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ACC> r" CERTIFICATE OF LIABILITY INSURANCE
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<br />D01 /06 /2013 iDDI
<br />gl/06
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THI5
<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(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 1 -858- 769 -3873
<br />Marsh Risk and Insurance Services
<br />CONTACT
<br />NAMEt
<br />PHONE FAX
<br />AC No:
<br />E -MAIL
<br />AOORE99•
<br />345 California Street
<br />.Suite 1300
<br />San Francisco, CA 94104
<br />INSURERS AFFORDING COVERAGE
<br />NAIUA
<br />INSURERA: NATIONAL UNION FIRE INS CO OF PITTS
<br />19445
<br />E EalEel- accurrencel
<br />INSURED
<br />TIRE Corporation
<br />dba URS Corporation Americas
<br />INSURER 8: ZURICH AMER INS CO
<br />16535
<br />INSURERC:. 3EE ATTACHED
<br />-.---
<br />INSURER D: LEXINGTON INS CO
<br />19437
<br />2020 E. First Street, Suite 400
<br />INSURER E; Lloyd's of London & British Companies
<br />Santa Ana, CA 92705
<br />INSURER F:
<br />MED EXP(myone person
<br />COVERAGES CERTIFICATE NUMBER: 31423390 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN 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 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 />IL7R
<br />TYPE OF INSURANCE
<br />ADEL
<br />INSR
<br />SUBR
<br />MD
<br />POLICY NUMBER
<br />POLICY Err
<br />MOD
<br />POLICY EXP
<br />MMILOISW Y
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />GL 2491973
<br />11 /Ol /I
<br />09/01/13
<br />EACHOCCURRENCE
<br />52,000,000
<br />E EalEel- accurrencel
<br />51,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />MED EXP(myone person
<br />$10,000
<br />CLAIMS -MADE OCCUR
<br />PERSONAL A ADV INJURY
<br />$2,000,.000
<br />X XCU, BFPD
<br />X
<br />Contractual Liability
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEHL AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGG
<br />$2,000,000
<br />POLICY
<br />Y` PRO LOD
<br />A
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP938521503
<br />1
<br />09/01/13
<br />-
<br />COMBINED SINGLE LIMIT
<br />aaccldenl
<br />SODILK INJURY (PaT person]
<br />_g2,000,000
<br />6
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Pereccidenq
<br />3
<br />NON -OWNED
<br />H
<br />PROPERTY DAMAGE
<br />$
<br />HIRED AUTOS AUTOS
<br />Per accldenf
<br />S
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH 9CCURRENCE
<br />5
<br />AGGREGArE
<br />$
<br />EXCESS LIAR
<br />I
<br />CLAIMS -MADE
<br />ED I I RETENTIONS
<br />$
<br />G•
<br />WORKERS COMPENSATION
<br />SEE ATTACHED
<br />0101
<br />/ /1
<br />01/01/14
<br />X WC STATU- OTH-
<br />ANDEMPLOYER5LIABILITY YIN
<br />E.L. EACH ACCIDENT
<br />,.
<br />62,000,000
<br />ANY PRCPRIETORIPARTNERIEXECUTIVE
<br />OFFICEWMEMBER EXCWDED? N
<br />NIA
<br />E.L. DISEASE EA EMPLOI
<br />52,000,000
<br />(Mandatory In NH)
<br />If yes, descrus under
<br />DESCRIPTION OF OPERATIONS Wow
<br />R.I. DISEASE- POUCYLIMIT
<br />3 2,000,000
<br />D
<br />Prof Liab w /Lmtd Contract
<br />_
<br />015438088
<br />11/01/1
<br />09/01/13
<br />Each Claim / Agg
<br />E
<br />CSaimeMade Retro 11 -17 -38
<br />PP3.205610
<br />11/01/1
<br />99/01/13
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS ILOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Scheduia; If more space [.required)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional
<br />Insureds as respects the General Liability policy, where required by written contract. This insurance is Primary over
<br />any similar insurance available to any person or organization we have added to this .policy as Additional Insureds.
<br />APPROVED AS O hC RNI
<br />CERTIFICATE HOLDER ,- /. n I %/) CANCELLATION
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />EHuckabeeURS
<br />31423390
<br />O
<br />City of Santa Ana
<br />L.aUYB St, (fy
<br />AsAstant Ci ryAtt�ornry
<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 />20 Civic Center Plaza -
<br />Santa Ana, CA 92701u,�t..r-
<br />Ross Annex (M -36)
<br />AUTHORIZED REPRESENTATIVE
<br />___ 'G---- -.-._,
<br />USA
<br />UUU
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />EHuckabeeURS
<br />31423390
<br />
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