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A�orzlb® CERTIFICATE OF LIABILITY INSURANCE
<br />DATEI031211)2014 2014 VVYV)
<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 />Marsh Risk & Insurance Services
<br />CA License N0437153
<br />CONTACT
<br />NAME:
<br />?MON , A
<br />RIC Net:
<br />777 South Figueroa Street
<br />Los Angeles, CA 90017
<br />EMSan
<br />ADDRESS:
<br />Akn: LOBAngeles,cedrequest@mamh.com
<br />06510-BOYLE-07.14-15 NEWP CA
<br />INSURERTS) AFFORDING COVERAGE NAIC N
<br />INSURERA: Zurlch American Insurance Company 16535
<br />INSURED
<br />AECOM USA, Inc,
<br />AECOM TECHNICAL SERVICES, INC, L
<br />_ /
<br />1501 QUAIL STREET
<br />NEWPORT BEACH, CA 92680 _ �— 6,�)�4-�
<br />INSURER B :
<br />INSURER C; Illinois Union Insurance Co 27960
<br />NSURER D: NIA N/A
<br />INSURER
<br />INSURER E
<br />INSURERF:
<br />"6 ;L
<br />COVERAGES CERTIFICATE NUMBER: LOS -001322172-33 REVISION NUMBER:
<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 />iNSROL
<br />LTR
<br />TYPE OF INSURANCE
<br />Santa Ana, CA 92702-0000
<br />SUBS
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DO/YYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />GLO 596589106
<br />0410112014
<br />0410112015
<br />EACH OCCURRENCE $ 2,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES Ea occurrence) $ 1,000,000
<br />CLAIMS -MADE I X1 OCCUR
<br />MED EXP lAny oneEamon) $ 5,000
<br />PERSONAL &ADV INJURY $ 2,000,000
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER,
<br />PRODUCTS - COMPIOP AGO $ 4,000,000
<br />X POLICY
<br />PRO- LOC
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP 5965893 06
<br />0410112014
<br />04/0112015
<br />COMBINED SINGLE LIMIT 1,000,000
<br />Ee ecc dent
<br />BODILY INJURY (Per pemcn) $
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY(Peraccidenh $
<br />PROPERTY DAMAGE $
<br />Pe accident
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />UMBRELLA LIAB
<br />OCCUR
<br />a J➢'""VEJ)
<br />—'^':�
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />g9E
<br />t'X "
<br />g..-'-
<br />DED RETENTION$
<br />$
<br />t' .�—.^'�
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />N/A
<br />LIS)N
<br />s 1gt0lTt ',,Ity
<br />Aa6
<br />AttOr
<br />HPX
<br />WCSTATU- OTH-
<br />E. L. EACH ACCIDENT $
<br />E.L. DISEASE - EA EMPLOYEE $
<br />(Mandatory in NH)
<br />1
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT $
<br />C
<br />ARCHITECTS&ENG,
<br />EON G21654693
<br />04101/2013
<br />1010812014
<br />Per Claim l Aggregate $1,000,000
<br />PROFESSIONAL LIAB.
<br />''"CLAIMS MADE-`
<br />Defense Included
<br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />Re: As -needed basis for various publc works projects.
<br />CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED FOR GL & AL 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 />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Public Works Design Engineering
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza (M36)
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92702-0000
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />David Denihan
<br />@ 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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