Client#: 1257049
<br />305LEIGHGRO
<br />ACORDT, CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY)
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />2/09/2016
<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 />BB&T Insurance Services
<br />of Orange County
<br />2400 Kateelm, a Avenue Ste 1100
<br />CONTACT
<br />NAME: Kathy Waters
<br />PHOIC'NEEll):714 941-2938 FAX No):
<br />E-MAILI KWaters@bbandt.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />Anaheim, CA 92806
<br />INSURER A: Lexington Insurance Company 19437
<br />INSURED
<br />Leighton Consulting Inc
<br />17781 Cowan Ste. 100
<br />INSURER B: Travelers Indemnity Company of 25682
<br />INSURER C :
<br />INSURER D:
<br />Irvine, CA 92614-6009
<br />EACH OCCURRENCE $1 1000
<br />--10-00
<br />PREMISES ERENTED occur ante $50 1 000
<br />INSURER E:
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: REVISION Nt1MRFR-
<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 CONTRACTOR 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />INSR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />065463440
<br />2/14/2016
<br />02/14/2017
<br />EACH OCCURRENCE $1 1000
<br />--10-00
<br />PREMISES ERENTED occur ante $50 1 000
<br />MED EXP (Any one person) $ EXCLUDED
<br />PERSONAL & ADV INJURY $1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY X] JECOT [j] LOC
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'L
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />OTHER:
<br />Overall Policy
<br />General
<br />Aggregatel
<br />$$5,000,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BA0305L81416CAG
<br />2/14/2016
<br />02114/2017
<br />COMBINED
<br />COMBINED SINGLE LIMIT
<br />accldenO 11,000,000
<br />AUTO
<br />BODILY INJURY (Per person) $
<br />IxANY
<br />ALL OWNED SCHEDULEDBODILY
<br />AUTOS AUTOS
<br />INJURY Per accitlenl $
<br />( )
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE $
<br />Per accident
<br />$
<br />A
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />006546318
<br />2/14/2016
<br />02114/2017
<br />EACH OCCURRENCE s5000 000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE s5,000,000
<br />DED I X I RETENTION $10000
<br />$
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNERIEXECUTIVE Y 1 N
<br />OFFICER/MEMBER EXCLUDED?
<br />N / A
<br />rp
<br />EL, EACH ACCIDENT $
<br />E.L. DISEASE - EA EMPLOYEE $
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below _
<br />_
<br />E.L. DISEASE - POLICY LIN41T $
<br />A
<br />Prof/Poliutn Liab
<br />013001524
<br />2/14/2016
<br />02/14/201
<br />$2,000,000 Per Claim
<br />Claims Made
<br />$4,000,000 Aggregate
<br />$50,000 Ded
<br />DESCRIPTION OF OPERATIONS] LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />Additional Insured applies on General Liability per Lexington's Additional Insured
<br />Owners, Lessees or Contractors endorsement LX4316 06/14 and LX9605 10/01 attached to the General Liability
<br />policy as required by written contract. Primary wording applies to General Liability er L, xington s
<br />endorsement LX9838 08105 attached to policy. ,! /
<br />REVIEWED �.�'Y " � LC�V,dIE4 � I IE&�l 8�1/�, �;P G s'�6 L
<br />Re: Leighton Proj A-2006-097/Agrmt # A-2011-100, Environmental Consultant Services
<br />(LC)City of Santa Ana its SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />officers, employees, agents, ACCORDANCE WITH THE POLICY PROVISIONS.
<br />volunteers and representatives
<br />20 Civic Center Plaza M-36 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S15579472/M15564735 LXMCN
<br />
|