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CERTIFICATE OF LIABILITY INSURANCE <br />TR <br />TYPE OFINSORANCE <br />12/1YYYY) <br />a/18/20/aG14 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polley(les) must be endorsed, If SUBROGATION IS WAIVED, subject to <br />the farms 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 Dau of such endorsement s - <br />PRODUCER 1-000-000-0000 <br />pIy <br />@TAG. <br />Marsh Risk and Insurance Services <br />345 Cali£oraia Street <br />Suite 1300 <br />P"Me 888-769-3873FAi( <br />. AX Na • ...�._..-- <br />pMAIL <br />INSURMFES) APFORDINO COVERAGE NAICq <br />San Francisco, CA 90.104 <br />INSURERAI NATIONAL UNION FIRE INS CO OP KITTS 19445 <br />09 01 1 <br />/ / <br />ED <br />Corporation <br />USECorporation <br />dba URS Corporation Americas <br />INSURERS: ZURICH AMER INS CO 15535 <br />INSURERO: Lloyd's 01! London & British Companies 15792 <br />INSORERD: LEXINGTON INS CO 19437 <br />2020 E. First Street, Suite 400 <br />INSURERS: <br />Santa Ana, CA 92705 <br />INSURERF: <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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />TR <br />TYPE OFINSORANCE <br />dOL <br />s17>LIdnikir- <br />n <br />POLICYNUMBER <br />FM10D <br />MMIpD �YY <br />LIMITS <br />A <br />GENERALLIABILITY <br />OLS388391 <br />09 01 1 <br />/ / <br />09/01/35 <br />EACHOCCURRENCE <br />$2, 000, tl00 <br />MMERCIAL GENERAL LIABIDTY <br />PRMAGE To RENTEU <br />EM S S M ogwramoo) <br />$1,000,000 <br />MEDEXP(Any-one-Persnn <br />$10,000 <br />CLAIMS -MADE OCCUR <br />4xic-CO <br />U, BFFO <br />PERSONALSADVINJURY <br />$2,000,000 <br />ntractual Liability <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEMLAGGREGATE <br />UMITAPPLIES PER: <br />PRODUCTS-COMPADPAGG <br />$2,000,000 <br />POLICY r <br />X m- El LOC <br />f <br />1 <br />$ <br />E <br />AUTOMOBILE LIABILITY <br />BAP9385215DS <br />09103.114 <br />09/03./15 <br />COMBINED SINGLE LIMIT <br />Ea nr. __21000 <br />1000 <br />X ANY ALTO <br />rs <br />BODILY INJURY (P., peon) <br />$ <br />ALLOWNED SCHEDULED <br />AU70S AUTOS <br />BODILY INJURY Per occident <br />( 1 <br />--- <br />$ <br />HIRED AUTOS AUTAS EO <br />AUT0 <br />FR ERR <br />Per ecr. <br />_ <br />UMBRELIALIAO <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />.¢ <br />DEO I <br />I RETENTION$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS-LIABILITY YIN <br />ANY PROPRIETORIPARTNERIPXCCUTIVE <br />OFMCERIMEMBER EXCLUDED? JE <br />NIA <br />WClrl A U- Qi - <br />E.L. EACH ACCIDENT <br />$ <br />F.L, DISEASF - EA FNIPLOYE <br />,._ <br />$ <br />(Mandatory In NH) <br />It YYas, do aft order <br />EL.DISEASE - POLICY LIMIT <br />— <br />$ <br />OE3CRIPr1ONOFOPTIATIONShalow <br />C <br />C.a mS a e Re rc - - <br />pE 1 E 0 91 <br />0 01 <br />09 0 15 <br />D <br />prof Liab N/Lmtd Contract <br />015438088 <br />09/01/19 <br />09/01/15 <br />Each Claim / Ag g <br />1 <br />11000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (AUach AaDRO t01, Atldiflanol Rmnarks Schedule, if mora spaco Is ragnlrnd) <br />The City Of Santa Ana, its officers, employees, agents, volunteers and representativos are included as Additional <br />Insureds as respects the General Liability policy, where required by written contract. Thin insurance is primary over <br />any similar insurance available to any person or organization wa he(,added to this policy as Additional Inaureds. <br />URS CORPORATION AGR # TBD REVIEWED BY: `" EUNICE HEREDIA (PG. 1 of 8) <br />City of Santa Ana <br />20 Civic Center plaza - Roca Annex (M-36) <br />Santa Ana, CA 92701 <br />USA <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 />REPRESENTATIVE <br />©1988-2010 ACORD CORPORATION. All riahts room" <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />C'E111ott0R2 <br />42399506 <br />