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<br />. " 'M- A R -'-:'RTIF .. -rtA" ~CERTIF'CATENUMBER
<br />rVI hl ~ t-I . . \.OF 1 IE; ( 'F II I~Uf SEA-00053B?BB-09
<br />'''' --.- _ _ _ _ _ _
<br />
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br />P. O. BOX 193880 POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
<br />SAN FRANCISCO, CA 94119-3880 AfFORDED BY THE POLICIES DESCRIBED HEREIN.
<br />CALIFORNIA LICENSE NO. 0437153
<br />
<br />URSCA -ALL-WIPAO-04-05 STA URSA CG2010
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />COMPANY
<br />A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />
<br />INSURED
<br />URS CORPORATION
<br />dba URS CORPORATION AMERICAS
<br />600 MONTGOMERY STREET
<br />25TH FLOOR
<br />SAN FRANCISCO, CA 94111
<br />
<br />COMPANY
<br />B LEXINGTON INSURANCE COMPANY
<br />
<br />COMPANY
<br />o N/A
<br />
<br />COMPANY
<br />C INSURANCE CO OF THE STATE OF PA
<br />
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERrlFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />CO
<br />lTA
<br />
<br />POLICY NUMBER
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />DATE (MMIDDNY) DATE (MMIDDNY)
<br />
<br />TYPE OF INSURANCE
<br />
<br />A GENERAL LIABILITY 706-1033
<br />Ix CC'MMEFiCi,;L GEi',::RAL ,-,ASIL1,Y
<br />~ D CLAIMS MADE 0 OCCUR
<br />_ OWNER'S & CONTRACTOR'S PROT
<br />
<br />-
<br />
<br />04/01105
<br />
<br />04101/06
<br />
<br />A _AUTOMOBILE LIABILITY
<br />2: ANY ALn"O
<br />ALL OWNED ALn"OS
<br />- SCHEDULED ALn"OS
<br />X HIRED AUTOS
<br />2: NON-OWNED ALn"OS
<br />
<br />-
<br />
<br />826-2024 (AOS)
<br />
<br />04/01105
<br />
<br />04/01106
<br />
<br />APPROV D AS TO ORM
<br />
<br />-;!:~ IG'p du / AI'
<br />v Lau a Slittj~hcedy
<br />Assistart. Ci(y Attorn y
<br />
<br />GARAGE LIABILITY
<br />-
<br />ANY AUTO
<br />-
<br />
<br />A
<br />C
<br />C
<br />
<br />EXCESS LIABILITY
<br />
<br />I UMBRELLA FORM
<br />
<br />1 OTHER THAN UMBRELLA FORM
<br />
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />
<br />01/01/06
<br />01/01/06
<br />01/01/06
<br />
<br />7155121 (CA)
<br />7155122 (AOS)
<br />7155118 EXCLUD. CA,AOS, GA
<br />
<br />01/01/05
<br />01101105
<br />01/01/05
<br />01/1)1/(1.'>
<br />
<br />fXllNCL
<br />HEXr:t
<br />
<br />THE PROPRIETOR/
<br />PARTNERS/EXECUTIVE
<br />nFf'"!CERS ,ARE:
<br />
<br />c
<br />
<br />715')119 {G.A.}
<br />
<br />01 ffll1n6
<br />
<br />B
<br />
<br />OTHER
<br />PROF. LIABILITY (E&O)
<br />CLAIMS MADE FORM
<br />
<br />04/01/06
<br />
<br />1155287
<br />
<br />04/01105
<br />
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
<br />RE: PROJECT #HT00000368.01 MINNIE/STANDARD STREET IMPROVEMENT PROJECT MANAGER: JEFF CHAPMAN
<br />SEE ATTACHED ADDITIONAL INSURED ENDORSEMENT.
<br />
<br />--'.-
<br />
<br />iFI
<br />
<br />, .
<br />
<br />LIMITS
<br />GENERAL AGGREGRATE $ 2,000,000
<br />rRODUC;8-CC~~r/op AGO $ 2,OOC,aoc
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />EACH OCCURRENCE S 1,000,000
<br />FIRE DAMAGE (Anyone fire) S 1,000,000
<br />MED EXP (Anyone person) $ 5,000
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />BODIL Y INJURY
<br />(Per person) $
<br />BODILY INJURY $
<br />(per acddenQ
<br />PROPERTY DAMAGE $
<br />
<br />ALn"O ONl Y- EA ACCIDENT $
<br />OTHER THAN AUTO ONL Y: ~
<br />EACH ACCIDENT $
<br />
<br />AGGREGATE
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />s
<br />$
<br />$
<br />$
<br />
<br />$
<br />$
<br />
<br />1,000,000
<br />1,000,000
<br />
<br />Xl ~gR~T ~~YTS I I ~~H-
<br />EL EACH ACCIDENT
<br />EL DISEASE-POLICY LIMIT
<br />EL DISEASE-EACH EMPLOYEE
<br />
<br />,
<br />
<br />10flt1.0f1f)
<br />
<br />EACH CLAIM
<br />AGGREGATE
<br />
<br />$1,000,000
<br />$1,000,000
<br />
<br />~..
<br />
<br />CITY OF SANTA ANA
<br />ATTN: CLERK OF THE CITY COUNCIL
<br />20 CIVIC CENTER PLAZA (M-30)
<br />PO BOX 1988
<br />SANTA ANA, CA 92702
<br />
<br />,,"C""", ......"..."...,.::,:,::'""., ,'.:.
<br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ~ MAIL 30 DAYS
<br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HERE1N,~
<br />~~C<QIl~XD<m~~~XXXX
<br />~RI8i~~JlllG{A~~~~XXl<XH~XXXX
<br />l!l:1OO[Je(EMKXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
<br />
<br />I
<br />
<br />MARSH USA INC
<br />BY: Michlo Nekota
<br />_ MMj($I"'I.
<br />
<br />
<br />~U-.L
<br />
<br />;'?::,:'W~(ip"~~"qF:':':Q~31'/05j'.
<br />
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