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>� i ® <br />AFRO CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDII'YYY) <br />08/30/2013 <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 1-0 0-060-0000 <br />Marsh Risk and Insurance Services <br />NA TA <br />PHONE 888-769-3873C <br />E-MAIL <br />"Ass__—.. <br />345 California Street <br />Suits 1300 <br />Ban Francisco, CA 94104 <br />INSURER(S)AFFORDING COVERAGE NATO# <br />INSURERA: NATIONAL UNION FIRE INS CO OF PITTS 19445 <br />INSURED —� <br />URS corporation <br />ohs OR$ Corporatism Americas <br />2020 E. First Street, Suite 400 <br />INSURERB: SURICH AMER INS CO 16535 <br />-- <br />INSURERC: SEE ATTACHED <br />_u <br />INSURCRD: Lloyd's of London & British Companies <br />INSURERS: LEXINGTON INS CO 19437 <br />Santa Ana, CA 92705 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 35478947 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES <br />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 <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />�- TYPE OF INSURANCE <br />ADDL POLICY NUMDER MMUDA(YYFF PMMD) EXP <br />Y E <br />UNITS <br />A GENERAL LIABILITY <br />GL 5142592 09/01/11 09/01/14 <br />EACHOCCURRENCE <br />$ 2,000,000 <br />X COMMERCIAL GENERAL LABILITY <br />SC— <br />PREMI o N ur <br />$ 1 000.000 <br />CLAIMS -MADE � OCCUR <br />MED EXP(Any gmpeneon) <br />$ 10,000 <br />X XCU, EFPD <br />PERSONAL& ADV INJURY <br />$ 2,000,000 <br />X Contractual Liability <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS COMP/OP AGO <br />$2,000,000 <br />f $ PRO. <br />$ <br />POLICY LOC <br />B AUTOMOBILE LIABILITY <br />SAP938521 0§ 09 <br />COM iNED SINGL LIMIT <br />Eaa ens <br />2, 400, 000 <br />X ANV AUTO <br />p <br />PR V S TO F Rh1 <br />_ _ <br />BODILY INJURY (Per person) <br />$ <br />AtFC03 NED AUTOSULc6 <br />BODILY INJURY(Peracgdent) <br />$ <br />NON -OWNED <br />PROPERTYDAMAGE <br />HIRED AUTOS AUTOS <br />Ia ^� <br />Pe T,pl ens <br />3 <br />O <br />UMBRELLA UAB OCCUR <br />O `. ga <br />s HOD <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />�n1 1Y A1� Y <br />AGGREGATE <br />$ <br />DED RETLNT;ON <br />8 <br />C WORKERS COMPENSATION <br />SEE ATTACHED 01/01/1 01/01/14 <br />X W(. STATU- OTRH- <br />RY ITT-''a- <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />E.L EACH ACCIDENT <br />Is 21000,000 <br />OFFICER±MEMSER EXCLUDED? <br />NIA <br />_ <br />(Mandatory in NH) <br />E.L. DISEASE -EA_EMPLOYE F <br />$ 2,000,000 <br />Ifygs, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY <br />_ <br />$ 2,000,000 <br />D CSaimsMade Retrb 11-17-35 <br />PP1307135 09 01/1 09/0114 <br />_LIMIT <br />E Prof Liab w/Lmtd Contract <br />015438088 09/01/1 09/01/14 <br />Each Claim / Agg <br />11000,000 <br />DESCRIPTIONOPOPERATWNS7LOCATYONSt VENtCLE8 (Attach ACORD tat, AddiUanetftamarlm Schad4ie,@mote space le required) <br />The City of Santa Ana, its officers, <br />employees, agants, volunteers and representatives are included as <br />Additional <br />Insureds as respects the General <br />Liability policy, where required by written contract. <br />This insurance is <br />Primary over <br />any similar insurance available <br />to any person or organization we have added to this <br />policy as Additional Insureds. <br />of Santa Ana <br />20 Civic Center Plaza - Rose Annex (X-36) <br />Santa Ana, CA 92701 <br />USA <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 />All <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />EHuckabeeURS <br />35478947 <br />