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<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYVYY)
<br />GTIZti2e,a
<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 pollcy(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 />AOn Rislc Services Northeast, Inc.
<br />Morristown NJ Office
<br />CONTACT
<br />NAME:
<br />_
<br />PHONE Exq: (866) 283 -7122 qic No ); 800 -363 -01(15
<br />E-MudL
<br />ADDRESS:
<br />44 Whippany Road, Suite 220
<br />Morristown NJ 07960 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC fI
<br />INSURED
<br />AMEC Environment & Tnfrastructere, Inc.
<br />121 innovation Drive, suite 200
<br />Irvine CA 92617 USA
<br />INSURERA: Zurich American Ins CO
<br />1653$
<br />INSURER D: American Zurich Ins CO
<br />40142
<br />INSURER C: ACE American insurance company
<br />22667
<br />INSURER D:
<br />INSURER E:
<br />$100,000
<br />INSURER R
<br />COVERAGES CERTIFICATE NUMBER: 570060808669 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 ON 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. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSIR
<br />WVD
<br />POLICY NUMBER
<br />IMMIDWYYYY1
<br />Malloo YYI
<br />LIMITS
<br />GENERAL LIABILITY
<br />NDOG
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES Ea ... ree oo
<br />$100,000
<br />CLAIMS -MADE DOCCUR
<br />MED EXP(Any one person)
<br />$10,000
<br />PERSONAL a ADV INJURY
<br />$1,000,OD0
<br />GENERALAGGREGATE
<br />$2,000,000
<br />CEN'L AGGREGATE
<br />LIMIT APPLIES
<br />PER:
<br />PRODUCTS -Coal AUG
<br />$2,000,000
<br />POLICY X
<br />PRO X
<br />JECT
<br />LOO
<br />A
<br />AUTOMOBILE LIABILITY
<br />BAP 9483148 -02
<br />0570-172 013
<br />0 1 2 1
<br />COMBINED SINGLE LIMIT
<br />E... ldanl
<br />$00,000
<br />1,0 1,0
<br />BODILY INJURY (Par person)
<br />...�,......,._.
<br />X ANY AUTO
<br />BODILY INJURY (Per aecldce0
<br />T ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X HIRED AUTOS X NONAWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Perabdd,ntJ
<br />- - - -,
<br />X camp om g),00a X Coll Ded$1.0aD
<br />D
<br />X
<br />UMBRELLALIAS
<br />%
<br />OCCUR
<br />XOOG27238671
<br />05/01/2013
<br />05/01/2014
<br />EACH OCCURRENCE
<br />$1,00D.000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$1,000,000
<br />DEDI
<br />IRETENTION
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYER9 LIADILITY
<br />MY PROPRIETOR I PARTNER I EXECUTIVE Y---;;;�VINyyyI
<br />WC350486612
<br />O5 0 0
<br />T5_/0r72_017
<br />WC STATU- oTH-
<br />X TORV LIMITS E
<br />EL. EACN ACCIDENT
<br />$1,000,006
<br />OPFIGERIMEMBER EXCLUDEm J
<br />(Mandatary NNo
<br />NIA
<br />E.L. OUEASE-EA EMPLOYEE
<br />$1,000,000
<br />It Vea, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DIGEASE�POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 11t, Additional Remarks Schedule, R more space is required)
<br />RE: Project Description: NPOES Inspection and Database Management Services. Where required by written cc tract, City Of Santa
<br />Ana, its officers, employees, agents, volunteers and representatives are included as Additional insured as respect to General
<br />Liability Policy. This insurance will be Primary and Non - Contributory to the General Liability Policy with respect to any other
<br />available insurance to the city of Santa Ana, its officers, employees, agents, volunteers and representatives where required by
<br />written contract.
<br />p
<br />t'APPROvED AS TO J7qglVj
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />f /(fi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />L
<br />tit 1at L 9XPIRATION DATE THEREOF, NOTICE WILL, DE DELIVERED IN ACCORDANCE WITH THE
<br />Cly POLICY PROVISIONS
<br />City Of Santa Ana lt t.1L�y '[OC'UC,y AUTIIORIZEO REPRESENTATIVE
<br />2o Civic center Plaza
<br />Santa Ana CA 92702 USA
<br />t.,XX , aaB il/..A�'��LakE61 e- / /dt6>9e'BC9G ✓7'2a.
<br />©1988 -2010 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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