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'0 1 DATE (MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 6/1/2020 5/10/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER p CONTACT— Lockton Companies CON 444 W. 47th Street, Suite 900 PHONE A1C. Kansas City MO 64112-1906 lC-11L No. (816)960-9000 ADDRESS: INSURED HDR ENGINEERING, INC. 1429676 1917 SOUTH 67TH STREET OMAHA, NE 68106 INSURER A : INSURER B INSURER C INSURER D : INSURER E : NAIC # 19437 Cr1VFRAnFR CFRTIFICATF NIIMRFR- IA711n1Q REVISION NUMBER: XX3CXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DtlL WVDgubrPOLICY NUMBER MMMIOID/YYYY MM/D CYEFF Y LTR EXP LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX PREMISES iEaoccurr0ence, $ XXXXXXX CLAIMS -MADE OCCUR MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY ❑ LOC PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ Xaw XXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED N AUTOS AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ XXXXXXX PROPERTY E Par occident $XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE s XXXXXXX EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ xx WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE NOT APPLICABLE PER In - _ STAFUTE ER E.L. EACH ACCIDENT $ XX?4X?O OFFICERIMEMBER EXCLUDED? �. (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYE $ XXXXXXX E.L. DISEASE - POLICY LIMIT $ XXXXXXX If yes, describe under DESCRIPTION OF OPERATIONS below A ARCH & ENG N N 061853691 6/1/2019 6/1/2020 PER CLAIM: $1,000,000 PROFESSIONAL AGGREGATE: $2,000,000 LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF SANTA ANA - ON CALL RIGHT OF WAY COORDIN TC R (RFP 16-141). 30 DAYS NOTICE OF CANCELLATION APPLIES, 10 DAYS NOTICE FOR NON-PAYMENT OF PR UIVI l E WE BY• Iq CERTIFICATE HOLDER 14731039 CITY OF SANTA ANA RISK MANAGMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT �rirtSi' x ©1988=2015 ACORD CORPORATION ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD All rights reserved.