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.AMEC AGR # TBD
<br />REVIEWED BY: /A 4/t
<br />EUNICE HEREDIA (PG 1 OF 4)
<br />10 ,�►� V CERTIFICATE OF LIABILITY INSURANCE
<br />08/1 /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 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 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 1-908-566-1010
<br />CONTACT
<br />NAME:
<br />Construction Risk Partners, LLC
<br />PHONE FAX
<br />AC No:
<br />EMAIL
<br />COMMERCIAL GENERAL LIABILITY
<br />Campus View Plaza
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE NAIC4
<br />1250 Route 28, Suite 201
<br />INSURER A: ACE AMER INS CO 22667
<br />Branchburg, NJ 08876
<br />INSURED
<br />INSURER B: ZURICH AMER INS CO 16535
<br />Amec Foster Wheeler Environment & Infrastructure, Inc.
<br />INSURER C: AMERICAN ZURICH INS CO 40142
<br />INSURER D:
<br />121 Innovation Drive, Suite 200
<br />INSURER E :
<br />1 INSURER F:
<br />Irvine, CA 92617
<br />COVERAGES CERTIFICATE NUMBER: 44761404 REVISION NUMBER:
<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 />INSR
<br />LTR
<br />rypE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDITYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />G24556347
<br />05/01/15
<br />05/01/16
<br />EACH OCCURRENCE $ 2,000,000
<br />CLAIMS -MADE X OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Eaocurrence $ 100,000
<br />MED EXP Any one person) $ 10,000
<br />PERSONAL& ADV INJURY $ 2,000,000
<br />GENH AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 4,000,000
<br />POLICY IF JECT I LOC
<br />PRODUCTS-COMPIOP AGO $ 4,000,000
<br />$
<br />OTHER.
<br />e
<br />AUTOMOBILE
<br />LIABILITY
<br />HAP 9483148-04
<br />05/01/15
<br />05/01/16
<br />COMBINED SINGLE LIMIT
<br />En acclden[ $ 1,000,000
<br />BODILY INJURY (Per person) $
<br />X
<br />ANYAUTO
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />PereccInput)
<br />X
<br />X NON -OWNED
<br />HIRED AUTOS AUTOS
<br />$
<br />X
<br />Comp $1,00 X Coll $1,000
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I I RETENTION$
<br />$
<br />C
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE 7NIA
<br />OFFICERIMEMBER EXCWDE07
<br />(Mandatory in NH)
<br />WC 3504866-14
<br />WC 3867133-08
<br />05/01/15
<br />05/01/15
<br />05/01/16
<br />05/01/16
<br />X I STATUTE ERH
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />Ues, describe under
<br />SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1, 000, 000
<br />B
<br />Architects & Engineers Prof
<br />IPA 1008375-00
<br />05/01/15
<br />05/01/16
<br />Any One Claim/Agg 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: NPDES Inspection and Database Management and As -Needed Services
<br />City of Santa Ana, its officers, employees, agents and representatives are additional insured on the General Liability
<br />policy as required by written contract. Coverage is primary and non-contributory where required by written contract.
<br />30 days notice of cancellation applies per policy provisions.
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2014/01)
<br />Sklein
<br />44761404
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Thomas Lo
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />fir, n
<br />USA
<br />Wj.V-» E\'
<br />ACORD 25 (2014/01)
<br />Sklein
<br />44761404
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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