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AECOM 5 -2015
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Last modified
1/8/2020 9:50:49 AM
Creation date
2/9/2016 5:14:39 PM
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Contracts
Company Name
AECOM
Contract #
A-2015-169
Agency
PUBLIC WORKS
Council Approval Date
8/4/2015
Expiration Date
8/4/2019
Insurance Exp Date
4/28/2018
Destruction Year
2024
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,doom CERTIFICATE OF LIABILITY INSURANCE <br />Ill1/1/2018 <br />DATE(MM/DD/YYYY) <br />r 5/24/2017 <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 Lockton Insurance Brokers, LLC <br />1.9800 MacArthur Blvd., Suite 1250 <br />CA License #OF15767 <br />Irvine 92612 <br />CONTACT <br />NAME: <br />PHONE FAX <br />A/C No Ext): (A/C No): <br />E-MAIL <br />_ADDRESS: <br />_ INSURER(S) AFFORDING COVERAGE <br />NAIC a1 <br />949-252-4400 <br />INSURER A: SEE ATTACHMENT <br />_ <br />INSURED AECOM <br />INSURER B : <br />INSURER C : <br />1075642 AECOM Technical Services, Inc. <br />999 Town BL Country Rd. <br />Orange CA 92868 <br />INSURER D : <br />- <br />INSURER E <br />INSURER F : <br />COVERAGES AECTE01 CERTIFICATE NUMBER: 13652858 REVISION NUMBER: XXXXXXX <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',SUBR <br />INSD'.. WVD <br />POLICY EFF <br />POLICY NUMBER MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE C OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) <br />$ XXXXXXX <br />MED EXP (Any one person) <br />$ XXXXXXX <br />& ADV INJURY <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />_PERSONAL <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />POLICY D PRO uI LOC <br />JECT <br />_PRODUCTS - COMP/OP AGG <br />$ XXXXXXX___ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />NOT APPLICABLE <br />COMBINED SINGLE LIMIT <br />Ea accident_ <br />$ XXXXXXX <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ANY AUTO <br />AAUTOSDONLY AUTOSULED <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />_(Per accident <br />$ XXXXXXX <br />$XXXXXXX <br />UMBRELLA LIAB <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ XXXXXXX <br />A <br />IONILIT Y / N <br />AND EMPLOYERS' LIABILITY <br />YERS'LIABILITY <br />AND EMPLOYERS' <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N <br />N <br />N / A'. <br />SEE ATTACHED ACORD 101 <br />1/1/2017 <br />I/l/2018 <br />X STATUTE oRH <br />L <br />E.L.ACH ACCIDENT <br />$ 2,000,000 <br />E.L. DISEASE EA EMPLOYEE <br />$ 2,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 2,000 000 <br />--- - -_ <br />L <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL. PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER. APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. <br />Notice of Cancellation applies per attached endorsement. Re: Client Ref. No. 14-037, City of Santa Ana On Call Engineer ing Services 14-037, AECOM Agreements No. A-2013-034 <br />and Agreement No. A-2015-169: URS AgreementNo. A-2008-048-01 and Agreement No. A-2014-357, The City of Santa Ana solicited proposals from consulting firms to provide <br />engineering services on an as -needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering. geotechnical, land/property surveying, <br />structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when/if a specific project or task order is assigned. <br />w� <br />Y <br />13652858 <br />City of Santa Ana <br />Monica M. Suter, PE, TE, PTOE <br />20 Civic Center Plaza, M-36 <br />Santa Ana CA 92702 <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 />AUTHORIZED <br />©1688-2015`ACGIRD CORPORATION. All rinhts resarverl <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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