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<br />'`%W- " "" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />03l26/2013
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A I? CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY ORINEGATIVELY AMENDI-`EkttND 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 pq ICy(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 Risk Insurance Services West, Inc.
<br />Los Anggeles CA Office
<br />707 wilshire Boulevard
<br />2600
<br />Los Angeles CA 90017-0460 USA
<br />CONTACT
<br />NAME'
<br />PHONE (866) 283-7122
<br />(A/C. No. Ext) : FAX. No.): (847) 953-5390
<br />(AJSuite
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />SCS Engineers
<br />INSURER A. Chartis Specialty Insurance Company
<br />26883
<br />INSURER B: National Limon Fire Ins CO Of Pittsburgh
<br />19445
<br />3900 Kilroy Airport way, Suite 100
<br />Long Beach CA 90806-6816 USA
<br />INSURERC: Insurance Co of the State of PA
<br />19429
<br />INSURER D:
<br />INSURER E:
<br />4
<br />COVERAGES CCCTIcI!`ATC uI Man-
<br />INSURER F:
<br />----------------•-• - KGVISIUr4 NUMBER:
<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 />Limits shown are as requested
<br />LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY FFF POLICY EXFF
<br />A MWD JMIWDD LIMITS
<br />GENERAL LIABILITY PROP
<br />EACH OCCURRENCE $2,000,000
<br />X COMMERCIAL GENERAL LIABILITY $1, OOO, OOO
<br />PREMISES Ea occurrence
<br />CLAIMS -MADE X❑ OCCUR MED EXP (Any one person) $5 , QQQ
<br />PERSONAL &ADV INJURY $2,000,006 Cr
<br />GENERAL AGGREGATE $2,000, 000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 , OOO, OOO
<br />POLICY X PRO-
<br />IFCT LOC
<br />C.
<br />B AUTOMOBILE LIABILITY CA 327 51 37 03 31 2013 03 31 2014 COMBINED SINGLE LIMIT
<br />Ea accident $1, 000 , 000
<br />X ANY AUTO e jj 7� y q / L� i , _ BODILY INJURY ( Per person) O
<br />X ALL OWNED ( ,1 PRO Y L- D AS rO FOR Z
<br />AUTOS AUTOS BODILY INJURY (Per accident) d
<br />X HIRED AUTOS NSCHEDULED
<br />NON -OWNED - PROPERTY DAMAGE iq
<br />AUTOS r- Per accident
<br />t
<br />UMBRELLALIAB OCCUR aura SC)tI heedy EACH OCCURRENCE V
<br />EXCESS LIAR CLAIMS -MADE A;Sia,i , AGGREGATE
<br />C'� v Atic rne,,
<br />DED RETENTION
<br />C WORKERS COMPENSATION AND WC 4825 03 21 04/01/2013 04/01/2014 WC STATU- 0TH-
<br />C EMPLOYERS' LIABILITY YIN WC 4825 03 26 04 X TORY LIMITS
<br />C ANY PROPRIETOR / PARTNER / EXECUTIVE /Ol/2013 O4/OS/2014 E.L. EACH ACCIDENT $1 QQQ QQQ
<br />OFFICER/MEMBER EXCLUDED? NIA WC 4825 03 28 i
<br />/01/2013 04/Ol/2014(Mandatory in NH)If yes, describe under E.L. DISEASE -EA EMPLOYEE $1,QQQ,QQQ
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000
<br />A Env Prof (E&Oj 15RO/17322480 /31/2013 03/31/2014 Each Claim $1,000,000.�
<br />Prof/Poll Liab Aggregate $2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required)
<br />job No. 90000016.01 Task 0000, job Description: 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, Automobile Liability policiesper the applicable endorsement with respect to the General Liability and
<br />. 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.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City Of Santa And AUTHORIZED REPRESENTATIVE Attn: AUT-r
<br />20 Civic Center Plaza M-36
<br />Santa Ana CA 92702 USA
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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