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._ AMEC A-2011 -103- 3 REVIEWED BY /Iot )IZ4_
<br />EUNICE HEREDIA (PG 1 OF 4)
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE15
<br />10 /2
<br />08 /'10/2011 .5
<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 IN',SURER(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 condlitions 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 1 -908- 566 -1010
<br />Construction Risk Partners, LLC
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />A
<br />'.. (A/C, No Ext : A/C Not:
<br />COMMERCIAL GENERAL LIABILITY
<br />E -MAIL
<br />Campus View Plaza
<br />ADDRESS:
<br />INSURERSAFFORDINGCOVERAGE
<br />NAIL#
<br />1250 Route. 28, Suite 201
<br />INSURER A; ACE AMER INS CO
<br />22667
<br />Branchburg, NS 08876
<br />INSURED
<br />INSURER B: ZURICH AMER INS CO
<br />16535
<br />Amec Faster Wheeler Environment & Infrastructure, Inc.
<br />INSURER C:AMERICAN ZURICH INS CO
<br />40142
<br />INSURER D:
<br />100.,000
<br />121 Innovation Drive, Suite 200
<br />INSURER E
<br />$ 10,000
<br />INSURER F:
<br />Irvine, CA 92617
<br />COVERAGES CERTIFICATE Nt1MF3ER, 447614.04 Pr_V1C1nrJ 'All imPtrR•
<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 CONDITIIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />L711
<br />TYPE OF INSURANCE
<br />'
<br />ADDL
<br />INSD
<br />SUER
<br />4WD
<br />POLICY NUMBER
<br />POLICY EFF
<br />''. MMIDD/YYYY)
<br />POLICY EXP'
<br />(MM/DDfYYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />624..556347
<br />...05%01/15
<br />05/01/15
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS4ADF X1 OCCUR
<br />DAMAGE TO
<br />PREMISES Ea oceurrenco
<br />100.,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL B.AOVINJURY
<br />$ 2,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L
<br />POLICY [ X] PRA- LOC
<br />PRODUCTS - COM:PIOPAGG
<br />$ 4,000,000
<br />is
<br />OTHER :
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP 9483148 -04
<br />05/01,/15
<br />05/01/15
<br />COMBINED SINGLE. LIMIT
<br />Ea accident
<br />I$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />AMY A UTO
<br />ALL OWNIED 'SCHEDULED
<br />AUTOS AUTOS
<br />1xx
<br />BODILY INIJIURY (Per accident)
<br />$
<br />HdREDAUT05 X NON - OWNED
<br />AUTOS
<br />PROPERTYOAMAGE
<br />Per accident
<br />$
<br />Camp $1.00 X Coll $1.000
<br />$
<br />UMBRELLA DAB
<br />HCLAIMS-MADE
<br />OCCUR
<br />i, i EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />'... $
<br />EXCESS LIAR
<br />DED RETENTION $
<br />$
<br />C'
<br />C'
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' (LIABILITY Y i N
<br />ANY PROPRIETORJPARTNERrEXECUTIVE
<br />OFFLCERIMEMB ER EXCLUDED?
<br />N I A
<br />WC 3504.866 -14
<br />WC 3867133 -08
<br />05/01/15
<br />05 /01 /15
<br />05/01/16
<br />05/01/16
<br />''STATUTE pRH
<br />E.L. EACH ACCIDENT
<br />$ 1, 000,000
<br />'.. E.L. DISEASE - EA ENIPLOYE
<br />$ 1, 000, 000
<br />(Mandatary In NH),
<br />If yes, deschbe tender
<br />DESCRIPTION OF OPERATIONS below
<br />: E.L. DISEASE - POLICY LIMIT
<br />$ 1, 000, 000
<br />B
<br />Architects & Engineers Prof
<br />IPR 1008375 -00
<br />05/01/15
<br />05/01/16
<br />Any One Claim /Agg' 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES (ACORD 101, Additional Remarks. Schedule, may be attached if more space is required)
<br />Re:; NPDES Inspection and Database Management and As- Needed Services
<br />City of Santa. Ana, its officers, employees, agents and representatives are additional insured on the General Liability
<br />policy as required by written contract. Coverage is primary and non- contributory where required by written contract.
<br />30 days notice of cancellation applies per policy provisions,
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY' PROVISIONS.
<br />Attne. Thomas Lo
<br />20 Civic Center Plaza. AUTHORIZED REPRESENTATIVE
<br />Santa. Ana, CA 92702
<br />I USA
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD' 25 (2014/01) The ACORD name and logo are registered' marks of ACORD
<br />Sklein
<br />44761404
<br />
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