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'A�,._...m-` "r CERTIFICATEOF LIABILITY INSURANCE
<br />DATE(MMf03/25/2015 Y)
<br />015
<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 />PHONE (g66) 283-7122 FAX 800-363-0105
<br />(A/C. No. Ext):
<br />E-MAIL
<br />ADDRESS:
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL #
<br />INSURED
<br />INSURER A: Zurich American Ins Co
<br />16535
<br />SCS Enqineers
<br />3900 Kilroy Airport Way, Suite 100
<br />Long Beach CA 90806-6816 USA
<br />INSURERB: Steadfast Insurance company
<br />26387
<br />INSURER C:
<br />INSURER D:
<br />v
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570057118227 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 />INSD
<br />WVD
<br />POLICY NUMBER
<br />FOLIC YYW
<br />MM/POLICY
<br />YYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />C07 112 77
<br />EACH OCCURRENCE_
<br />$2,000,000
<br />CLAIMS -MADE OCCUR
<br />XI
<br />DAMAGE TO RENTED
<br />$1,000,000
<br />PREMISES Ea occurrence
<br />MED EXP (Any one person)
<br />_
<br />- $10, 000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN1 AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$4, 000, 000
<br />X POLICY ❑ PRO ❑ LOC
<br />JEC'T
<br />PRODUCTS - COMP/OP AGO
<br />_
<br />$4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP 0112780-00
<br />04/01/2015
<br />04/01/2016
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY ( Per person)
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />UMBRELLA LIAB OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAR CLAIMS -MADE
<br />AGGREGATE
<br />DED RETENTION
<br />A WORKERS COMPENSATION AND WC011277900 04/01/2015 04/01/2016 X ( PER IOTH-
<br />EMPLOYERS' LIABILITY YIN STATUTE ER
<br />ANYPROPRIETOR/PARTNER /EXECUFIVE E.L. EACH ACCIDENT $1,000,000
<br />N
<br />OFFICER/MEMBER EXCLUDED? N / A
<br />(Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000
<br />B Env Prof (E&0) _t____IP079235300 03/31/201S 03/31/2016 Each Claim $1,000,000
<br />Prof/Poll Liab Aggregate $2,000,000
<br />SIR applies per policy terns & condi ions
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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 't e insured.
<br />i
<br />SCS ENGINEERS AG N-E ENT A-,2Q11-101 REVIEWED BYE EUNICME N-8ERE RA (FIG 1 OF ✓-d)
<br />EMEIEM• ■
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
<br />CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS,
<br />city of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Marylin Booth
<br />20 Civic Center Plaza M-36
<br />Santa Ana CA 92702 USAF,
<br />@1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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