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Acc'R" CERTIFICATE OF LIABILITY INSURANCE <br />05/08/2017YY, <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER 1-908-566-1010 <br />CONTACT <br />NAME: Lauren Bowman <br />Construction Risk Partners <br />PHONE <br />A/C, No. Ext: 908-566-1010 {AAic No): 908-566-1020 <br />a JLT Group Company <br />E-MAIL amecfw constructionrisk artners.com <br />_ADDRESS: @ P <br />Campus View Plaza <br />INSURER(S) 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 />_ <br />INSURER E: <br />PREMISESS DAMAGE(RENTED 100 000 <br />Ea occurrence $ r <br />INSURER F: T <br />Irvine, CA 92617 <br />COVERAGES CERTIFICATE Nl1MRER! 498UUZ72 RFVISION NIIMRFR- <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 />N D <br />SUBR <br />wyn <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />HDO G27851162 <br />05/01/17 <br />05/01/18 <br />EACH OCCURRENCE '$ 2r 000,000 <br />CLAIMS -MADE OCCUR <br />PREMISESS DAMAGE(RENTED 100 000 <br />Ea occurrence $ r <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL &ADV INJURY Is 2,000,000 <br />GENERAL AGGREGATE $ 4,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY PRO X❑ LOC <br />JECT <br />OTHER: <br />PRODUCTS $ 4, 000, 000 <br />_ <br />B <br />AUTOMOBILE LIABILITY <br />BAP 9483148-06 <br />05/01/17 <br />05/01/18 <br />COMBINEDSINGLELIMIT <br />Ea accident $ 110001000 <br />BODILY INJURY (Per person) 1 $ <br />X ANY AUTO <br />X OWNED F SCHEDULED <br />AUTOS ONLY AUTOS <br />----------- <br />BODILY INJURY (Per accident) $ <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE _ <br />Per accident I $ <br />$ <br />X Comp $1,00 X Coll $1,000 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE Is <br />_ <br />AGGREGATE $ <br />EXCESS LIABH <br />CLAIMS-MADE <br />DED RETENTION $ <br />1 <br />1 <br />Is <br />C <br />C <br />WORKERS EMPLOYCOMPENSATION EMPLOYERS' <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUI — ❑ <br />OFFI C ER/M EMBER EXCLUDED? N <br />(Mandatory In NH) <br />NIA <br />1 <br />� <br />WC 3504866-16 <br />! WC 3867133-10 <br />05/01/17 <br />05/01/17 <br />05/01/18 <br />05/01/18 <br />X STATUTE ER i <br />i <br />E.L. EACH ACCIDENT $ 1, 000, 000 <br />— <br />E . DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />—— <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />B <br />Architects & Engineers Prof <br />i <br />�EOC1008375-02 <br />05/01/1705/01/18 <br />1 <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 />REVIEWED BY: EUNICE FIEREDIA (PG OF <br />t.,tK I It II,A I t r1ULUCK L ANL tLLA I IUN <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: Craig Foster <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 hn n <br />USA <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Sklein <br />49800272 <br />