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<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE
<br />01/04/2008
<br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> A;).001-1 (pI( ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> Willis North America. Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> 26 Century Blvd. N-?DO\ - 0:2-3 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> P. o. Box 305191
<br /> Nashville, TN 372305191 ~ -;:)OD~~ INSURERS AFFORDING COVERAGE NAIC#
<br /> 1/ 'I .- 1
<br />INSURED ORB corporation d.b.a. URB Corporation Americas \NSUAERA: National Union Fire Ins Co of Pittsburgh 19445-100
<br /> 600 Montgomery Street, 25th Floor INSURER B: American Home Assurance Company 19380-100
<br /> San Francisco, CA 94111 /\ ),-'r:-~ - :;lt~,~,-
<br /> INSURER C: Insurance Company of the State of PA 19429-100
<br /> INSUAER 0: Llovd's of London/A.P. Beazley Syndicate 15792-200
<br /> , INSURER E: Lexinnton Insurance Comnanv 19437-000
<br />
<br />A.XJd1-0,5
<br />
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ll~~~~! TYPE OF INSURANCE POLICY NUMBER POLlCY EFFECTlVE POLICY EXPIRATION L.lM1TS
<br />A GENERAL l.IABIL.lTY GL197-9807 5/1/2007 5/1/2008 EACH OCCURRENCE , 1 000 000
<br /> I ~ COMMERCIAL GENERAL LIABILITY ~~~~~~I9E~~6~~nce\ , 1 000 000
<br /> ~ CLAIMS MADE [i] OCCUR MED EXP (Anyone person) , 10 000
<br /> I ~xcu. BFPD PERSONAL & ADV INJURY , 1 000 000
<br /> I X Contractual Liabilitv GENERAL AGGREGATE , 2 000 000
<br /> I GEN'L AGG:E~ ILlMIT APnS PER: PRODUCTS - COMPIOP AGG , 2 000 000
<br /> r 'I POLICY X I ~~9; LaC
<br />A r;lOMOBILE LlABIL.lTY CA826-2672 5/1/2007 5/1/2008 COMBINED SINGLE l.\MIT
<br /> 5/1/2007 5/1/2008 (Eaacck:lent) , 2,000,000
<br />A ~ ANY AUTO CA826-2675
<br />B I- Al.L OWNED AUTOS CA826-2674 5/1/2007 5/1/2008 BODILY INJURY
<br /> (Per person) ,
<br /> I- SCHEDULEOAUTOS
<br /> ~ HIRED AUTOS BODILY INJURY
<br /> ,
<br /> H NON-OWNED AUTOS (Peracciclenl)
<br /> I PROPERTY DAMAGE ,
<br /> (Per accident)
<br /> I RAGE LIABILITY AUTO ONl. Y - EA ACCIDENT ,
<br /> ~Y AUTO OTHER THAN EAACC ,
<br /> AUTO ONLY: AGG ,
<br /> t=JESSlUMBRELLA LIABILITY EACH OCCURRENCE ,
<br /> OCCUR 0 CLAIMS MADE AGGREGATE ,
<br /> f-- ,
<br /> H DEDUCTIBLE ,
<br /> I RETENTION , ,
<br />A I WORKERS COMPENSATION AND WC1593661 1/1/2008 1/1/2009 X I T'((~3n;,~', I 10J)!'
<br /> EMPl.OYERS' LIABIL.lTY
<br />C I ANY PROPRIETOR/PARTNER/EXECUTIVE WC1593662 1/1/2008 1/1/2009 E.L. EACH ACCIDENT , 1 000 000
<br />A I OFFICER/MEMBER EXCLUDED? WC1593663 1/1/2008 1/1/2009 EL DISEASE - EA EMPLOYEE , 1 000 000
<br /> tlyes, describe under WC1593665/WC1593666 1/1/2008 1/1/2009 000 000
<br />C SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT , 1
<br />D OTHER MMP 0005 5/1/2007 5/1/2008
<br />E professional Liability 1156494 E&O 5/1/2007 5/1/2008 $1,000,000. Each Claim
<br /> w/Limited contractual - $1,000,000. Aggregate
<br /> Claims Made Polic..
<br />DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/5PECIAL PROVISIONS
<br />Re: Project# H100000368.01 Minnie/Standard Street Improvement Project Manager: Jeff Chapman
<br />It is agreed that City of Santa Ana ie included as an Additional Insured as respects to General
<br />Liabili ty.
<br />
<br />COVERAGES
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />City of Santa Ana
<br />Attn: Clerk of The City Council
<br />20 Civic Center Plaza(M-30)
<br />P.D.Box 1988
<br />Santa Ana, CA 92702
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXF'tRA110N
<br />DATE THEREOF, THE ISSUING INSURER WILLXQfft!'1!\IM[)fllMAlL ~ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE~I!III..-,e1a'l1ll2t"YNMWIl\~'1UlL
<br />~:II1lXa1lWllDt_~DKJaiXBMl'\llI"'Vl!l'.lI.M~'1R''Vl!I\!I~
<br />
<br />ACORD 25 (2001108)
<br />
<br />Co11:2216592 Tp1:728088
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