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AC"R" CERTIFICATE OF LIABILITY INSURANCE <br />°04i 6/lois Y' <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 />Construction Risk Partners, LLC <br />CONTACT <br />NAME: <br />PHONE FAX <br />A <br />A N Extl: A/C No): <br />E-MAIL <br />Campus View Plaza <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC# <br />1250 Route 28, Suite 201 <br />INSURERA: 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 INSURERF: <br />Irvine, CA 92617 <br />COVFRAGFR CFRTIFICATF NIIMRFR• 46678162 RFVISInM RIIIMRFR- <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 />TYPE OF INSURANCE <br />ADDL <br />D <br />SUBR <br />D <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />HDO G24557728 <br />05/01/16 <br />05/01/17 <br />EACH OCCURRENCE $ 2,000,000 <br />CLAIMS -MADE F-11 OCCUR <br />DAMAGE TO RENTED 100,000 <br />PREMISES Fa occurrence $ <br />MED EXP (Any one person) S 10,000 <br />PERSONAL &ADV INJURY S 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,000 <br />POLICY a JEo LOC <br />PRODUCTS - COMP/OP AGO S 4,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />BAP 9483148-05 <br />05/01/16 <br />05/01/17 <br />COMBINED S INGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />X <br />ALLAUOWNED SCHEDULED <br />ToAUTOS <br />BODILY INJURY (Per accident) $ <br />X <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />X <br />Comp $1,00 X Coll $1,000 <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ <br />I AGGREGATE $ <br />EXCESS LIAB <br />DED I I RETENTION $ <br />$ <br />C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE �NIA <br />OFFICER/MEMBER EXCLUDED? <br />WC 3504866-15 <br />WC 3867133-09 <br />05/01/16 <br />05/01/16 <br />05/01/17 <br />05/01/17 <br />'X STATUTE EEPER RH <br />_ <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />B <br />Architects & Engineers Prof. <br />IPR 1008375-01 <br />05/01/16 <br />05/01/17 <br />Any One Claim/Agg 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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 />ESI VIEWED IAC EOMCE h-IEREDI (PG) I O <br />OL:_..:_v <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Thomas Lo <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />USA t,�.%�-�- >f'z• <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />Sklein <br />46678162 <br />