535
<br />INSURER C : Illinois National ins Co
<br />23817
<br />INSURER D : Insurance Company Of The State Of PA
<br />19429
<br />lexin ion Insurance Company19437
<br />INSURER E: 9
<br />INSURER F : UOyd's Of London & British Companies
<br />15792
<br />nr)VPRAn9A CFRTIFICATF NIIMRFR- SFA-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 />ADOL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDOIYYYY
<br />POLICY EXP
<br />MAVOD
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIALGENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />X XCU, BFPD
<br />X
<br />GL2491973
<br />Q
<br />1
<br />lqfoPRODUCTS
<br />11,0U2012
<br />09,01/2013
<br />EACH OCCURRENCE
<br />$ 2,OW,000
<br />DAMAGE TENTER PREMISES occurrence)Ea
<br />$ 1'fY00'OOti
<br />MED EXP (Any one person
<br />$ 10,000
<br />PERSONAL E ADV INJURY
<br />$ 2,000,000
<br />X
<br />Contractual Liability
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PRO- JECT El LQC
<br />-COMP/OP AGG
<br />$ 2,0W,000
<br />g
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS NUTOS
<br />ON -OWNED
<br />HIRED AUTOS AUTOS(Peraccideml
<br />BAP9385215
<br />09,0112013
<br />COMBINED ISI LE LIMIT
<br />S 2,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />S
<br />s
<br />UMBRELLA LAB
<br />EXCESS LIAB
<br />�d
<br />OCCUR
<br />CLAIMS -MADE
<br />EACHOCCURRENCE
<br />S
<br />AGGREGATE
<br />5
<br />OED I I RETENTIONS
<br />S
<br />A
<br />D
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOFUPARTNERfEXECUTtVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS Mum
<br />N f A
<br />SEE ATTACHED - ACORD 101
<br />SEE ATTACHED - ACORD 101
<br />SEE ATTACHED - ACORD 101
<br />11r011 111
<br />OMI/2012
<br />OL0112012
<br />OIT1201
<br />01V0013
<br />0110112013
<br />YlM1c STAT'U
<br />E.L. EACH ACCIDENT
<br />2, 0,W0
<br />S
<br />E.L. DISEASE - EA EMPLOYEE
<br />S 2,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />2,000,000
<br />S
<br />E
<br />F
<br />Prof. Llab w/Lmtd Contractual
<br />Claims (Jade 1 Retro 11-17-1938
<br />015498088
<br />PP1205610
<br />1 liO112012
<br />11,01/2012
<br />09,10112013
<br />09,0112013
<br />Each Claim $1,000,000
<br />Aggregate $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 10t, 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 avatab.a to any person or organization we have added to this policy as Additional Insureds.
<br />City of Santa Ana
<br />20 Civic Center Plaza - Ross Annex (M-36)
<br />Santa Ana, CA 92701
<br />4RIVl.CLLA I IVIV
<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 3 Insurance Services
<br />Lynne Harrington
<br />v 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD
<br />
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