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nc-iia e CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYV)
<br />07114x'014
<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 INSURERS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: it 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
<br />HO
<br />Aon Risk Services Central, Inc.
<br />Pittsburgh PA Office
<br />Dominion Tourer, 10th Floor
<br />625 Liberty Avenue
<br />Pittsburgh PA 15222-3110 USA
<br />PHONE
<br />AIC. No. E.R, (866) 283-7122��— Ne (800) 363-,I05
<br />E�NRI�
<br />A 56:
<br />INSURERS) AFFORDING COVERAGE MAIC#
<br />INSURED
<br />INISURERA National union Fire Ins Cc of Pittsburgh 19445
<br />RBF COnsultinq
<br />PO Box 57057
<br />Irvine CA 92619-7057 USA
<br />INSURERS. Liberty Mutual Fire Ins Cc 23035
<br />INSORERO Lloyd's Syndicate No, 2623 AA1328623
<br />'NSURERD: Liberty Insurance Corporation 42404
<br />TD
<br />INSURER E��
<br />INSURERF: El
<br />COVERAGES n, E NUNBER. RE V;Zw a Nu,nocn
<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 IG SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limps Shown are as requested
<br />N5H
<br />ITS
<br />TYPE OF INSURANCE
<br />RISE
<br />MD
<br />POLICY NUMBER
<br />POLM777
<br />mMfD m'Y
<br />POLICY EXP
<br />wdNOlvYvvY
<br />LIMITS
<br />XI COMMERCIAL OENERALUMILITV
<br />TD
<br />EAGHOOGURRENCE $2,000,000
<br />CLAIMSMADE ❑X OCCUR
<br />DAMAG11CRENHIED $1,000,000
<br />PREMISES (E. oPoffMee)
<br />MEDEXP(Anyonapermn) $5,000
<br />X Contactual
<br />X BFPO.xcu
<br />PERSONAL a ADV INJURY $2,000,000
<br />m
<br />a
<br />..�...
<br />GENT AGGREGATE LIMIT APPLIES PER
<br />�........
<br />GENERAL AGGREGATE b4, 000, 000
<br />PUDGY [:]T R AT FLOC
<br />1
<br />PRODUCTS OOMPIOPAOG $4,000,000
<br />OTHER
<br />a
<br />AUTOMOBILE LIABILITY
<br />AS2-681-004145-724
<br />5673(771-1
<br />COMDNEO 31NOLE LIMIT $1,0,)0,000
<br />. ualdenl
<br />w
<br />DONLY INJURY I Re, Pone)
<br />X ANYAVTO
<br />Z
<br />BODILY IdU JNY IPe( acedwk)
<br />ALLOWNED SCHEDULED
<br />y
<br />UTOS
<br />AUTOS IRON OWNED
<br />TOO
<br />PROPERTY DAMAGE
<br />HIREDAUTOS AUTOS
<br />Peraddidant
<br />E
<br />t:
<br />W
<br />A
<br />LIAB
<br />I X
<br />I OCCUR
<br />DE018085867
<br />06/S0/2013
<br />08/30/2014
<br />EAGFIOCGURRENCE $10,000,0
<br />Q
<br />dUMBRELLA
<br />EXCESS LIAB
<br />CLAIMS MADE
<br />AGGREGATE $10,000,000
<br />DED I X RETENRON 510.000
<br />O
<br />WORKERS COMPENSATIONAND
<br />WA D .40 '
<br />X STALUTE 4f1µ u
<br />EMPLOYERS'LIABILITT' YIN
<br />ADS
<br />CIL EACHAOLOeNr $1,000,000
<br />n
<br />ANY PROPRIETOR IPARTNEaI Exscurlve
<br />WC76810041,15704
<br />06/30/2014
<br />OS/3N/20I5
<br />OFFICE.CV ER EXCWCEU9 [!]NIA
<br />Maudetory In NH,
<br />WIE.L.
<br />DISEASE -EA EMPLOYER $1,000,000
<br />PyeS doembe under
<br />DESCRIPTION OF OPERATIONS balky
<br />I E.L. OISEASGPOLIOY LIMIT $1,000,000—_
<br />G
<br />E&O-P L- Primary
<br />Qc1402675
<br />06/30/2014
<br />08/31/2015
<br />Per claim $5,000,000
<br />_.�..
<br />Professional & Pollution
<br />Aggregate $5,000,000
<br />r
<br />SIR applies per policy ter
<br />is & condi
<br />ions
<br />DESCRIPTION OF OPERARONSI LOCATIONS I VEHICLES (ACORD 101, Additional Ramerke Schedulo, nay be attached if mum spnm m mqulmd)
<br />Re: Santa Ana Drainage Master Plan, IN 133718. City of Santa Ana, its officers, employees, agents, Volunteers and
<br />Y�
<br />re resentatives are Included as additional insured on the general liability, but onl With respect to work performed by or on
<br />llaOq
<br />bephAlf of the insured as required b Written contract with the named insured. Genera
<br />by/ yy ��qqyy qq��tlsaLLii��VYpphh//r'tto�r,yye is
<br />by For benefit the?a��il£�ohMb.�iiT3dI+EdSA`�tohLh^ai lial?i T�i ty
<br />all
<br />primary and noncontrihutin9gto any maintained or the of
<br />coverage contains a severability, of interest or cross liability clause,
<br />CERTIFICATE HOLDER
<br />CANCELLATIONIT"Aul a rt. nLraa ...
<br />Ov '"T4SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL.O BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana AUTHORIZED REPRESENTATIVE
<br />20 civic center Plaza - Ross Annex (M— J
<br />Santa And CA 92701 USA e1Gr¢la (^„ �W ra A.4 � �
<br />%1UD11 J99888--02014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORO
<br />
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