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AC®R" CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />low.. --'5/24/2017 <br />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(les) 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 />19800 MacArthur Blvd., Suite 1250 <br />CA License #OF157fi7 <br />Irvine 92612 <br />CONTACT <br />NAME: <br />PHONE FA <br />JAM -1151,101— IAIC Nor: <br />EMAIL <br />&^z------ - <br />— <br />INSUflER(S)AFFOROING COVERAGE <br />It <br />949-252-4400 <br />INSURER A:'Y•:k A: SEE 1' T *N:W <br />____!!AIC <br />—_____—__.—.__ —____ <br />INSURED AECOM <br />INSURER B: <br />INSURER c: <br />1075642 AECOM Technical Services, Inc. <br />999 Town & Country Rd, <br />Orange CA 92868 <br />INSURER D: <br />_ <br />INSURER E: <br />_ <br />INSURER F: <br />COVFRAGFS AN.("I'RDl CFRTIFICATF NI IMRFR- IIAR94GR 0F111mAM his lnntaeo. vvvvvvv <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 />DDL;SUBR <br />ISO' 0 <br />POLICY NUMBER <br />POLICY EFF <br />IMMIDDIYYYYi <br />POLICY EXP <br />(MMIDO)YYM <br />LIMITS_ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE C OCCURA <br />NOTAPPLICABLE <br />EACH OCCURRENCE <br />s XXXXXxX <br />AG�TO R—EffrE <br />PREMI_S_E_SLE occulr ca <br />$ XXXXXXX <br />MED EXP (Any one person) <br />$ XXXXXXX <br />PERSONAL B ADV INJURY_ <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY a PE [ LOC <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS COMP/OP AGG <br />$ XXXXXXX <br />OTHER: <br />Is <br />AUTOMOBILE <br />LIABILITY <br />NOT APPLICABLE <br />COMBINE tSl GL IT <br />$ XXXXXXX <br />BODILY INJURY person) <br />BODILY INJURY accident) <br />$ <br />XxXxxxx <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY NAUTOSON-OWNED LY <br />AUTOS ONLY AUTOS ONLY <br />ROPE Ty�DAMgG; <br />Par ace de t <br />$ XXXXXA,X <br />$xxxxxxx <br />UMBRELLA LIAR <br />__ <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ XXXXXxx <br />DED <br />RETENTION$ <br />$XXX}{ XX <br />A <br />WORKERS COMPENSATIONYIN <br />AND EMPLOYERS' LIABILITYER <br />ANY PROPRIETONPARTNSWEXECUTIVEN/A' <br />OFFICENMEMBER EXCLUDED? FNI <br />I, N <br />SE.HATTACHEDACORD 101 <br />1/1!20(7 <br />!/1(2018 <br />x STATUTE OTH <br />EL. EACH ACCIDENT <br />$ 200)000 <br />E.L DISEASE - EA EMPLOYEE <br />— ------ ------ <br />E.L. DISEASE -POLICY LIMIT <br />$ 2,000 <br />$ 2,000.000 <br />(Mandatory In NrR <br />ftymi,deamibeurder <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/ LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, maybe aluched it more space is required) <br />1'119 CER'TIFICA'TE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER. APPLICABLE TO THE CARRIERS 1,I9TBD ANDTH6 POLICYTERM(S) REFERENCED- <br />Noficeof Cmmnlhrtion applies peruttuchetl endorsement Rc Client RxP. No, 14037, City of Santa Ana On -Coll Engineering Services 14-037, AECOM Agreements No. A-2013-034 <br />and Agmement No. A-2015.169; URS Agreement Nu. A-2008-048-01 and Agreement No. A-2014-357. The City of Sanh, Ana.volicited pmposnls t'roni consulting tiro,,,to provide <br />engineering services on an as-nueded Basis. Engineering services ami, include civil engineering. electrical engineering, Bellic engineerin, georechnimL land/property, surveying <br />Structural, archhmture and landscaping dosign.services and grain writing sarvicca. A derailed scope ofswoA: rvill be outlined when/if a specilie projector task order is assigned. <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 />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />