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�'� L'� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(M6UDO/YYYY)
<br />ta3onolz
<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 poiicy(fes) 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 endorsements .
<br />PRODUCER
<br />MARSH RISK & INSURANCE SERVICES
<br />345 CALIFORNIA STREET, SUITE 1300
<br />CALIFORNIA LICENSE NO. G437153
<br />CONTACI
<br />NAME:
<br />PHONE FAX
<br />(A/C, kol
<br />E-MAIL
<br />SAN FRANCISCO, CA 94104
<br />INSURE S AFFORDING COVERAGE
<br />NAIC Y
<br />INSURER A: National Union Fire Ins Cc Pittsburgh PA
<br />19445
<br />URSCOR-ALL-PROF-12.13 SAN CA
<br />INSURED URS Corporation
<br />INSURER B : Zurich American Insurance Company
<br />16535
<br />INSURER C : Illinois National Ins Cc
<br />23817
<br />dba URS Corporation Americas
<br />2020 E. First Street, Suite 400
<br />Santa Ana, CA 92705
<br />INSURER D : Insurance Company Of The State Of PA
<br />19429
<br />Lexin ton Insurance Company
<br />INSURER E : 9 pa y
<br />19437
<br />INSURER F : Lloyd's Of London & &Itlsh Companies
<br />15792
<br />CUV1=KAGE5 CERTIFICATE Nl1MBER SFA.11119979en'Lnu OrWICtnat kll lru CCD.o
<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 />INSR
<br />L7
<br />TYPE OF INSURANCEiusR
<br />ADDL
<br />SUER
<br />vivriPOLICY
<br />NUMBER
<br />MMIDDY/YYYY
<br />MMlD�YY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />GL2491973 �-- ?
<br />11,111011
<br />EACH OCCURRENCE
<br />S 2,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />0 AS
<br />TO FOR jlii09,0112111
<br />DAMA E 10 R E N
<br />PREMISESEa occurrence
<br />S 1,000,000
<br />CLAIMS -MADE O OCCUR
<br />10,000
<br />11
<br />MED EXP (Any one person)
<br />$
<br />X XCU, BFPO
<br />PERSONAL & ADV INJURY
<br />S 2,000.000
<br />X
<br />Contractual Liabilily
<br />GENERAL AGGREGATE
<br />$ 2.000,000
<br />li
<br />t I
<br />{
<br />GEN L AGGREGATE LIMIT APPLIES PER.
<br />PRODUCTS-COMPIOPAGG
<br />$ 2,000,000
<br />0�
<br />POLICY X PRO- LOC
<br />$
<br />8
<br />AUTOMOBILE
<br />LIABILITY
<br />77I
<br />69,,T2613
<br />MB
<br />EaaccidentINE SINGLE LIMIT
<br />2000000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />S
<br />ALL OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />S
<br />AUTOS AUTOS
<br />HIRED AUTOS NON-0Y1^!ED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />raccident)
<br />S
<br />S
<br />UMBRELt.ALIA6
<br />[d
<br />OCCUR
<br />EACHOCCURRENCE
<br />S
<br />EXCESS LIAR
<br />CLAIMS -!BADE
<br />AGGREGATE
<br />S
<br />DEO RETENTIONS
<br />S
<br />A
<br />WORKERS COMPENSATION
<br />SEE ATTACHED - ACORD 101
<br />01i01012
<br />07011201
<br />KCSTATU• IOTH.
<br />D
<br />AND EMPLOYERS' LIABILITY YINCRY
<br />ANY PROPRIETOWPARTNER/EXECUTIVE
<br />SEE ATTACHED •ACORD 101
<br />01,0112012
<br />OLU1/2013
<br />I
<br />2,000,000
<br />C
<br />OFFICER/MEMBER EXCLUDED?
<br />N I A
<br />E.L. EACH ACCIDENT
<br />S
<br />E L DISEASE - EA EMPLOYEE
<br />S 2,000,000
<br />(Mandatory In NH)
<br />SEE ATTACHED - ACORD 101
<br />01,0112012
<br />0110112013
<br />If yes• describe urxier
<br />E.L. DISEASE - POLICY LIMIT
<br />S 2,000,000
<br />RIPTION OF OPERATIONS below
<br />ab wiLmld Contractual
<br />IF
<br />015498068
<br />11,0112012
<br />09,,101/2013
<br />Each Claim $1,000,000
<br />6!adelRetroII-17.1938
<br />PPI205610
<br />11,01012
<br />09,01 013
<br />Aggregate $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />The City of Santa Ana, its officers, emp'oyees, agents, vo'unteers and representatives are included as Additonal Insureds as respects the General Liability policy, where required by written contract.
<br />This insurance is Primary over any similar insurance avaaab:e to any person or organization we have added to this po"cy as Additional Insureds.
<br />City of Santa Ana
<br />20 Civic Center Plaza - Ross Annex (M-36)
<br />Santa Ana. CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />Lynne Harrington
<br />©1988-2010 ACORD CORPnRATIAN All rinhfc rucu...nA
<br />ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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