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CERTIFICATE O, LIABILITY INSU�RANCE F 05/23/2017 <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: It the certificate holder is an ADDITIONAL INSURED, the pollcy(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 endorsemlent(s). <br />PRODUCER 1-908-566-1010 CONTACT Lauren Bowman <br />NAME; <br />Construction Risk Partners '. PHONE.... ..... ----------------- - FAX <br />a JLT Group Company UV.C.NQx EK4 908-566-1010 �iAtc„Nal: 908-556-1020 <br />A-2016-238 E-MAIL c <br />amefw�contructcnrsartners.com <br />Campus View Plaza ADDRESS: — siik <br />- p <br />1250 Route 28, Suite 201 INSURER�TRDINGCOVERAGE I MAICN <br />Branchburg, NG 08876 INSURERA. ACE AMER INS CO 22667 <br />INSURED INSURER B: ZURICH AMER INS CO 16535 <br />77 <br />Amec foster Wheeler Environment & Infrastructure, Inc'. INSURERC A,ME'RICAN ZURICH INS CO 40142 <br />15845 NW 158th Street flNSURERD <br />NNS,ORER E :. <br />�Miami Lakes, 7ryL 33014 INSURER <br />rOVFRAr.F.q rFPTIFIrATF NIIPI AF'R• 49910892 RFVI-Rin 1 NIIM'RFR, <br />THIS <br />IS TO CERTIFY THAT THE POLICIES <br />OF INSURANCE <br />LISTED BELOW HAVE BEEN <br />ISSUED TO <br />TI IE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, <br />TERM OR CONDITION OF ANY <br />CONTRACT <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE <br />MAY BE ISSUED OR MAY <br />PERTAIN, <br />THE INSURANCE AFFORDED BY <br />THE POLICIES <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS <br />AND CONDITIONS OF SUCH <br />POLICIES, <br />LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY <br />PAID CLAIMIS, <br />I R <br />... .. <br />A,IJDL <br />SU6IZ <br />.... <br />.,.(MMfO <br />YY <br />OLICY <br />PEXP <br />T <br />LTR <br />TYPE of INSURANCE.... <br />POLICY NUMBER....�.... <br />YYYY <br />LIMITS.. <br />MMIDD <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />HDO G27851,162 <br />05/01/1.7 <br />05/01/10 EAC,H(3CC;URREN;E $ 2x000,000 <br />E' II <br />--- <br />DAMAGE O RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES (Ea auuuaerenarel $ .1.0'0 '0Q0___ <br />ME.D EXP IAny one 17er'san) $ 10,000 <br />PER SONAL!£A0V INJURY $ 2,000,000 <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />f.�tNktfAV AGGREGATE $ 4,000,000 <br />` X PF2- X <br />I <br />Pt7Llf'Y LOC <br />—.. .,X tLs,T <br />&''+F'f4"11TIJi(I C`C?MF'C9&"a'ACiCr '6 4,000, 000 <br />07HER: <br />B <br />AUTOMOBILELIABILITY <br />BAP 5403148-06 <br />45/01/17 <br />05/01/18 iCOMBVNEDSIiNGLELIIMIT $ 1,000,000 <br />. . <br />X ANY AUTO <br />�� DILY INJURY (Pei Persanl $ <br />X OWNED I SCHEDULED <br />AUTOS ONLY _- AUTOS <br />BODILY INJURY (Pei a,ca;7deani) $ <br />...... ... ...... .. .... ....... .... ........ ....., <br />HiRECD X NON-OVVNELI <br />PHC)PFRTY DAMACaE <br />AUTOS ONLY AUTO, ONLYP <br />n at art, IvC1..., <br />X Comp $1, 00 'X Coll $1,000 <br />--... <br />I <br />UMBRELLA UAB <br />OCCUREXCESS <br />I <br />EA” M 47G S,hJf�REPJ4. F <br />$ <br />.,t <br />UAB <br />..... .., .., <br />.... .,. <br />CLAIM 7 MAC"9EI <br />AGGREGATE ......... .�..� <br />..... .... .. ......... . <br />BE.D R&-TFN°T'ICN `6 <br />'5 <br />C <br />WORKERS COMPENSATION <br />FPC 3504066-16 <br />0..5/sol/17' <br />05/01/10 <br />X PER OTHI <br />E-, <br />CAIU'CC <br />RTNEEO'a <br />......L � <br />C <br />ANYI R47PRIETORfPARTNE RlF7f.EC;U n'IIVE <br />WC 30677,35«7„C7 <br />CD5/'S1%7., 7' <br />q5/i71/10 <br />ESL CALI�1i Af CICYENT <br />$ 1. OT70. 004 <br />OFFICER( MIE OR/P <br />o,.., <br />NfA <br />E.L. OIS�EAS,E EA EMPLOYEE <br />$ 1`040 000 <br />(Mandatory <br />ry I <br />If yes describe under <br />----_—_ <br />—.1x <br />DESCRIPTION OF OPERATIONS hek)w <br />E.L. DISEASE -POLICY LIMIT <br />$ 000 000... <br />DESCRIPTION I OF OPERATIONS ^ LOCATIONS C VEHICLES (ACORO 101, Additicnai Remarks SchedluTe,. may be attached if more space is required) <br />Re; Develop and deliver exercises for City of Santa Ana/Grange County UASI, Contract #k 16.068 <br />The City of Santa Ana, .its offiee.rs, employees, agents and representatives are additional insured on the <br />General Liability policy as required by written contract. Coverage is primaryand non-contributory where <br />required by written contract. 30 days notice of cancellation applies per policy provisions. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (20116103) <br />Nhuddy <br />49910892 <br />(11\ u )%V1,w, \ /1-A <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. <br />THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />USA tl, ( ,i "'? <br />1988-20'15 ACORD CORPORATION. ri reserved. <br />The ACORD name and logo are registered marks of ACORD �� � r� ..• <br />