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A -Anil - /o <br />CERTIFICATE OF LIABILITY INSURANCE <br />/2B/20 <br />04DATE(MM/D1I <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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement_ A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />AOn R1Sk insurance Services West, Inc. <br />LDS Ang¢7 es CA Offi Ce <br />707 Wilshire Boulevard <br />Suite 2600 <br />NOMEACT <br />NON C866J 283-]122 FAX (84]J 953-5390 <br />WC. NR. Ear): AIC. NP. <br />E-MUL <br />ADDRESS: <br />Los Angeles CA 90037-0460 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC • <br />INSURED <br />INSURER A Zurich American ins CO <br />16535 <br />SCS Engineers <br />3900 Kilroy Airport Way, Suite 100 <br />INSURER a: Steadfast Insurance Company <br />26387 <br />INSURERC: <br />Long Beach CA 90806-6816 USA <br />(INSURER D: <br />INSURER E: <br />INSURER F: <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. Limits shown am as requested <br />INSR <br />LTR <br />TYPE OF BiSURANCE <br />INSR <br />WV <br />POLICY NUMBER <br />MWD <br />LIMITS <br />GENERAL LIABILITY <br />GLO50.bl JULIO <br />EACH OCCURRENCE <br />$2,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMB-MADE X� OCCUR <br />PRE—S Ea ora+nance <br />$100, 000 <br />ME.EXP (Any one INnonI <br />S10. 000 <br />PERSONAL a AOV INJURY <br />S1,000,000 <br />GENERALAGGREGATE <br />S2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG <br />S2.000.000 <br />POLICY Fx-1 PRo- LOC <br />AUTOMOBILE LIABILITY <br />BAP <br />MBIN COED SINGLE LIMIT <br />$1.000.000 <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />X AUTOS AUTOS <br />NON -OWNED <br />X HIRED AUTOS X AUTOS <br />`al•J Ol l�J <br />I <br />""-- -- ---- 1 <br />J _ - <br />/ / <br />ll�) I <br />' I . <br />— <br />--� <br />r <br />BODILY PIJURY (Par parsPn) <br />BODILY INJURY (Per accidan[) <br />PROPERTY DAMAGE <br />Mxltlent <br />UMBRELLA LUUi <br />EXCESS LIAR <br />OCCUR <br />OWMSMADE <br />�) ' ' t <br />EACH OCCURRENCE <br />AGGREGATE <br />OEDI <br />RETENTION <br />A <br />A <br />WORKERS COMPENBATX)N AND <br />LI <br />EMPLOYERS' AS— Y/N <br />ROPRIETOR / PARTNER / EXEC <br />AEXEC-1—N OFMC—EMBER EXCLUDEDi <br />N / A <br />WC 9 <br />WC283700000 <br />4 1 2 1 <br />04/Ol/2011 <br />1 <br />04/01/2012 <br />W STATU- OTH- <br />EL. EA ACCIDENT <br />51,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />S7, 000.000 <br />(MantlMry In NH) <br />If y DESCR—PTIOunFOPERATIONS balorr <br />E.L. DISEASE -POLICY LIMIT <br />S1.000.000 <br />IS <br />I Env Prof(Edo) <br />FEC948263300 <br />Prof/Poll Liab <br />03/31/2011 <br />03/31/2012 <br />Each Claim <br />Aggregate <br />S1, 00000 <br />S2,()DO: 00 <br />DEBCRIPTK)N OF OPERATK)N9I LOCATIONS /VEHICLES ('seen ALORO 10,. AddNlefvl R�„Mrka SCB�tluY. II n,Or� EPau la r�qulrM) <br />Job No. 90000016.01 Task 0000, Job Descri pLi on: Environmental Services_ city of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are included as Additional insured as required by written contract, but limited to the <br />operations of the Insured under said contract per the applicable endorsement with respect to the General Liability and <br />Automobile Liability policies. General Liability policy evidenced herein is primary to other insurance available to an <br />additional insured, but only to the extent required by written contract with the insured. See attached Endt U-GL-1175-B ON <br />C3/2007) and CA 20 48 02 99. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD Al— OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE W111 BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISION' <br />city Of Santa Ma AUTHORD:ED REPREBENTATVE <br />Attn: Maryl in Booth <br />20 to An Center Plaza M-36 l� � 2t; <br />Santa Ana U 92702 USA m fal�s>Ad `��� <br />a1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />t <br />w <br />