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ACOR r 0 <br />CERTIFICATE OF LIABILITY INSURANCE 3/1/2019 <br />DATE (MM/DD/YYYY) <br />F9/6/2018 <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 Lockton Companies <br />CONTACT <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816) 960-9000 <br />PHONE FAX <br />A/C No Ext : A/C No): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED GENSLER <br />1047450 500 SOUTH FIGUEROA STREET <br />INSURER B :Travelers Property Casualty Co of America <br />25674 <br />INSURER C : Lloyds of London Co. <br />INSURER D : <br />LOS ANGELES CA 90071 <br />INSURER E : <br />NEWPORT BEACH <br />INSURER F : <br />COVERAGES GENSC01 CERTIFICATE NUMBER: 15595159 REVISION NUMBER: XXXXXXX <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 />ADDL <br />SUER <br />POLICY NUMBER <br />MW POIC YYYY <br />MM POLICY <br />LIMBS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Y <br />N <br />GL00081063 <br />3/I/2018 <br />3/1/2019 <br />EACH OCCURRENCE <br />$ 1,000 000 <br />DAMAGE E <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000 000 <br />GEN'L <br />POLICY �X JECTO LOC <br />PRODUCTS - COMP/OP AGG <br />$ 21000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Iq <br />rj <br />BAP3707221 <br />3/I/2018 <br />3/1/2019 <br />COMBI <br />(Eaac'NEDISINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />X <br />ANY AUTO <br />X <br />N <br />OWNED SCHED <br />AUTOS ONLY AUTOSULED <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />HIRED NON-OWNEX AUTOS ONLY AUTOS ONLDY <br />Ix <br />Perr.cciden DAMAGE <br />$ XXXXXXX <br />$XXXXXXX <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />ZUP51 M96337 <br />3/I/2018 <br />3/1/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1000 000 <br />X <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ XXXXXXX <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑N <br />IN / A <br />NPi <br />WC0081062 <br />3/1/2018 <br />3/1/2019 <br />X STATUTE OERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />I1 yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1000 000 <br />C <br />PROFESSIONAL <br />N <br />N <br />LDUSA1800176 <br />4/1/2018 <br />3/1/2019 <br />$2,000,000 PER CLAIM/ $2,000,000 <br />LIABILITY <br />AGGREGATE <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />RE: GENSLER PROJECT NO: DESIGN SERVICES FOR NEW BIKE STATION AT THE SANTA ANA REGIONAL TRANSPORTATION CENTER. CITY <br />OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS, AND REPRESENTATIVES ARE ADDITIONAL INSUREDS AS RESPECTS <br />GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, AS REQUIRED BY WRITTEN CONTRACT. <br />REVIEWED BY: EUNICE HEREDIA (PG I OF ) <br />Uth I If -ILA I t r1ULUtM I;AIVGtLLA I IUN See Hltacnments <br />15595159 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, M-30 <br />P.O. 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 REPRESENTA <br />n 1988L2015 ACORD CORPORATION- All rinhts raearvart <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />