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DATE <br />YYYY) <br />. <br />O CERTIFICATE OF LIABILITY INSURANCE <br /> <br />12011 <br />64 <br />12/3012011 <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 endorsements . <br />PRODUCER <br />MARSH RISK & INSURANCE SERVICES NAM A <br /> <br />345 CALIFORNIA STREET, SUITE 1300 PHONE FAX <br />A/C No : <br />CALIFORNIA LICENSE N0.0437153 E MAIL <br />SAN FRANCISCO <br />CA 94104 D <br />, <br /> INSURERS AFFORDING COVERAGE NAIC If <br /> INSURER A : National Union Fire Ins Co Pittsburgh PA 19445100 <br />INSURED <br />URS Corporation INSURER B : <br />600 Montgomery Street, 26th Floor INSURER C : Illinois National Ins Co 23817001 <br />San Francisco, CA 94111 INSURER D : Insurance Company Of The State Of PA 19429100 <br /> INSURER E : <br /> INSURER F : <br />COVERAGES CERTIFICATE NUMBER- SEA-002272403-01 REVISION <br />NUMBER.O <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br />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 <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />ILTR <br />TYPE OF INSURANCE ADDL SUB <br />wvn <br />POLICY NUMBER POLICY EFF <br />D YY POLICY EXP <br />0/YYYY <br />LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAG <br /> PE a occurrence) <br />$ <br /> CLAIMS-MADE F70CCUR <br /> MED EXP (An one person) $ <br /> PERSONAL & ADV <br /> INJURY $ <br /> GE <br />A <br />A <br /> NER <br />L <br />GGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> <br />R <br />O <br />- <br />- PRODUCTS - COMP/OP AGG $ <br /> POLICY r <br />1 LOG <br />r <br />T <br />F <br /> AUT OMOBILE LIABILITY COMBINE INGLE LIMIT <br /> Ea acc"?dernl y <br /> <br />ANY AUTO <br />ALL OWNED <br /> <br />SCHEDULED <br />BODILY INJURY (Per person) _ _ <br />$ <br /> <br /> <br />H <br />AUTOS <br />AUTOS <br />NON-OWNED , <br />BODILY INJURY (Per accident) <br />$ <br /> HIRED AUTOS <br />AUTOS PROPERTY DAMAGE <br />accident) <br />$ <br /> $ <br /> UMBRELLA LIAR OCCUR - - <br /> <br />EXC <br />SS EACH OCCURRENCE $ <br /> E <br />LIAO CLAIMS-MADE <br /> AGGREGATE $ <br /> DED RETENTION <br />A WORKERS COMPENSATION <br />' SEE ATTACHED - ACORD 101 01101/2012 0110112013 WC S'fATU- OTH- <br /> AND EMPLOYERS <br />LIABILITY Y <br />/ N <br />S <br /> ANY PROPRIETORIPAATNERlEXECUTIVE <br />OFFICE RIMEMBEREXCLUDED7 J <br />N/A EE ATTACHED - ACORD 101 0110112012 0110112013 <br />E. L. EACH ACCIDENT 2,000,000 <br />$ <br /> (Mandatory in NH) SEE ATTACHED - ACORD 101 0110112012 0110112013 2 <br />000 <br />0 <br /> <br />If yes, describe under E.L. DISEASE - EA EMPLOYE , <br />, <br />00 <br />$ <br /> DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 2,000,000 <br /> 7 I I I <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) <br />1 <br />i`'j <br /> <br /> <br />CERTIFICATE 14nl n1zi7 <br />City of Santa Ana <br />20 Civic Center Plaza - Ross Annex (M- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />36) <br />Santa Ana, CA 92701 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 I.`,,,?e?v <br />0 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD