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AC40 oP CERTIFICATE OF LIABILITY INSURANCE <br />ATE <br />O08/3 0 12 016 Y) <br />08/30/201fi <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 />INC,No: <br />E-MAIL <br />X COMMERCIAL GENERAL LI ABILITY <br />Campus View Plaza <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC# <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 15535 <br />Amec Foster Wheeler Environment & Infrastructure, Inc. <br />INSURERC: AMERICAN ZURICH INS CO 40142 <br />INSURER D: <br />5845 NW 158th Street <br />INSURER E <br />N RENTED 100,000 <br />DAMAGCLAIMS-MADEI <br />PREMISES RENT rrence $ <br />PREMISES <br />INSURER F: <br />Miami Lakes, FL 33014 <br />COVERAGES CERTIFICATE NUMBER: 47668847 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 />TYPE OF <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LI ABILITY <br />HDO 624557728 <br />05/01/16 <br />05/01/17 <br />EACH OCCURRENCE $ 2,000,000 <br />OCCUR <br />N RENTED 100,000 <br />DAMAGCLAIMS-MADEI <br />PREMISES RENT rrence $ <br />PREMISES <br />MED EXP (Any one arson) $ 10,000 <br />PERSONAL& ADV INJURY $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,000 <br />POLICYJJE� LLJ LOC <br />PRODUCTS - CCMP/OP AGS $4,000,000 <br />$ <br />OTHER <br />H <br />AUTOMOBILE <br />LIABILITY <br />HAP 9483148-05 <br />05/01/16 <br />05/01/17 <br />COMBINED SINGLE LIMIT $ <br />Ea accident 1,000,000 <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />X <br />ALL OWNED SCHEDULED <br />AUTOS AUTOUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE <br />Peraccident $ <br />X <br />HIRED AUTOS X ANON-OWNED <br />S <br />$ <br />X <br />Comp $1,00 X Coll $1,000 <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED T RETENTION$ <br />$ <br />C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBER EXCLODE07 N❑ <br />NIA <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 OER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE $ 1,000,000 <br />(Mandatary In NH) <br />Ifyas,describe under <br />DE SCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT1 $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Be: Develop and deliver exercises for City of Santa Ana/Orange County UASI, Contract #: 16-068 <br />The City of Santa Ana, its officers, employees, agents and representatives are additional insured on the <br />General Liability policy as required by written contract. Coverage is primary and non-contributory where <br />required by written contract. 30 days notice of cancellation applies per policy provisions. <br />CERTIFICATE HOLDER CANCELLATION <br />© 1988.2014 ACORD CORPORA7Pl. Alr' r erved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Jt� l <br />Sklein <br />47688847 Pyr gi l% AS /C-rC911A 1. BY;`�."� <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: Purchasing Department <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />USA <br />© 1988.2014 ACORD CORPORA7Pl. Alr' r erved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Jt� l <br />Sklein <br />47688847 Pyr gi l% AS /C-rC911A 1. BY;`�."� <br />