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HDR ENGINEERING A-2014-.041 REVIEWED BY
<br />EUNICE HEREDIA (PG 1 OF 4)
<br />AeC>R& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYI
<br />�°' 6/1/201 5/22/2015
<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 BETWEENTHE 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 LDckton Companies
<br />444 W, 47th Street, Suite 900
<br />Kansas City MO 64112-1906
<br />(816) 960-9000
<br />NONTACT
<br />AME:
<br />PHONE FAX
<br />Atc No
<br />E-MAIL
<br />ADDRESS:
<br />A
<br />}( I COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MAD'[ OCCUR
<br />Y
<br />INSURERS AFFORDING COVERAGE
<br />NAiC
<br />INSURER A; Hartford Fire Insurance Company
<br />19682
<br />EACH OCCURRENCE $ 1,000,000
<br />INSURED I-EDR ENGINEERING, INC.
<br />1013472 8404 INDIAN I IILLS DRIVE
<br />INSURER a: Travelers Property Casualty CO ofAmerica
<br />25674
<br />INSURER C: American Zurich Insurance Company
<br />40142
<br />INSURER D: Lexington Insurance Company
<br />1.9437
<br />CIMA,IIA, NE 68114-4049
<br />INSURER E:
<br />PERSONAL & ADV INJURY $ 1,000 000
<br />INSURER F:
<br />COVERAGES 11DRIN01 CERTIFICATE NUMBER. 12801990 REVISION NUMBER: xxxxxxx
<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 S'HO'WN MAY HAVE BEEN 'REDUCED BY PAID CLAIMS.
<br />INSR..
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />URR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD
<br />POLICY EXP
<br />MMIDDfYYYY
<br />LIMITS .
<br />A
<br />}( I COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MAD'[ OCCUR
<br />Y
<br />Y
<br />37CSEQUO950
<br />6/11201,5"
<br />6/I,/20I6
<br />EACH OCCURRENCE $ 1,000,000
<br />PREMISES a occurren g $ 1000000
<br />MED EXP (Any one Person) $ 10.000
<br />...
<br />PERSONAL & ADV INJURY $ 1,000 000
<br />GENERAL AGGREGATE $ 2.000.000
<br />GENLAGGREGATE LI'I.Mlli' PPLIEISPER.
<br />POLICY � ,. JECT x1 LOC
<br />PRODUCTS-DOMPIOPAGG $ 1000.000
<br />000
<br />$
<br />OTHER:
<br />A
<br />A
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />IN
<br />37CSE 010951 AC.IS)
<br />37 FIR
<br />37CSE U116D M )
<br />6fl/20I5........
<br />6/112015
<br />6/1/2015
<br />(5/1/2'016
<br />6/[12016
<br />6/l/2016
<br />Eo eBINEDt INCL LIMIT$ 2000000
<br />EDDILYINIURYIPar person) $
<br />P I xxxxxxx
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $ XXXXxxx
<br />X
<br />NON -OWNED
<br />HIRED AUTOSX AUTOS
<br />PR OPERTY DAMAGE...
<br />(Per aeci�denk� $ xxxxxxx
<br />xxxxxxx
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />N
<br />N
<br />ZUP-1OR64084-15-Nf 61[/2015
<br />6/l/2016
<br />EACH OCCURRENCE $ 1000000
<br />B
<br />EXCESS LIAE
<br />CLAIMS -MADE
<br />(.Ex'CLDDEDS PROF LIAR)
<br />AGGREGATE $ 1,000,000
<br />OED RETENTIONS
<br />$ xxxxxxx
<br />L,
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS"LIABILI'TY YIN
<br />ANY PROPRIETOR/PARTNEPJEXECUTIVE
<br />(Mandatory MBERIn NH) EXCLUDED? N
<br />Mandatory In NH)
<br />N / A
<br />Y
<br />0381127
<br />7/1/2095
<br />711/2016
<br />STRTUTE E.RH..
<br />E L.. EACH ACCIDENT $ 1 000 x100
<br />E L... DISEASE - EA EMPLOYEE $ 1.000.000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS bea•••.ow
<br />E L. DISEASE - POLICY LIMIT $ 1 000 000
<br />D
<br />ARCHS & ENGS
<br />N
<br />N
<br />06[853691
<br />6/1/2015
<br />6/112016
<br />PER. CLAIM: $1,000,000
<br />PROFESSIONAL.
<br />AGGREGATE: $1,000„000
<br />LIABILITY
<br />DESCRIPTION' OF"OPERATIONS d LOCATIONS I VEHICLES' (ACORD 101, Additional Remarks Schedule, may be attached Wmom space Is rogulred)
<br />RE: CITY OF SANTA ANA MASTER ON-CALL DATED FEBRUARY 4TH, 2014. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS,
<br />AND REPRESENTATIVE ARE 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. SEVERABILITY OF INTERESTS APPLIES. 30
<br />DAYS NOTICE OF C'ANCELLAHGN APPLIES, 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM,
<br />12801990
<br />CITY OF aANIA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.
<br />A7 1 E%1TI IN: PURCHASING CIF,1'AjiTi�IIEI3T THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20' CIVIC CENTER PLANA ACCORDANCE WITH THE POLICY PROVISIONS.
<br />SANTA ANA CA 92702: - �--
<br />AUTHORIZED REPRESENTA E
<br />1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks Of ACORD
<br />
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