Laserfiche WebLink
AC'ORbr CERTIFICATE OF LIABILITY INSURANCE <br />�►---� 1/1/2017 <br />DATE(MM/DD/YYYY) <br />1 2/26/2016 <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 />725 S. Figueroa Street, 35th Fl. <br />CA License #OF15767 <br />Los Angeles CA 90017 <br />CONTACT <br />NAME: <br />PHONE FAX <br />A o Ex1 : A/C No); <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC N <br />(213) 689-0065 <br />INSURER A: * * * SEE ATTACHMENT <br />INSURED AECOM <br />INSURER B <br />1389302 URS Corporation <br />INSURER C <br />dba URS Corporation Americas <br />2020 E. First St., Ste. 400 <br />Santa Ana CA 92705 <br />INSURER D <br />INSURER E <br />INSURER F <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 />SUER <br />p <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE D OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />! $ XXXXxxX <br />DAMAGETO <br />PREMISES (Ea occurrence) <br />$ XXXXXXX <br />MED EXP (Any one person) <br />$ XXXXXXX <br />r1EI'LGREGATE <br />PERSONAL & ADV INJURY <br />$ XXXXxxX <br />LIMIT APPLIES PER: <br />ICY PRO- <br />JECT LOC <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS -COMP/OP AGG <br />$ XXXXXXX <br />$ <br />ER: <br />AUTOMOBILE <br />LIABILITY <br />NOT APPLICABLE <br />COMBINED SINGLE LIMIT <br />Ea accident <br />- <br />$ XXXXXXX <br />BODILY INJURY (Per person) <br />$ X= <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />- <br />BODILY INJURY Per accident) <br />( <br />$ X)Cy-, �X <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ XXXXXXX <br />$ XXXxXXX <br />UMBRELLA LIAB <br />HI <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ XX I=X <br />DED RETENTION $ <br />$ XXX}xXX <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />N I A <br />N <br />SEE ATTACHED ACORD 101 <br />1/ t/2016 <br />1/1/2017 '' <br />PER OTH- <br />X I STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 2 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 2,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />THIS CERTIRCATE 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: AECOM Agreement No. A-2013-034 and Agreement No. A-2015-169; URS Agreement No. A-2008-048-01 <br />and Agreement No. A-2014-357. <br />d � <br />6 EViEVVELW BY. � � � Ei.1NICE HE1-�MA (I'G F.m"' ....... <br />1+111tlliGGG/YIIVitl JGG L'1LLCLlil1l11G(1LJ <br />13241225 <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza - Ross Annex (1VI-36) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana CA 92701 USA 7 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />© 1d88-201nCGkD CORPORATION_ All rinhtc rncnr A <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />