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<br />ARu® CERTIFICATE OF LIABILITY INSURANCE
<br />OATE(MM/OD,YYYY,
<br />03/2B/2014
<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 policy(ies) 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 Angeles CA Office
<br />CONTACT
<br />NAME:
<br />AIC.NNo.Exy: C866) 283-7122 FAX
<br />No.: 800-363-0106
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />E-MAIL
<br />ADDRESS:
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S)AFFORDING COVERAGE
<br />NAIC#
<br />INSURED
<br />INSURER A: National Union Fire Ins Co Of Pittsburgh
<br />19445
<br />SCS Enqineers
<br />3900 Kilroy Airport Way, Suite 100
<br />Long Beach CA 90806-6816 USA
<br />INSURER B: The Insurance Co Of the State Of PA
<br />19429
<br />INSURER c: AIG specialty Insurance Company
<br />26883
<br />INSURER D:
<br />_-26//`/�ir
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570053253542 REVISION 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. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />IN30
<br />MD
<br />POLICY NUMBER
<br />MMIDDIWVY
<br />POLICY EXP
<br />WMIDDIYYYYI
<br />LIMITS
<br />C
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />PROP 4
<br />EACH OCCURRENCE
<br />$2,000, 000
<br />CLAIMS -MADE Fx] OCCUR
<br />PREMISES Ea occurcence
<br />$1,000,000
<br />MED EYE(Any one pare.,)
<br />$5,006
<br />PERSONAL S ADV INJURY
<br />$2,000,000
<br />DEAL AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY PRO ❑ LOC
<br />JECT
<br />PRODUCTS - COMPIOP AGG
<br />$2,000, 000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 5101624
<br />04/01/201404/01/2015
<br />COMBINED SINGLE LIMIT
<br />Ea a.cldent
<br />$1,000, 000
<br />BODILY INJURY (Per person)
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE
<br />Per eccitlent
<br />UMBRELLA UA6
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED
<br />RETENTION
<br />B
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR I PARTNER I EXECUTIVE
<br />OFF'CERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />NIA
<br />WC049342430
<br />A05
<br />WC049342431
<br />CA
<br />D4/01/2014
<br />04/Ol/2014
<br />04 01 201$X
<br />04/Ol/201$
<br />pER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />If
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />c
<br />Env Prof (E&O)
<br />PROP17322480
<br />03/31/2014
<br />03/31/2015
<br />Each Claim
<br />$1,000,000
<br />Prof/Poll Liab
<br />Aggregate
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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, 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.
<br />CERTIFICATE HOLDER CANCELLATION cd
<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 />PQLICY PROVISIONS.
<br />City Of Santa Ana Y(j, M ORIZED REPRESENTATIVE
<br />Attn: Marylin Booth lar
<br />20 Civic Center Plaza M-36 "
<br />Y
<br />a�
<br />Santa Ana CA 92702 USA A//ter (✓QLC/abfr! !%6/'/ aJr/l
<br />`�c�. L' i P�t�. ©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) Thi-n'O ,iil(n�a'rhe Ond togp are registered marks of ACORD
<br />
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