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AR!J`CERTIFICATE OF LIABILITY INSURANCE D 700 YYY a/a/zotd 2/5/2/S/zo1S THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the pollcy las) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER Lockton Insurance Brokers, LLC 725 S. Figueroa Street, 35th Pt. CA License #01715767 Los Angeles CA 90017 co E cr NA PNONB P 1. E-M,AIL -"" A---- ADDRESS: µ INSURERS AFFORDING COVERAGE NAIC# (213) 689.0065 INSURER A i ]mSUT BCe Com atrof the State of PA 19429 INSURER a1 INSURED AFCOM l3&9302 URS Corporation 117 dba URS Corporation Arncricas 2020 E. First SL, Ste. 400 Santa Ana CA 92705 INSURER C; INSURER D 1 INSURER E: INSURER F; NOT APPLICABLE THIS IS TO CERTIhY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TR TYPE OF INSURANCE A I O R O POLIOYNUMBER M LDOp EFF MMIDL�YY LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABLE �— OCCI__I - CLAIMS -MADE OCCUR ,&C'Jj ,RRF DAMAGE TO REMEO PREMISEB Endmurtenca) $ xxX EB EXP An o a emnn eiXXiiXX ` PCRSONAL&AOV INJURY $ xxxxxxx GhN'L AGGREGATE LIMIT APPLIES PER: - �l [] PROJECT GENERAL AGGREGKI'E $ xxxxxxx PRODUCTS-COMWOPAGG $ MMm— POLICY _J LOC If OTHER: AUTOMOBILE LIABILITY NOTAPPLICABLE 91FR;C€Cfgl (EmAmlds") $ ANYAUTO UOOILY INJURY(Perperson) $ X `(Per ALL OS $CHEOULED BODILY INJURYac^.Idant yy�� �,J XX'XX AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOSxxXXXxx .� ,iQax PROPGRTY DAMAGE $ _. $ xxxxxxx UMDRELLAI.IAS OCGVft NOT APPLICAI3LB EACH $.CURRENCC 2ixxxxxx EXCESS LIA9 CLAIMS -M DE 1 1 AGGREGATE AGGREGATE $. DEC RETEN'(ION$ A WORRERSCDMPENSATION N AND EMPLOYERS' LIABILITY YIN SEE ATTACHGD AC:ORD 101 1/1/2015 t/1/2016 }( STATUTE ER ANY PROPMETORIPARTNERIEXECUTIVE OFFICERNEMBE.R EXCLUDED? � NIA E.L. EACH ACCIDENT $ 2 NN ) (Mandatory In 0411 (yyae, d0eal'be Undsr E.L. DISEASE. EA EMPLOYL•F $ 2000 NON DE6CRIPTION O.O ERATID 48below E.L. OI6EASE-POLICY LIMrr 1JJQDqQ00 DESCRIPTION OF OPERATIONS I LDCATIONS I VEHICLES (ACORD 101, Addltlnnal Remarks Schedule, maybe m AchW Umnm apace is required) Notice ofCaneellatioa applies par attached endorsement. JJp �jf URS CORPORATION AGR # TBD REVIEWED BY: //I (!/ EUNICE HEREDIA (PG. 6 of 8) 13249.225 City of Santa Ana 20 Civic Center Plaza - Ross Annex (M-36) SantaAna CA 92701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1 IIle Auvilu name SUN logo are registGred marks of ACORD All