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{? k® &1/2015CERTIFICATE OF LIABILITY INSURANCE <br />eM28/5/28/2014mo14 <br />��— <br />THIS CERt'IFICATE 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 />BdLOW. 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 poilcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and co if itions of the policy, certain policies may ref ulre an endorsement. A statement on this corifgcete does not confer rights to the <br />certificate holder in lieu of such ondomement s . <br />PRODUCER Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112.1906 <br />(916)960.9000 <br />T <br />CONTACT <br />-�-�--�---�� <br />J, <br />1 <br />INSURERS AFfORmNG OOVERAGfi MAID <br />INSURERA,HarFIR19682 <br />nr <br />RE DRENGINEERING, INC, <br />1013478H404 INDIAN HILLS DRIVE <br />OMAILI, NL 68114-4049 <br />INsu R B 1 199 PC <br />INSURER O;New Hampshire Insurfmce Coman 23841 <br />INSURER D: Lexington Insurance Corrariany 19437 <br />I su n a: National Union Fire Ins Co Pittsburgh PA 19445 <br />NSURER F: <br />alai\D/y;!!IHI.'�}DINh�Ui�N9:�YtyfB9/�d111P,1atl[�Y3:IOl!Un [l yNF9fildadll Wilatlasi"GIlYLa <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 1'IAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANOING 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. LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTH <br />TYFE OF INSURANCE <br />A <br />POLICY NU.NSEH <br />FF <br />MMD P <br />LIMITS <br />A <br />X <br />X <br />COMIRROIALOENERALLMOILDY <br />FX YOCCUR <br />Contractual Liab. <br />Y <br />Y <br />37CSIiQU0950 <br />F611/2014 <br />6l12pi5 <br />[� mRENTEDCLAIMS.MADE <br />PRWISES {Eoocwmllw) 5 300000 <br />MEDEXP ane ww,b If 10,000PERSONAL&ADVINJURY <br />E 1000000G-fLAGpiEOATF. <br />pLLqMpIT.MPI'I.19$I PER <br />POLICY ❑X va 0 LOC <br />OENERALASGREGATE E <br />PRODUCTS -COMP P AGOOTHER:CALMONLIOSINGLE <br />_ q <br />A <br />AUTOMOBILELIAe1UM <br />X <br />ANYAUTO <br />ALL CONNED SCHEDULED <br />AUTOS <br />HIHEDAUTOS X NA�MNEO <br />N <br />N <br />37CSS 0951 AOS) <br />77CSEI1609{M )i) <br />6%1/2014 <br />6/1/2015 <br />611/2015 <br />I, <br />(Ea a dani) E <br />BODILY INJURY{Parwmn) E XXXXXI�� <br />_ <br />BOO YINJURY PerecC6ertl E C <br />ROPER Y MAGE E XXXXXXX <br />sXXXXXXX <br />B <br />X <br />UMBRELLA UAeX <br />EXCESS UAB <br />OCCUR <br />CLAI S -MADE <br />N <br />N <br />ZUP-IOR64034-14-NF <br />(EXCLUDES PROP LIAR) <br />6/1@014 <br />6112015 <br />EACH OCCURRENCE S 1.000.000 <br />AGGREGATE S <br />OED X RETENnONE SO <br />E <br />C <br />C <br />U <br />YJOR ERS COMPENSATION <br />ANDEMPLOYERS'LIAMUTY <br />AFfICER EMSERID(OLUDED? URVE YIN <br />OFFICERIMEA6EREXCLUOE00 O <br />IMyya¢gnsstlalory In NN) <br />OESCRPPTION OFOPCP�TJONS Eelam <br />MIA <br />Y <br />027527762 (AOS) <br />027527764 (M6) <br />027527763 CA <br />7/12014 <br />7/1/2014 <br />7/1201A <br />7/112015 <br />7/1/2015 <br />7112018 <br />I <br />- <br />X SAH ER <br />AC <br />E.L. EACH ACCIDENT 3 U) <br />.. _, _ <br />£L. DISEASE •EABBPLOYEF 6 I 000,000 <br />E.L. OISEASE. POLOY LIMIT I_LQ(WQ� <br />D <br />ARCHS & ENDS <br />PROFESSIONAL <br />LIABILITY <br />N <br />N <br />061853691 <br />6/1/2014 <br />6/1/2015 <br />PER CLAINL. $1,000,000, AGO: <br />$1,000,000. <br />DESCRIPTION OF DPERATGNSILOCATIONEJ VEHICLES(ACORD 101, Additional Rema6Is 60Eedalai mey be.0.0.d If m..spew fs nq.I d) <br />RE: CITY OF SANTA ANA MASTER ON-CALL DATED FEBRUARY 4TH, 2014. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, <br />AND RGPRESENTAT IVE AR}i NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, <br />NON-CONTRIBUTORY BASIS. WAIVER OF SUBROGATION APPLIES WHERE ALLOWABLE" BY LAW. SEVERABU.TTY OF TNIERESTS APPLES. 30 <br />DAYS NOTICE OF CANCELLATION APPLIES,10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER CANCELLATION See Attachment <br />12001880 <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE <br />ATTENTION: PURCHASING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92702 ,uT I RIT.ED RGPRESE vR <br />I <br />tr �p 'O FO Al <br />giDpG (01888.2014 ACC D CORPORATION. All rights reserved. <br />ACORD 2E (2074101) .��— registered marks of ACORD <br />�,,,� Sandr SchwararltRnn <br />Sr. Assistant City Attorney <br />