Laserfiche WebLink
ACc RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> kb......------ 6/1/2025 6/17/2024 <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 /> CONACT <br /> PRODUCER Lockton Companies NAME: <br /> 444 W.47th Street,Suite 900 PHONE FAX <br /> IA/C.No,Extl: _(A/C,No): <br /> Kansas City MO 64112-1906 E-MAIL <br /> (816)960-9000 ADDRESS: <br /> kcasu@lockton.com INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Lloyds of London <br /> INSURED HDR ENGINEERING,INC. INSURER B: <br /> 1429676 1917 SOUTH 67TH STREET INSURER C: <br /> OMAHA NE 68106 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20675924 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 LTR IANSD DDL SWVD POLICY NUMBER UBR POLICY EFF POLICY EXP LIMITS <br /> TYPE OF INSURANCE (MMlDD/YYYY, {MMIDDIYYYY)_ <br /> COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX <br /> DAMAGE <br /> E TORENTED <br /> CLAIMS-MADE OCCUR PREMISES(Ea <br /> $ XXXXXXX <br /> _ <br /> MED EXP(Any one person) S XXXXXXX <br /> PERSONAL&ADV INJURY _S XXXXXXX <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGO $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT <br /> (Ea accident) $ XXXXXXX <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> — OWNED SCHEDULED BODILY INJURY(Per $ <br /> AUTOS ONLY AUTOS accident) XXXXXXX <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ XXXXXXX <br /> $ XXXXXXX <br /> 1 UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX <br /> DED RETENTION$ $ XXXXXXX <br /> WORKERS COMPENSATION NOT APPLICABLE PERTurE I H ER <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ XXXXXXX <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX <br /> A ARCH&ENG N N P1001412400 6/1/2024 6/1/2025 PER CLAIM:$1,000,000 <br /> PROFESSIONAL AGGREGATE: $2,000,000 <br /> LIABILITY <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> LLOYD'S OF LONDON AM BEST:A XV RE:FAIRVIEW STREET BRIDGE REPLACEMENT PROJECT <br /> CERTIFICATE HOLDER CANCELLATION See Attachment <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20675924 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PRC\ / <br /> �,,,, L.. ., Risk Management Division <br /> ATTENTION: CIP CONTRACTS AUTHORIZED REPRESENTAT f 3?' REVIEWED&APPROVED BY: <br /> 20 CIVIC CENTER PLAZA �Io <br /> M-36 ; , <br /> SANTA ANA , /�f � --' Risk Management Specialist <br /> ©1988- 015 ACORD / <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />