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Last modified
4/28/2022 9:25:09 AM
Creation date
3/12/2018 11:26:35 AM
Metadata
Fields
Template:
Contracts
Company Name
AECOM
Contract #
A-2017-360
Agency
PLANNING & BUILDING
Council Approval Date
12/19/2017
Expiration Date
12/19/2019
Destruction Year
2026
Document Relationships
AECOM (2)
(Amended By)
Path:
\Contracts / Agreements\A
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDrYYYY) <br />02128/201 H <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 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 <br />Marsh Risk & Insurance Services <br />CA Licerop,#00437153 <br />777 South Figueroa Street <br />Los Angeles, CA 90017 <br />MIT: LosAngeles.CertRequost@Marsh.Com <br />C N 101348564-STND-GAUE-17-18 <br />INSURED <br />AECOM <br />AECOM Technical Services, Inc. <br />401 WcdA Street, Suite 1200 <br />San Diego, BA 92101 <br />03 2021 <br />COVERAGES CERTIFICATE NUMBER: LOS-002319878.01 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 />INNER TYPEOFINSURANCE AIN D DB <br />R <br />UO POLICYNUMBEft ab D7YYYF <br />MMEppsyyYY <br />LIMITS <br />A X <br />COMMERCIAL GENERAL LIABILITY <br />GILD 596589109 041D112017 <br />0410112018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />� � <br />DAMAGE <br />1,000,000 <br />CLAIMS -MADE " OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any ace person <br />$ 51000 <br />PERSONAL & ADV INJURY <br />GFNERALAGGREGATE <br />$ 1,000,000 <br />$ 2,00it'i <br />GENT AGGREGATE LtMR' APPLIES PER: <br />POLICY ❑ PRO- E LOC <br />X JECT t_i <br />PRODUCTS AGG <br />__ <br />$ 2,000,000 <br />O7HER: <br />$ <br />A AUTOMOBILE LIABILITY <br />BAP 596589309 04/01/2017 <br />04101/2018 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />$ <br />AUTOS ONLY AUTOS <br />PROPERTY DAMAGE <br />$ <br />HIRED NON -OWNED <br />P <br />AUTOS ONLY AUTOS ONLY <br />Per accident <br />UMBRELLALIAB Ll OCCUR <br />I EACH OCCURRENCE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE <br />$ <br />0FD RETENTION$ <br />$ <br />D WORKERS COMPENSATION <br />SEE ACORD 101 D <br />01101/2019 <br />X POrH- <br />ER18 <br />ANDEMPLOYERS'LIABILITY <br />Y t NANY <br />STATUTE ER <br />EL EACH ACCIDENT <br />$ 1,00i <br />OFFiCEFUMEMBERPEXGLUDEDtECUTiVE NIA <br />1,000,000 <br />(Mandatory In NH) <br />E.L. DISEASE -FA EMPLOYEE <br />$ <br />Ur describe under <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />$ 1,OOD,000 <br />C ARCHITECTS& ENG. <br />EON G21654693 04/0112017 <br />Per ClaimlAgg <br />$1,000,000 <br />PROFESSIONAL LAB, <br />"CLAIMS MADE" <br />7r7l <br />Defense Included <br />DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Sohedum may be attachad If more space is requied} <br />Re: RFP: 17-082; AECOM Project Name: Santa Ana Cnmp2hensive GP <br />The City of Santa Ana, Its authorized officers, employees, agents, volunteers and representatives are named as additional Insured for GL coverage, but only as respects work performed by or on behalf of the named <br />insured and where required by written contract, This Insurance Is primary and non-contributory over any existing insurance and limited to liability arlsln9 out of the operations of the named insured and where required <br />by written contract with respect to the GL coverage. Severablllty Of INerebAross Liability is Included for General Liability coverage. <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />PO Box 1988 <br />Santa Ana, CA 92702,1988 <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 />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />James L. Vogel �. <br />ACORD 25 (2016103) <br />Cc) 1 <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />
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