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AC"R®' CERTIFICATE OF LIABILITY INSURANCE <br />16-_ -' I/l/2017 <br />DATE(MM/DD/YYYY) <br />1 12/15/2015 <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 />CONT CT <br />NAME: <br />PHONE <br />A//C, No, Ext : A/C, No): <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC If <br />949-252-4400 <br />INSURER A: *** SEE ATTACHMENT **'r <br />INSURED AECOM <br />1075642 AECOM Technical Services, Inc. <br />999 Town & Country Rd. <br />INSURER B : <br />INSURER C : <br />Orange CA 92868 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES AECTE01 CERTIFICATE NUMBER: 11652859 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 />NND <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />XXXXXXX <br />CLAIMS -MADE ❑ OCCUR. <br />NOT APPLICABLE <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />XXXXXXX <br />MED EXP (Any one person) <br />s XXXXXXX <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT- LOC <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />NOT APPLICABLE <br />(COeBINEDtSINGLE LIMIT <br />$ XXXXXXX <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ALLOWNED SCHEDULED <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />HIRED AUTOS NON -OWNED <br />raEcidTnDAMAGE <br />(Per <br />$ XXXXXXX <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />XXXXXXX <br />EXCESS LAB <br />CLAIMS -MADE <br />NOT APPLICABLE <br />AGGREGATE <br />_$ <br />$ XXXXXXX <br />DIED I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION AND EMPLOY EMPLOYERS' Y YIN <br />N <br />SEE ATTACHEDACORD 101 <br />I/l/2016 <br />1/1/2017 <br />X STATUTE OTH- <br />E.L. EACH ACCIDENT <br />$ 2,000 OOO <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS bel <br />Dow <br />N / A <br />EL. DISEASE - EA EMPLOYEE <br />2,000 000 <br />E.L. DISEASE -POLICY LIMIT <br />2,000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / 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: Ref. No. 14-037, Agreement #A-2013-034 and Agreement #A-2015-169. <br />RD IE WED BY. _ ' f � _t:�1I�tV F P t�L EI�RA (f I.:fi mm O Fe � <br />CERTIFICATE HOLDER CANCELLATION See Attachments <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 />13652858 AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />Monica M. Suter, PE, TE, PTOE <br />20 Civic Center Plaza, M-36 <br />Santa Ana CA 92702 <br />ACORD 25 (2014/01) ©1 A8-201"CQfZDc6RP0RATI0N. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />