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 />
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