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frc4i CERTIFICATE OF LIABILITY INSURANCE 111 6/1/2019 DATE(MMIDDIMY) 5/18/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCkton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT PHONE FAX NC No : E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A: Lexington Insurance Company 19437 INSURED HER ENGINEERING, INC. 1429676 8404TNDIAN HILLS DRIVE INSURER B : INSURERC: OMAHA, NE 68114-4049 INSURER D : INSURER E : INSURER F : COVERAGES *HDRIN01 CERTIFICATE NUMBER: 14731039 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NOR LTR TYPE OF INSURANCE ADDL INM SUBR Myk POLICY NUMBER POLICY EFF MMIDDM'YY POLICY EXP MMIDDMIYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TO RENTED PREMISES Ea occurrence) $ XXXXXXX BED EXP (Any one person) $ XXXXXXX PERSONAL &ADV INJURY $ XXXXXXX AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX GEN'L POLICY PEA LOD PRODUCTS-COMP/OPAGG $ XXXXXXX $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE Ee BINEDnedmitSINGLE LIMIT $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE Per accident $ XXrXr HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ XXXXXXX UMBRELLA LIAB H OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION ANDEMPLOYERTUASILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA NOT APPLICABLE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ XXXXXXX A ARCH&ENG N N 061853691 6/1/2018 6/1/2019 PER CLAIM:$ 1,000,000 PROFESSIONAL AGGREGATE: $2,000,000 LIABILITY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF SANTA ANA - ON CALL RIGHT OF WAY COORDINATOR (RFP 16-141). 30 DAYS NOTICE OF CANCELLATION APPLIES, 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM, CERTIFICATE HOLDER CANCELLATION 14731039 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: MARIA D. HUIZAR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1988 SANTA ANA CA 92702-1988 AUTHORIZED REPRESENTATIV ©19884015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD