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ACC)R"' CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDIYYYY) <br />�•.-�' I / 1 /2016 <br />1 /5/2015 <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 Lockton Insurance Brokers, LLC <br />19800 MacArthur Blvd., Suite 1250 <br />CA License #OF15767 <br />Irvine 92612 <br />CT <br />NAME: <br />HONK , EXt : A/C, No <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />949-252-4400 <br />INSURER A: Insurance Company of the State of PA <br />19429 <br />INSURED AECOM Technology Corporation <br />1075642 AECOM USA, Inc. <br />605 Third Avenue <br />INSURER B : <br />INSURER C <br />INSURER D : <br />New York NY 10158 <br />INSURER E : <br />INSURER F : <br />COVERAGES AECTE01 CERTIFICATE NUMBER: 2828881 REVISION NUMBER: XXXXXXX <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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />(MMIDD/YYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />,XXXXXXX <br />CLAIMS -MADE ❑OCCUR <br />NOT APPLICABLE <br />PREMISES ( a occu ence <br />XXXXXXX <br />MED EXP (Any oneperson) <br />XXXXXXX <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY❑ JE� LOC <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />OTHER <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AUTOWNED AUTOS <br />NOT APPLICABLE <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ XXXXXXX <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />HIRED AUTOS NON -OWNED <br />PerracciidenDAMAGE <br />$ XXXXXXX <br />UMBRELLA LIAB li <br />OCCUR <br />EACH OCCURRENCE <br />$ XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />NOT APPLICABLE <br />AGGREGATE <br />$ XXXXXXX <br />DED I I RETENTION $ <br />$ <br />A <br />WORKERS <br />EMPLOYERS' LABILITY YIN <br />N <br />SEE ATTACHED ACORD 101 <br />1/l/2015 <br />1/l/2016 <br />OTH- <br />IAND <br />XCOMPENSATION STATUTEAN <br />E.L. EACH ACCIDENT <br />$ 10 000 000 <br />PR PRIETORPARTNERYEX <br />OFFICED MEMBERf EXCLUDED? ECUTIVE 1 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 10 000 000 <br />E.L. DISEASE - POLICY LIMIT <br />S 10,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. <br />Notice of Cancellation applies per attached endorsement. Re: City of Santa Ana On -Call Contract for Civil Engineering and Landscaping Services <br />AECOM TECHNICAL SERVICES A-2013-034 REVIEWED BY: C/ _- EUNICE HEREDIA PG 7 OF 9 <br />u"!A Ilr"IIiMiG rIVLUCR <br />UAN1,CLLAI IUIN JOe ALIaciments <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 />2828881 <br />AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />Public Works Agency <br />Office of the Executive Director <br />Attn: Souri Amirani <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />ACORD 25 (2014/01) ©1 88-201 C D C RPORATION. All riahts reserved <br />The ACORD name and logo are registered marks of ACORD <br />