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COVERAGES AECTE01 OE <br />THE POLICIES OF INSURANCE LISTED BELOW MAVt Lsttly laaur-u lv m� 1-1- ,. •.•�- ------ • -•- ---- - -- <br />WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />DATE (MM/DD/YYYY) <br />-ACORDr. CERTIFICAT F <br />LIABILITY INSURAN 4/1/2009 4/1/2008 <br />PRODUCER Lockton Companies, LLC -L Los Angeles <br />19800 MacArthur Blvd., Suite 550 <br />ense #OF15767 <br />CA Lic en <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine 92612 <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />949-252-4400 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED DMJM+HARRIS, Inc.-2_a0-'22_2_ <br />-� �j„�22Z <br />1075642 605 Third Avenue �`��JJ((�� <br />New York NY 10158 <br />l� ' � 7 �., D <br />L`.J1�Vlh l3 (\!�' <br />INSURERA: New Hampshire Insurance Company 23841 <br />INSURER B: insurance Company of the State of PA 19429 <br />INSURER C : <br />INSURER D <br />INSURER E: <br />S <br />XXXXXXX <br />COVERAGES AECTE01 OE <br />THE POLICIES OF INSURANCE LISTED BELOW MAVt Lsttly laaur-u lv m� 1-1- ,. •.•�- ------ • -•- ---- - -- <br />WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />MAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) <br />LIMITS <br />EACH OCCURRENCE <br />S <br />XXXXXXX <br />GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ <br />XXXXXXX <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurence <br />MED EXP (Any one person) <br />$ <br />XXXXXXX <br />CLAIMS MADE 1-1 OCCUR NOT APPLICABLE <br />PERSONAL & ADV INJURY <br />$ <br />XXXXXXX <br />GENERAL AGGREGATE <br />$ <br />XXXXXXX <br />PRODUCTS - COMP/OP AGG <br />$ <br />XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />XXXXXXX <br />(Ea accident) <br />ANY AUTO <br />ALL. OWNED AUTOS <br />BODILY INJURY <br />$ <br />XXXXXXX <br />(Per person) <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />XXXXXXX <br />(Per accident) <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />XXXXXXX <br />I <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT <br />$ <br />XXXXXXX <br />GARAGE LIABILITY <br />NOT APPLICABLE <br />OTHER THAN EA ACC <br />$ <br />XXXXXXX <br />ANY AUTO <br />H <br />AUTO ONLY: AGG <br />— <br />$ <br />XXXXXXX <br />EACH OCCURRENCE <br />$ <br />XXXXXXX <br />EXCESS/UMBRELLA LIABILITY <br />AGGREGATE <br />$ <br />XXXXXXX <br />OCCUR FICLAIMS MADE <br />NOT APPLICABLE <br />$ <br />XXXXXXX <br />❑ UMBRELLA <br />XXXXXXX <br />DEDUCTIBLE FORM <br />X$ <br />XXXXXX <br />RETENTION $ <br />WC1929178 AOS <br />( ) <br />4/1/2008 <br />4/1/2009 <br />X WC STATU- OTH- <br />TORY LIMITSI ER <br />A <br />E.L. EACH ACCIDENT <br />$ <br />1,000,000 <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC 1929179 (CA) <br />4/1/2008 <br />4/1/2009 <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />1 000 000 <br />, <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />WC1929181 (FL) <br />4/1/2008 <br />4/1/2009 <br />E.LDISEASE- POLICY LIMIT <br />$ <br />1,000,000 <br />If <br />No <br />WC1929182(OR) <br />4/1/2008 <br />4/1/2009 <br />A <br />SPECIAL PROVISIONS below <br />SPECIAL PROVISIONS <br />A <br />OTHER <br />WC1929184(OH WA,WI,WV,WY <br />4/1/2008 <br />4/1/2009 <br />Statutory Limits - See Above <br />A <br />Worker's Compensation <br />WC1929183 TX <br />WC1929180 (MA) <br />4/1/2008 <br />4/1/2008 <br />4/1/2009 <br />4/1/2009 <br />B <br />DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Re: City of Santa Ana On -Call Contract for Civil Engineering and Landscaping Services <br />' <br />City of Santa Ana <br />Public Works Agency <br />Office of the Executive Director <br />Attn: Souri Amirani <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL. 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />in m. -Producer section above ands cifv the cli cod AECTE01 © ACORD CORPORATION 1988 <br />