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Home My WebLink AboutAECOM 4B -2013City of Santa An " `_•r t Clerk of the Council AGREEMENT TERMINATION FORM 14;1-44 COTC Office Use Only Please complete this form when the attached agreement and all City of Santa Ana amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M-30). JUN 2 3 2021 Clerk of the Council The agreement with Af('0 l,er /IA,C a.l 5�r viGeS { F, r- 14 ZI% No. # -3aJ/ - P6,1' was completed on ��' and final payment has been made. (List all amendments. Use space below if needed.) n Department: Phone/Ext.: Jti'/ Signature. Dater Revised 04-12-10 :l l =3 rtoRKMAr . 'J ILL ('LFRK 5v SECOND AMENDMENT TO AGREEMENT THIS SECOND AMENDMENT TO AGREEMENT is entered into on February 19, 2013, by and between AECOM Technical Services, a California corporation ("Consultant") and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS: A. The City and Consultant entered into that certain Agreement A-2008-216, dated August 18, 2008, (hereinafter "said Agreement") by which Consultant has provided engineering and landscape architecture services on an on -call basis. B. By Amendment A-2011-061, dated March 7, 2011, the parties amended the Scope of Services authorizing Consultant to provide engineering and architectural services to prepare contract documents and construction support for improvements in the downtown parking garages. C. Consultant completed the engineering plans for the project. However, funding available to pay for the construction of the improvements has been reduced. D. In accordance with the terms and conditions of said Agreement, the parties wish to amend the Scope of Services to provide additional engineering services required to provide engineering and architectural services to provide the improvements on a smaller scale to accommodate the reduced budget. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Second Amendment to Agreement, the parties agree as follows: 1. Section 1, SCOPE OF SERVICES, shall be amended to provide that Consultant will provide engineering services necessary to prepare engineering documents for security upgrades and parking controls at the downtown parking garages, as set forth in Consultant's Proposal dated February 2, 2013, attached hereto as Exhibit A and incorporated herein by this reference. 2. Section 3, COMPENSATION, shall be amended to increase compensation by $60,000. Consultant shall provide the additional services at the rates and charges set forth in Exhibit A, for a not to exceed cost of $43,860. An additional $16,140 shall be available to pay for unforeseen costs and services related to the services set forth in Exhibit A. The total amount which may be expended pursuant to said Agreement shall not exceed $535,000.00. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. A-2013-034 IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney Lira Sheedy ' Assistant City Attorney RECOMMENDED FOR APPROVAL: GODINEZ II Executive Director - P CITYP;AANA xEv ouRxE Interim City Manager CONSULTANT: AECOM TECHNICAL SERVICES By:lzl�VAA a Name: M A7-7- u u,t" y A Title: VICE ncesiDENT EXHIBIT A CONSULTANT'S PROPOSAL FEBRUARY 2, 2013 AECOM AECOM 999 W. Town & Country Road, Orange, CA 92868 T 714,567,2501 F 714.567.2441 www.aeconn.com February 2, 2013 Mr. Kenny Nguyen City of Santa Ana 20 Civic Center Plaza Santa Ana, California 92702 Dear Kenny, Subject: Incorporation of Security Upgrades to Parking Structures This letter is AECOM's proposal for services associated with security upgrades at four City of Santa Ana parking structures. The basis of this scope of work is our telephone discussion and knowledge of the project from our previous services on these facilities. We propose to utilize AECOM's On -Call contract with the City of Santa Ana for this work. The contract is titled "On -Call Engineering and Landscape Architecture Services", Contract No. A-2008-216. General Scope of Work Items The scope of work for this proposal is to extract certain improvements from contract documents that were previously prepared for broader improvements to the four parking garages. This proposal does not include seismic analysis or retrofit of any structures, fire sprinklers, parking lot ingress/egress controls (these were previously prepared by others and will be incorporated into the package however), or modifications to the sidewalks or public streets around the parking structures. In addition, ADA related issues are not included with this proposal since the proposed work is assumed to be routine operational or maintenance work and therefore does not meet the threshold of requiring ADA upgrade to other portions of the facilities. The contract documents will be to City of Santa Ana standards and will include plans, specifications, and contract provisions. It is assumed that the City's standard boilerplate contract document will be used as a basis and updated with the project's information to form the final contract documents. This will be performed by AECOM as part of this proposal. Lastly, the scope of work does not include construction administration (CA). That work can be added and our previous estimate will be adequate to cover the work should it be requested by the City. Other assumptions include: Submittal will be 100% draft package and final construction documents. Drawings will be in Autocad. The hourly rates are as listed in AECOM's On -Call contract for 2012 (City contract number A-2008-216). Project Specifics— Sr" and Spurgeon (Fiesta Marketplace) Services will include extracting contract document items related to the following: • Parking controls for the garage (gates, access controls, and ticket booths) • Electrical upgrades needed to support parking controls. AECOM Transportation Mr. Kenny Nguyen February 2, 2012 Page 2 of 3 • Roll -up grilles and supports (including electrical upgrades to support roll -up grilles). • Structural repairs as specified for the facility in the previous contract documents. • Modify storage area in garage to replace existing enclosure with chain link fencing and gate. • Modify access doors to improve security of door handles and locks — add steel mesh to secure. • Remove Fiesta Marketplace overhead sign. The total cost of the service is $16,750. This cost is based on the following breakdown: Engineering/Mgmt $ 1,200 Architectural Engr $ 0 Electrical Engr $ 2,000 Structural Engr $ 2,200 Mechanical Engr $ 0 Nestor+Gaffney $ 8,500 Cost Estimate $ 1,500 Subconsultant mark-up (10%) $ 850 (10% of Gaffney) AECOM ODC $ 500 Total Cost (this location): $ 16,750 The total cost of the service for Fiesta Marketplace is $16,750. Other Three Parking Garages The scope of work for the parking garages located at Third/Birch, Fifth/Main, and Third/Broadway shall include the items listed below. AECOM's scope of work includes extracting the information needed to prepare a contract bid set that includes the following: • Roll -up grilles for parking garages at Third/Broadway and Third/Birch. • Parking controls (gates, access controls, and ticket booths) for the garages at Third/Birch and Third/Broadway. • Replacement or addition of steel mesh around exterior doors; new egress doors equipped with panic hardware on first story doors at Third/Birch. • Electrical work needed to support the parking controls and roll -up grilles. • Management booth at Fifth/Main (including electrical). • Replace concrete panel on Fifth/Main. • Upgrade security grating on first Floor of Third/Broadway parking structure so that first floor is secure and enclosed. AECOM Transportation I AECOM Mr. Kenny Nguyen February 2, 2012 Page 3 of 3 • Place security gates on bridges that lead to Third/Broadway parking structure (2 places). In addition, place mesh on railings leading to the bridges to secure openings. Note: ADA access will not be checked for the garages. The total cost of the service is $27,110. This cost is based on the following breakdown: Engineering/Mgmt $ 5,300 Architectural Engr $ 15,160 Electrical Engr $ 3,650 Structural Engr $ 1,500 Cost Estimate $ 1.500 Total Cost (this location): $ 27,110 Summary of Costs: 5 & Spume rgeon (Fiesta Marketplace): $ 16,750 Other Structures: $ 27,110 Total Costs (with optional work) $ 43,860 Please review the proposal and let me if you would like to discuss the contract and total costs. Also, would like to thank you for the opportunity to provide this proposal and to assist the City. Our team is looking forward to the work. Sincerely, Gregory W. Hefter Project Manger AECOM Transportation ( AECOM AECOM Hourly Rate Schedule - Santa Ana On -Call Contract Contract No. A-2008-216 Note: No change from 2011 to 2012. 2013 rates reflect 2% increase from 2012. Classification 2011 Billing 2012 Billing 2013 Billing Rates Rates Rates Project Director $222.85 $222.85 $227.31 Project Manager $203.18 $203.18 $207.24 Technical Specialist $186.80 $186.80 $190.54 Principal Engineer $168.23 $168.23 $171.59 Project Controls Manager $149.66 $149.66 $152.65 Senior Engineer $145.29 $145.29 $148.20 Engineer $126.72 $126.72 $129.25 Senior CAD Designer $126.72 $126.72 $129.25 Associate Engineer $105.97 $105.97 $108.09 Project Controls Specialist $99.41 $99.41 $101.40 Assistant Engineer $96.14 $96.14 $98.06 CAD Drafter $85.21 $85.21 $86.91 Administrative Assistant $72.10 $72.10 $73.54 AECQM Transportation A� o° CERTIFICATE OF LIABILITY INSURANCE DATE(Mk400/$YYY) 04/0512012 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 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 CONTACT NAME: Marsh Risk & Insurance Services _ -.. PHONE _- — — _ FAX CA License#0437153 South Street ADDRESS,_ DOR :-----_--_--._—__-___- s, CA 9 Los Angeles, CA 90017 Los Atn' TO Bryson(213y346-54&4 _.. _,_._ ._ _- INSURERSO AFFOROING COVERAGE _ NAICY 16535 06510-AECOMCAS-12/13 Orange CAMCELA 0412 CA INSURER A: Zuhch Amexan Insurance Company INSURED AECOM Technical Service, Inc. INSURER B' INSURER C. Winos Union insurance Co (Tk.d.DM1M Hans) 9 Fount a aa��-.b�� I27960 NIA___—_-..__ NIA rwge,an921168 a06$'-2/� Orange, 92868 / INSURER D: — - - -- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LOG-001363106-19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POI ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1YF 5q TYPE OFINSUMNCE O UBHf— �-POLICY NUMBER MMI �/ EVY MMIDCWYYVY ---- LIMITS IGLO A GENERAL LIABILITY 596589104 OW01I2012 04N112013 EACH OCCURRENCE I$ 1.000.000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR _ DA A TORENTEJ�——'--100000D PREMISES Ea occurrence) MED EXP (my one son) $______ $ 5,000 PERSONAL& ADV INJURY _ $ 1-M-0000 GENERAL AGGREGATE $—1.0001000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPIOP AGO $ 1,000,000 X I POLICY PPP LOU jEcT Is A AUTOAwBILE X LIABILITY ANY AUTO BAP 596589304 0WO1I2012 0410112013 COMBINED SINGLE LIMIT ] Ea—S.,Wl _ BOOILY INJURY (Perperson) 1 L 000000 _ 00 $ ` ALL OSCHEDULED AUTOS UAUTOS BODILY INJURY(Peraccidem) $ NON -OWNED HIRED AUTOS AUTOS I Pe'.EYOAMAGE LAccMXkI _ _ ____ Is UMBRELLA L As OCCUR EACH_ OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEp RETENTION$ IS WORKERS COMPENSATION AND EMPLOYERS'LMBILRY Y/N ANY PROPRIETOWPARTNEWEXECUTIVE IMEMBER OFFICEREXCLUUED? NIA WC STATU- !OTH YLMITS, I ER E L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (MendatM in NH) Il yyee tlescrbe- OESCRIPTIONOFOPERATIORSUeIow E.L. DISEASE POLICY LIMIT $ C ARCHITECTS&ENG 10410112013 Per ClaindAgg $1,000,000 PROFESSIONAL LIAB. ""CLAIMS MADE"' Defense Included DESCRIPTION OF OPERATIONS/ LOCATIONSI VEHICLES (patch ACORD101,A iUonNBH—A-Schedule, it more spew is required) RE'. CONTRACT NO. A-20OB-216, ON -CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT NO.6D100544) THE CITY OF SANTA ANA, CA, ITS OFFICERS. EMPLOYEES NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SUCH INSURANCE AFFORDED SHALL BE PRIMARY INSURANCE AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND NOT CONTRIBUTORY INSURANCL FOR GENERAL LIABILITY COVERAGE. A WAIVER OF SUBROGATION IS PROVIDED FOR THE GENERAL LIABILITY AND AUTO LIABILITY COVERAGES. . AS ., The City of Santa Ana AIN', Sher) Barkley, PUDk Works Design 20 Civic Center Rana Santa Ana, CA 92701 Assistant City Atlorn,y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TRIF EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services David Denihan ALJunu zo IZUTWUO) 1988-2010 ACORD The ACORD name and logo are registered marks of ACORD reserved. a ___ CERTIFICATE OF LIABILITY INSURANCE �i 4/Irzo13 DA3/27/DmYYYY) 3/27/2012 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: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endomement(s). PRODUCER Locklon Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 CONTACT Arc No, Ext: NC No E-MAIL ADDRESS' INSURER AFFORDING COVERAGE NAIC If 949-252-4400 INSURERA: Travelers PmPMyCasualtyCoofAmcrlca 25674 INSURED ADTechnology Corporation 1075642 AECOM USA, Inc. 605 Third Avenue INSURER B INSURER C INSURER D New York NY 10158 NSURER E: R F: COVERAGES AECTE01 OE CERTIFICATE NUMBER: 2828939 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADpI SUBR VIVD POLICY NUMBER POLICY EFF M DD/YYYY POLICY UP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX CLUMS-MADE❑OCCUR MED UP (Any one PI XXXXXXX PERSONAL B ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ XXXXXXX PRO - $ POLICY JECT LOC AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ XXXXXXX ANYAUTO NOT APPLICABLE BODILY INJURY (Per person) $XXXXXXX AUTOS NED AUTOOSULED BODILY INJURY (Peracai ma $ XXXXXXX HIRED AUTOS H AUTOSNON-OWNED PeOPELen DAMAGE $ XXXXXXX UMBRELLA LIM OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIM CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX TIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY XT TRJUB-4245B231-12 4/1/2012 4/1/2013 WC STATU- OTH- X T RV IMIT A A ANY PROPRIETOWPMTNERIE%ELIITIVE YIN OEFlCE.EmaERExCLUE6 NIA ((AZ,MA,OR,WI) TC2.JUBA245B22A-12 4/1/2012 4/1/2013 EL EACH ACCIDENT $ 1000000 ELUSEASE-EA EMPLOYEE 1000000 A (All Other States) if"sdesonNund Ryes DESCRIPTION OFF DESCRIPTION OF OPERATIONS ENar E L. DISEASE POLICY LIMIT 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES rAttach ACORD 101, Additional Remade Schedule, if more space is required) Notice of Cancellation applies per attached endorsement. RE: Design Services for the First Street bridge widening project. 2828939 City of Santa Ana Public Work Agency Alto Jason Gabriel 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles Ali o® ADDITIONAL REMARKS SCHEDULE Page 2 of 5 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM Technical Service, loc. if.k.a. DNUM Harris) 999 Town and Country POLICY NUMBER Orange, CA 92858 CARRIER NAIC CODE EFFECTIVE GATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance POLICY NUMBER; OLD 591489104 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organoation: The City of Santa Ana Public Works Design Engineering 20 Civic Center Plaza Santa Ana, CA 92701 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 CONTRACT NO. A 2000.216, ON CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT NO.60100544) THE CITY OF SANTA ANA. CA, ITS OFFICERS, EMPLOYEES (If no entry appears above, information raguked 0 complete this endorsement wia be shown in the Dedma-tans as applicants 0 this endorsement) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV COMMERCIAL GENERAL LIABILITY CONDITIONS)It amended by the addition of the Io"ing: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for inquiry or damage aising out of your ongoing operations or'your work' done under a contact with that person or organization and included in the'productscornpleted'operations hazard'. This waiver applies only, to the person or organization shown in the Schedule above. ACORD 101 Copyright, Insurance Services Of", Inc. , 1992 xnna ernwn rnwonwennM eD .f..N4� .nun.vn.4 The ACORD name and logo are registered marks of ACORD ACORO® L� AGENCY CUSTOMER ID: 06510 LOC A: Los Angeles ADDITIONAL REMARKS SCHEDULE Page 3 of 5 AGENCY NAMED INSURED Mash Risk &Insurance Services AECOM Technical Service, Inc. Qk.a DMJM Harris) 999 Town and Country POLICY NUMBER Orange, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Waiver of Transfer Of Rights 01 Recovery Against Others To US POLICY NUMBER BAP696589304 ER. DateolPol -Esp Daeh Pot Far Date of End Agency No AVJdI. Prem Return Poem 4/1/13 411/12 This endorsement is issued by the company, named in the Declarations. II changes the policy on the effeclive dale listed above at the hour staled in the Declarations. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. Namedimmed AECOM Technical Service, Inc IT a. DMJM Harris) This i n leemovenl modifiesinsurance prov✓Jed under. BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM GARAGE COVERAGE FORM SCHEDULE Name of Person or Organizafion The Cry of Santa Ana Public Works Design Engineering 20 Civic Center Plaza Santa Ana, CA 92701 CONTRACT N0. A-2008-216, ON CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES IAECOM CONTRACT NO 60100644t THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES 411/12- We waive any right of recovery we may have against the designated person or organization shown in the schedule because of payments we make fer injury or damage caused by ar'accidenr or'loss' resulting hem the ownership maintenance, or use of a covered'autC for which a Waiver of Subogation is required in conjunction with work performed by you for the designated person or mgmIzation. The waiver applies only b be designated person or organization shown in the schedule. U-CA-320-BCW 14(94) Page 1 of 1 101(2008/01) The ACORD name and logo are registered marks of ACORD All riahts AC4OR" Lam' AGENCY CUSTOMER ID: 06510 LOC 44: Los Angeles ADDITIONAL REMARKS SCHEDULE Page 4 of 5 AGENCY NAMEDINSURED Marsh Rsk & Insurance Selviaes AECOM Technnal Service, Inc. if.k.a. DMJM Hams) 9%Town and Country POLICY NUMDER Orange, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance POLICYNUMBER. GLO596589104 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endonenni modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Nana 01 Additional Insured Persons) Or Organizztionsis) The Gry of Santa Ana Public Work, Design Engineered 20 Civic Center Plaza Saula Ana, CA 92701 COMMERCIAL GENERAL LIABILITY CG 2026 07 04 CONTRACT NO. A 2D08-216, ON CALL CONTRACT FOR ENGINE ERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT N0. 60100544) THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES Information required to complete this Schedule. it not shown above, will be shown in the Declarations Section II - Who is An Insured is amenoed to include as an additional insured the pemon(s) or organizations) shown in the Schedue, but only with respect to liability for 'bodily injury', *property damage' or 'personal and adverbsing injury' caused, in whole or in pal by your Dios or omissions or the acts or omissions of Those acing on your behalf. A. In the performance of your ongoing operations; or B. In connection with your premises awned by or rented to you. CG 20 26 07 04 POLICY NUMBER. BAP 596589304 ACORD 101 The ACORD name and logo are registered marks of ACORD All rights reserved. A4 020' L--� AGENCY CUSTOMER ID: 06510 LOC a: Los Angeles ADDITIONAL REMARKS SCHEDULE Page 5 of 5 AGENCY NAMED INSURED Marsh Rsk B Insurance Services AECOM Technical Service, Inc (I.k a. (WOM Hams) 999 Tom and Country POLICY NUMBER Orange, CA 92868 CARRIER NAICCODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance ADDITIONAL INSURED -DESIGNATED PERSONS OR ORGANIZATIONS Named Insured: AECOM Techncal Service, Inc. (Na. OWN Hams) Policy Symbol Policy Number Poky Period Effective Date of Endorsement BAP 5965893 04 411112 to 4l3 Issued By W596589304 41112012-411r2013 411112 )Name of Insurance Company) Zurich American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following. BUSINESS AUTO POLICY TRUCKERS POLICY GARAGE POLICY Addroona' Insured (s) The City of Santa Ana Public Works Design Engmeenrig 20 Civic Center Raze Santa Ana, CA 92701 CONTRACT NO. A2008-216, ON CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES (AECOM CONTRACT N0. 60100544) THE CITY OF SANTA ANA, CA, ITS OFFICERS, EMPLOYEES ANY AUTO A, For a covered'auto,'Who is Insured is changed to inckde as an 'insured ' the persons or organizations named in this endorsement. However lllesepersons or organizalions are an'ins'ured' only for "bodily injury' of *property damage' resulting from acts or caissons of: 1. You 2 Any of your employees or agent. 3. Any person operating a covered'auto with permission from You, any of your employees or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium CA 2048 02 99 2008 ACORD CORPORATION. All riahts reserved - The ACORD name and logo are registered marks of ACORD Additional Insured -Owners, Lessees or Contractors (Primary Insurance) a ZURICH No. Eff I]ate of Pot Epp, Dole of Pot ES At of End Pa94ar AWL Po EetumPm FPolieY GL O9965891-Oct 61UU12 204OU13 04UU12 75310000 S This endorsement modifies the insurance provided under the following: Commercial General Liability Coverage Form SCHEDULE Name of Person or Organization; Only those as required by written contract (If no entry appears above, information requiredto complete this endorsement will be shown in the Declarations as applicableto this endorsement.) SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. The insurance provided bythis endorsement is primary insurance and we will not seek contribution from any other insurance available to the person or organization shown In the Schedule unless the other insurance is provided by a contractor other than you for the same operation and job location. Then we will share with that other insurance by the method described in paragraph 4.c, of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS. 9-GL-I091-ACW(12/01) Page [ of I 0006376 SP 0114 -Cffl- 0379-1 The City of Santa Ana Attn: Sheri Barkley, Public Works Design Engineeri 20 Civic Center Plaza Santa Ana, CA 92701 M. A�orzlb® CERTIFICATE OF LIABILITY INSURANCE DarElMm/oolvvvv) 0312112014 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(les) must 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 Marsh Risk & Insurance Services CA License N0437153 CONTACT NAME: San AIC Net: 777 South Figueroa Street Los Angeles, CA 90017 0PHONE, E-MAIL ADDRESS: Akn: LOBAngeles,cedrequest@mamh.com 06510-BOYLE-07.14-15 NEWP CA INSURER 9 AFFORDING COVERAGE NAIC N INSURERA: Zurlch American Insurance Company 16535 INSURED AECOM USA, Inc, AECOM TECHNICAL SERVICES, INC, L _ / 1501 QUAIL STREET NEWPtlRT BEACH, CA 92680 _ �— 6,�)�4-� INSURER B : INSURER C; Illinois Union Insurance Co 27960 NSURER D: NIA INSURER NIA INSURER E INSURERF: --(D;L COVERAGES CERTIFICATE NUMBER: LOS-001322172-33 REVISION NUMBER: 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 LTR TYPE OF INSURANCE DL SUBS POLICY NUMBER POLICY EFF MM/DO/YYYY) POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY GLO 596589106 0410112014 0410112015 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 1,000,000 CLAIMS -MADE I X1 OCCUR MED EXP lAny oneEamon) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMPIOP AGO $ 4,000,000 X POLICY PRO- LOC $ A AUTOMOBILE LIABILITY BAP 5965893 06 04101/2014 04/0112015 COMBINED SINGLE LIMIT Ee ecc dent 1,000,000 BODILY INJURY (Per pemcn) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peraccidenh $ PROPERTY DAMAGE Pe accident $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR a J➢'"" —'^VEJ)':� EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE g9E t'X " g..-'- DED RETENTION$ $ 6- .�—.^'� WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A LIS)N s 1gt0lTt ',,Ity Aa6 AttOr HPX WCSTATU- OTH- E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) 1 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ C ARCHITECTS&ENG, EON G21654693 04101I2013 10108/2014 Per Claim l Aggregate $11000,000 PROFESSIONAL LIAB. ''"CLAIMS MADE-` Defense Included DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: As -needed basis for various publc works projects. CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AFFORDED SHALL BE PRIMARY AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND SHALL BE EXCESS AND NOT CONTRIBUTORY INSURANCE FOR GENERAL LIABILITY COVERAGE, CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Public Works Design Engineering THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza (M36) ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702-0000 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services David Denihan @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD Additional Insured -Owners, Lessees or Contractors (Primary Insurance) Policy Na Eff Date of Pol I R(p. Date of P.1 I Eff„Date of End, Producer ?dd'l.:F=k Retum.Prem PLO 59b5891-05 041Q1/14 4/O1{1S 4/01114 75320-000 s $ This endorsement modifies the insurance provided under the following: Commercial General Liability Coverage Forth SCHEDULE Name of Person or Organization: Only those as required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II — MO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed For that insured. The insurance provided by this endorsement is primary insurance and will not seek contribution from any other insurance available to the person or organization shown in the Schedule unless the other insurance is provided by a. contractor other than you for thesame operation and job location. Then we will share with that other insurance by the method described in paragraph 4.c: of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS., 'C7V L) F S TO S CK Ea/Attorney Assistant U-GL-1081-A CW 02/01) Page l of I POLICYNUMBER: BAP6965893-06 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fled by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not utter coverage provided In the Coverage Form. This endorsement changes the policy effective on the. Inception date of the policy unless another date is indicated below. Endorsement Effective: 411/14 Countersigned By: Authorized Re resentative Named Insured: AECOM USA, Inc. SCHEDULE Name of Person(s) or Organ!zatiort(s): ONLY THOSE WHERE REQUIRED BY WRITTEN CONTRACT. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form, LiS Copyright, Hawaii Insurance Bureau, Inc., 1999 'Assistant City Attorney Includes copyrighted material of the Insurance Services Office, Inc., with its permission �/ CA 1023 (2.99) CA 2048 02 99 Copyright, Insurance Services Office, Inc., 1999 Page 1 of 1 I Nmed Insured: AECOM USA, Inc. Effective: 04/0112014 POLICYNUMBER: GLO5965891-06 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A A P �:JA ;C*7101 01 :401 :10.1 This endorsement modiles insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) ONLY THOSE WHERE REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations, Section II — Who Is An Insured is amended to In - dude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with re- spect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. �-Jc),Vvn &S, OC LISA E, S AttorneyAssistantUty V/Y CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page I of 1 UNIFORM ACORO® CERTIFICATE OF LIABILITY INSURANCE 1�� 4/1/20t5 DATE(MMIDUnvvY) 1 3/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEFWFICATE 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 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 Lockfon Insurance Brokers, LLC 19800 MacArthur Blvd., Sufte 1250 CA License #OF15767 Irvine 92612 CNAONMTACTE: PHONE FAX t: AC No: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NATO$ 949-252-4400 INSURER A: Travelers Property Casualty Cc of America 25674 INSURED AECOM Technotogy Corporation I075642 AECOM Technical Services, Inc. INSURER B INSURERC: 999 W. Town & Country Rd. Orange CA 92868 INSURER D : INSURER E El INSURER F COVERAGES AECTE01 CERTIFICATE NUMBER: 12507293 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADD INSR SUBR WVD POLICY NUMBER POLICY BEE MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY NOT APPLICABLE_EACH O U g DAMAGE TO RENTED PREMISES (Ea occurrence) $ X}{XXXXX MCLAI LGENE BICU MED EXP An one erson $ xxxxxxx CLAIMS -MADE OCCUR PERSONAL&ADV INJURY $ X}{XXXXX GENERAL AGGREGATE $ xxxxxxx GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ XXXXXXX $ POLICY 7 PRO- LOC JECT AUTOMOBILE LIABILITY NOT APPLICABLE MB INED IN LE (Ea accident) S XXXXXXX BODILY INJURY (Par person) $ XXXXXXX ANY AUTO ALL OSCHEDULED AUUTOSS AUTOS BODILY INJURY Par accident $ XXXXXXX ORTY DAMAGE PRPED $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XXXXXXX DIED RETENTION$ $ xxxxxxx A AANVCERIMEMBERIPXCLUDEIEXEODTIVE A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN OPPICERPRIETOR EXCLDDEDP N (Mandatory In NH) ❑ If,, describe under DESCRIPTION OF OPERATIONS below NIA N TRJUB�-4245B231-14 CJUB-4245EI22A-14 (All Other States) 4/1/2014 4/1/2014 4/1/2015 4/1/2015 X TORY LIMIT OTH- ER EL EACH ACCIDENT $ I000000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Notice of Cancetlatioa applies per attached endorsement. _ yy�� VMry VCLLN I IVN ODD tLUIO IIIVIIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WTH HE POLICY DATE THEREOFPROVISOTNSE WILL BE DELIVERED IN ACCORDANCEpy 12507293 S C ORO, AUTHORIZED REPRESENTATIVE Sample I ISA .P't{ornP TRAVELERS WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 06 11 (A) POLICY NUMBER: TRJUB-4245B231-14 TC2JUB-4245B22A-14 NOTICE OF CANCELLATION Except for non-payment of premium by you, we agree that no cancellation or limitation of this policy shall become effective until the number of days written notice specified in item 2 of the Schedule has been mailed to you and to the person or organization designated in item 1 of the Schedule at the address indicated. SCHEDULE 1. Name: Any person or organization to whom you have agreed in a written contract that notice of cancellation or material limitations of this policy will be given but only if: 1. You send us a written request to provide such notice, including the name and address of such person or organization, after the first Named Insured receives notice from us of the cancellation or material limitation of this policy; and 2. We receive such written request at least 14 days before the beginning of the applicable number of days shown in this Schedule. Address: The address for that person or organization included in such written request from you to us 2. Number of Days Written Notice: 30 Additional Days Sample This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 4/1/2014 Policy No. TRJUB-4245B231-14 Endorsement No. TC2JUB-4245B22A-14 Insured AECOM Technology Corporation AECOM Technical Premium $ Services, Inc. Insurance Company Travelers Property Casualty Cc of America Attachment Code: 0461827 Master ID: 1075642, Certificate ID: 12507293 Page 1 of 1 City Attorl Assistant ACOR" CERTIFICATE OF LIABILITY INSURANCE OAT)D YYYY) 03121(2011I2014 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 sA e ns S OGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemen . A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemeflt(s). PRODUCER CONTA TUt NAME: .. Marsh Risk & Insurance Services PHONEIN 0 r L, i 1 FAIIC CA License#0437153 . No). EMAIL ADDRESS 777 South Figueroa Street Los Angeles, CA 90017 AttnLosAngeles.CertRequest@Marsh.Com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A; Zurich American Insurance Company 16535 06510-AECOM-01-14-15 ENTXT CA JWHITE ORANG CA INSURED AECOM USA, Inc. y INSURER B : INSURER c : Illinois Union Insurance Co 27960 flkla P&0 Consultants, Inc. ,�0/D.CD / INSURER D ; NIA NIA DWM+Hams, Inc �'n -I O 999 TOWN & COUNTRY RD., 4TH FL. -> [' ORANGE, CA 92868 ft- /�y7jJld ,I 7I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-001365785-49 REVISION NUMBER: 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 LTR ADDLTYPEOFINSUILNCE INSR SUER POLICYNUMBER MM LICY EFF DDMYY POLICY UP MIDDMYY LIMITS A GENERAL LIABILITY GLO 5965891 06 04I0112014 0410112015 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERALLIABILITY PREMSES EaEo rrfmce $ 1,000,000 CLAIMS -MADE �] OCCUR MED UP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000 $ POLICY FX PRO- LOC A AUTOMOBILE LIABILITY BAP 5965893 06 M0112014 0410112015 COMBINED SINGLE LIMIT Ea a::cideN 1,000,000 BODILY INJURY(P., person) $ X ANY AUTO BODILY INJURY (Per accitlent) $ ALL OMFO SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per acatlenl $ NON OWNED HIREDAUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED FETE $ I WORKERS COMPENSATION N/CSTATU- OTH- AND EMPLOYERS' LIABWTY YIN ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ OFFICERMIEMBER EXCLUDED' ❑ NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ It yes deMlhe.nder DESCRIPTION OF OPERATIONS Del. C ARCHBECTS & ENG. EON G21654693 040112013 101OWN4 Per ClaimlAgg $1,000,000 PROFESSIONAL LIAB. '"CLAIMS MADE"" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is raqulvac)RE CITY ^ SANTA ANA, ITS OFFICERS, OYEES, AGENTS, AND REPRESENTATIVES ARE AS ADDITIONl�, 4$�j r RAGES, BUT ONLY AS ALF OF THE NAMED INSUREDS SUCH INSURANCE AFFORDED SHALL BEANY I RT RESPECTS WORK PERFORMED BY OR ON BEHF �:�A1I$$uu��ff DANYI URANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND NOT CONTRIBUTORY INSURANCE FOR GENERAL LIABILITY C E. 'see pg.2 e 30se S t city pitasn Y riot Igi®t$n CITY OF SANTA ANA CITY ATTORNEY 20 CIVIC CENTER PLAZA f&29) P.O. BOX 1988 SANTA ANA, CA 92702-1988 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 REPRESENTATIVE of Marsh Risk & Insunancs Services David Denihan V 1838-2010 AGUKU GUKPUKA 1 IUN. All rlgnrs reserVea. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 _ LOC #: Los Angeles A ADDITIONAL REMARKS SCHEDULE Page 2 of 4 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM USA, Inc. Hkla P&D Consultants, Inc. DWIA+Harrrs, Inc. POLICY NUMBER 999 TOWN & COUNTRY RD., 4TH FL. ORANGE, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance SEVERABILITY OF INTERESTICROSS LIABILITY WORDING IS INCLUDED FOR GL & AL COVERAGES. ACORD 1G1 (ZUOUIU1) w AUUO A�Umu �Urarvrn I Ian. AU nynos reaurvea. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles AC40RH L._--- ADDITIONAL REMARKS SCHEDULE Page 3 of 4 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM USA, Inc. flkla P&D Consultants, Inc. DMJM.Hanis, Inc. POLICY NUMBER 999 TOWN & COUNTRY RD., 4TH FL. ORANGE, CA 92868 CARRIER NAIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance POLICY NUMBER: GILD 5965891 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizatdns(s) CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-29) - P.O. BOX 1988 SANTA ANA. CA 92702-1988 CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES Information required to complete this Schedule, if not shown above, will be shown in the Declarations COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 Section II - Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but arty mith respect to liability for "bodily injury', "property damage' or 'personal and advertising injury" caused, in whole a in pan, by your acts or omissions or the acts or omissions of those ailing on your behalf. A. In the performance of your ongoing operations, or B. In connection with your premises owned by w rented to you. CG 20 26 07 04 dm 121111111111111111 2008 ACORD CORPORATION. All right reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles AGENCY Marsh Risk & Insurance Services POLICY NUMBER CARRIER ADDITIONAL REMARKS SCHEDULE Page 4 of 4 NAIC CODE NAMED INSURED AECOM USA, Inc. Wa P&D Consultants, Inc. DMJM.Halris, Inc. 999 TOWN & COUNTRY RD, 4TH FL. ORANGE, CA 92868 EFFECME DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance © 2008 ACORD The ACORD name and logo are registered marks of ACORD ACC?R" CERTIFICATE OF LIABILITY INSURANCE � DATE 03/27/2015 IYYYY) 2015 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 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 MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 CONTACT NAME: HONE (AICNo Ext : NC No : E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 URSCOR-URS-BB-15-16 INSURED AECOM INSURER B : Illinois Union Insurance Co 27960 INSURER C : URS Corporation 9400 Amberglen Blvd, Austin, TX 78729 INSURER D : INSURER E : F::A INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002554660-01 REVISION NUMBER:0 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. ILTR TYPE OF INSURANCE ADOL SUBR NUMBER POLICPOLICY MM/DD�YY MM/DD/YYYY LIMITS A GENERAL LIABILITY GILD 5965891 07 04/01/2015 04/01/2016 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 2,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ A AUTOMOBILE LIABILITY BAP 5965893 07 04/01/2015 04/01/2016 COEa ccidentMBINED SINGLE LIMIT a 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N] N I A �`�MITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B ARCHITECTS & ENG. EON G21654693 10/08/2014 04/01/2016 Per Claim/Agg 1,000,000 PROFESSIONAL LIAB. ""CLAIMS MADE"" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insureds as respects the General Liability policy, where required by written contract. This insurance is Primary over any similar insurance available to any person or organization we have added to this policy as Additional Insureds. AF_COM TECHNICAL. SERVICES A-2013-034 REVIEWED BY: EUNICE HEREDIA (PG 1 OF 9) City of Santa Ana 20 Civic Center Plaza - Ross Annex (M-36) Santa Ana, CA 92701 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 REPRESENTATIVE of Marsh Risk & Insurance Services David Denihan ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 8ECOk8and Its Subsidiaries GU05965881-07 POLICY NUMBER: 8LO5Q858A1-D7 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section U _VVho Is An Insured in amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respecttuUabi| for 'bodily i "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. |nthe performance ofyour ongoing operations; or 2. In connection with your premises owned by or rented toyou. However: t The insurance afforded to such additional insured only applies to the extent permitted by |cmv and 2. Ifcoverage provided hothe additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be brooder than that which you are required by the contract or agreement to provide for such additional insured. AECOMTECHNICAL SERVICES A-2013-O34 REVIEWED BY COMMERCIAL GENERAL LIABILITY B.VMth respect to the insurance afforded bmthese additional insureds, the following is added to Section III — Limits Of Insurance: If coverage providedtothe additional insured is required Uyacontract magreement, the most mm will pay on behalf of the additional insured is the. amount ofinsurance: 1. Required bythe contract oragreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ZZ-��/ � ~ EUN|CEHERED|A(PG 2OFQ) � CG 20 26 0413 Oc|nsurance Services Office, |nc,2012 Page 1of1 8ECOM and Its Subsidiaries POLICY NUMBER: GLOSD658D1-O7 This endorsement modifies insurance provided, under the following: COMMERCIAL GENERAL LIABILITY cG 2037 0413 COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Only those where required by written contract [Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section U Who Is AnInsured idedto includ I e as an additional insured the person(§)i or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage'.' caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "prod uct,s-comp I eted operations Howewer. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and B.With, respect to the insurance afforded to these additional insureds,g is added to Section III — Limits Of Insurance: If coverage provided bz'the additional insured is requited by contract or agreement, the most we will pay on behalf ofthe additional insured iethe amount o[insurance: 1. Required bythe contract oragreement; or 2 Available under the applicable Limits of Insurance shown in the Declarations; whichever isless. This endorsement shall not increase the applicable Limits ofInsurance shown inthe Declarations. �L Ifcoverage provided b`the additional insured is required by contract or agreement, the lnoummue afforded to such additional insured will not be broader than that which you are required by the contract or ogm*mmart to provide for such additional insured. AECO&4TECHNICAL SERVICES A-2013-O34REVIEWED BY: EUN|CEHERED|A(PG 3OF8) CG 203704 13 Oc Insurance Services Office, Inc., 2012 Page 1 of i. � — 17 O -Jj nc 0 LU U. 0 R(n 0 w F- WZ 0 w w ul 0 ce uj .--j I'Ll 0. -co CL wwo Z w —10 >. U z D 3:01-- 0 IL w N 1 3: — u z 3c F- 0 U) < w 0 Dy/t (1) 0 z 0 ctl P0 z LU 0 U 00- < (L V g 0.1 a N. ME dl Ai 1. 10 O. R W, d�l ol � 'S CL E2 L9 U E L) 41 cuc. 20 In F- 0 E. 0-6 q 3i G. di 00 V F;; T. ? Z t 0 L Ej op 4 oi. E. 7, FV d) 6 AI '6 :G uj C Ni fL f2 IL aJ j2 At! 16 iL t, g uj lu fn WC) L z n fti E 0 Zll 1. — T-5 d, dl) 4s CD AECOM and Its Subsidiaries BAP 6965893-07 Eft 0410112015 POLICY NUMBER: BAP 5965893-07 ilki I I I "1 11111 11�'Jij 111i, ili�! ;:11;: ilil''lli�i� 7�!1111 This endorsement modifies insurance provided Linder the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR. CARRIER COVERAGE FORM COMMERCIAL AUTO CA 20 48 1013 V.Mt.h respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the VVho Is An Insured provision of the Coverage. Form. This endorsement does not alter coverage pro\4ded in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: AECOM and Its Subsidiaries Endorsement Effective Date: 0410112015 . Name Of Person(s) Or Organization(s) Only those where required by written contract. to complete this Schedul Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Mo Is An Insured provision contained in Paragraph A.I. of Section 11 — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. AECOM TECHNICAL SERVICES A-2013-034 REVIEWED BY: above, will be 4k in EUNICE HEREDIA (PG 6 OF 9) CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page I of I Wolters Kluwer Financial SeNces I Uniform Forms' ACC)R"' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) �•.-�' I / 1 /2016 1 /5/2015 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 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 Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 CT NAME: HONK , EXt : A/C, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 949-252-4400 INSURER A: Insurance Company of the State of PA 19429 INSURED AECOM Technology Corporation 1075642 AECOM USA, Inc. 605 Third Avenue INSURER B : INSURER C INSURER D : New York NY 10158 INSURER E : INSURER F : COVERAGES AECTE01 CERTIFICATE NUMBER: 2828881 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP (MMIDD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ,XXXXXXX CLAIMS -MADE ❑OCCUR NOT APPLICABLE PREMISES ( a occu ence XXXXXXX MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JE� LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP AGG $ XXXXXXX OTHER $ AUTOMOBILE LIABILITY ANY AUTO AUTOWNED AUTOS NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX HIRED AUTOS NON -OWNED PerracciidenDAMAGE $ XXXXXXX UMBRELLA LIAB li OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ A WORKERS EMPLOYERS' LABILITY YIN N SEE ATTACHED ACORD 101 1/l/2015 1/l/2016 OTH- IAND XCOMPENSATION STATUTEAN E.L. EACH ACCIDENT $ 10 000 000 PR PRIETORPARTNERYEX OFFICED MEMBERf EXCLUDED? ECUTIVE 1 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE - EA EMPLOYEE $ 10 000 000 E.L. DISEASE - POLICY LIMIT S 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: City of Santa Ana On -Call Contract for Civil Engineering and Landscaping Services AECOM TECHNICAL SERVICES A-2013-034 REVIEWED BY: C/ _- EUNICE HEREDIA PG 7 OF 9 u"!A Ilr"IIiMiG rIVLUCR UAN1,CLLAI IUIN JOe ALIaciments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2828881 AUTHORIZED REPRESENTATIVE City of Santa Ana Public Works Agency Office of the Executive Director Attn: Souri Amirani 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 ACORD 25 (2014/01) ©1 88-201 C D C RPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD Insurer A: The Insurance Company of the State of Pennsylvania The Workers' Compensation coverage shown does not apply in monopolistic states. In the State of ND, OH, WA, and WY Workers' Compensation coverage is provided by the State Fund. In those States, the above reference policies provide Stop -Gap Employers' Liability only. Workers' Compensation policies apply as indicated below: AECOM Technoloby Corporation WC 028328280 - CA WC 028328281 - FL WC 028328282 - MA,ND,OH,WA,WI,WY WC 028328283 - ME WC 028328284 - AK,A"Z,VA WC 028328285 - IL,KY,NC,NH,UT,VT WC 028328286 - NJ, PA WC 028328287 - AL,AR,CO,CT,DC,DF.,GA,I-[I,IA,ID,IN,KS,LA,MD,MID[N,MO,MS,MT,NE,NM,NV,NY,OK,OR,RI,SC,SD,TN,TX,WV URS Corporation WC 028328288 - CA WC 028328289 - FL WC 028328290-MA,ND,0H,WA,WI,WY WC 028328291-A[..,AR,CO3CT,DC,DE,GA,HI,IA,ID,IN,KS,LA,MD,IvQ,MN,MO,MS,MT,NE,NM,NV,NY,OK,OR,RI,SC,SD,TN,TX,WV WC 028328292-IL,KY,NC,NI-I,UT,VT WC 028328293 - NJ,PA WC 028328294-AK,AZ.,VA WC 028328295 - ME 0•1►/ 1 Miscellaneous Attachment : M503712 Master ID: 1075642, Certificate ID: 2828881 AECOM TECHNICAL SERVICES A-2013-034 REVIEWED BY: EUNICE HEREDIA (PG 8 OF J) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 1/1/2015 Issued to AECOM Technology Corporation AECOM USA, Inc. By The Insurance Company of the State of Pennsylvania forms a part of Policy No. SEE ATTACHED ACORD 101 LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1, the cancellation effective date is prior to this policy's expiration date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3. prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC 99 00 58 (Ed. 04/11) Attachment Code : D461827 Master ID: 1075642, Certificate ID: 2828881 AECOM TECHNICAL. SERVICES A-2013-034 REVIEWED BY: EUNICE HEREDIA (PG 9 OF 9) A`CC)i CERTIFICATE OF LIABILITY INSURANCE �..►^' DATE(YYYY) 12I151201512015 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 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 Marsh Risk & Insurance Services CA License#0437153 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: PH No E t • E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Attn: LosAngeles,CertRequest@Marsh. Corn INSURER A: Zurich American Insurance Company 16535 06510-AECOM--15-16 Orange GLALP 09 2020 NOC INSURED AECOM INSURER B : NIA N/A INSURER C : Illinois Union Insurance Cc 27960 AECOM Technical Services, Inc. 999 W.Town & Country Rd. Orange, CA 92868 INSURER D INSURER E : INSURER F : 111S9ItlWfAALLI MOVI1I=IWA\0=I, I I III] I:f= 19115.161111111Uryffofb111 • 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. IEXP LTR TYPE OF INSURANCE D D POLICY NUMBER MM DD YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GLO 596589/07 04/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO REIN TEO PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT D LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP 5965893 07 04/01/2015 04/01/2016 Ee BINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS r PROPERTY DAMAGE Per accident $ $ 1 1 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA A PER OTI I - STATUTE ER E.L. EACH ACCIDENT — $ E.L. DISEASE - EA EMPLOYEE ---- $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 10/08/2014 04101/2016 Per Clalm/Agg 2,000,000 PROFESSIONAL LIAB, ""'CLAIMS MADE""' Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re; Client Reference No.14-037; City of Santa Ana On -Call Engineering Services 14-037; Agreements #A-2013-034 and #A-2015-169. The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as -needed basis. Engineering services may Include civil engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services, A detailed scope of work will be outlined when/if a specific project or task order Is assigned. (See Additional Page) ( r f=�1=VILV1/i=.Li B�`f l�R:F._V V.kP fkt L i-iEF EDIA (PG d 0 - ) v�� u-rvn r �.. r rvti.vr.,n 1✓HIVVCLLH 1 IVtV City of Santa Ana Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 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 REPRESENTATIVE of Marsh Risk & Insurance Services James L. Vogel v 1968-104 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 _ LOC #: Los Angeles AC40RE) ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc, POLICY NUMBER 999 W, Town & Country Rd, Orange, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: AUUI I IUNAL KtMAKKb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Santa Ana is named as additional Insured for GL coverage, but only as respects work performed by or on behalf of the named Insured. This Insurance Is primary and non- contributory over any existing insurance and limited to liability arising out of the operations of the named Insured and where required by written contract with respect to the GL coverage, Severabilty 0f InteresUCross Liability Is included for General Liability coverage. If the insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the Insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract. REVIEWED B'Y� Eh. MC E i..Ili..REDIA (I"'G201`7 (D zuutt AGUKU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 8ECOM and Its Subsidiaries B8P6905W93-O7 Blanket Notification to Others of Cancellatio or Non -Renewal i Policy No. Eff. Date of Pol. Exp. Date of Pol.1 Eff. Date of Encl. I Producer No. Add'I Prern Retu THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance pro\4ded under the: Business AudoCoverage Form 1. The following isadded bG.—General Conditions provision of SediunIV—Gusiness Conditions: A. If we omnxd mvnm,mnmv this Coverage Part by written notice to the first Named Insured for any naaeun other than non-payment cdpremium, we will eond, via electronic* meono, a copy of the notification that such Coverage Pert has been cancelled to each Person(s) or OnQon|zaticm(m)' shown in m Schedule (of Others) provided to us by the First Named Insured or its designated representative. Such Schedule: 1. Must beinitially provided touewithin 16dayo: m.After the beginning of the policy period shown in the Declarations; or h.After this endorsement has been added topolicy; 2. Must contain the nomoe' addresses and e-mail* addresses of only the yomone or uryon|zoUone requiring notification that such Coverage Part has been cancelled; 8. Must hoinanelectronic format that 1eacceptable tous; and 4. Must baaccurate. Such Schedule must be updated monthly and provided to us by the First Named Insured or its designated representative: during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above, B. Our sending oYthe electronic* notification described in Paragraph A^ofthis endorsement will bebased on the most recent Schedule inour records aeufthe date the notice nfcancellation or non ranowo| issent hothe fied Named Insured, Delivery ofthe notification as described in PumUnayh A.o[this endorsement will be at least JVUmye prior to the effective date of such cancellation ornon-renewal an advised in our notice to the first Named |neured, or the longer number of days' notice if indicated in the Schedule, provided to us by the first Named Insured or its designated representative. C. Proof of sending the electronic* notification will be sufficient proof that wohave complied with Paragraphs A. mr8. of this endorsement. O. Our failure to send notification as described in Paragraphs A. or B. of this endorsernent will not: 1. Extend the Coverage Part cancellation urncw'nanewa|. 2. Negate the cancellation ornon-renewal m 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the aouuracy, integrUy, thndinnee and validity of information contained in the Schedule provided b,ueaadescribed |n Paragraphs A.mB.ufthis endorsement. F. This endorsement is only applicable to Other Pei -sons or Organizations that are listed on the Schedule, All other terms and conditions of this policy remain unchanged. U-CA-388ACW(07/*4) Includes copyrighted material of InsurahCe SerViCeS Offio , , Inc., W(tli its permission. 8ECOMand Its Subsidiaries GL058O§091'V7 POLICY NUMBER: GLO5905891'07 COMMERCIAL GENERAL LIABILITY CG2o280413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Permon(a)OrOrgmnizatiun(s): Only those where required by contract. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SeocmU—Who|uAnInsuredimmnemded to include aean additional insured the a) or organization(s) shown in the Sohedu|e, but only with respect to liability for "bodily "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. |nthe performance ofyour ongoing operations; or 2. In connection with your premises owned by or rented toyou. However: 1. The insurance afforded to such additional insured only applies tothe extent permitted by law; and B. V\Ath respect to the insurance afforded to them additional insureds, the following is added to SwctiunU|—Linits Of Insurance: If coverage rovdad to the additional insured is required byocontract oragreement, the most we will pay on behalf ofthe additional insured is the emounLofineuran na: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever ioless. This endorsement shall not |nnreeoa the applicable Limits of Insurance shown in the Declarations. 2. Ifcoverage provided bzthe additional insured is required by n contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. -EVIEVVED BY- CG20 260413 (0Insurance Services Office, |nc,2O12 Page 1mf1 ADDITIONAL INSURED E ND ORSEMENT FOR CONI M ERCTAL GE, NEI RAL 1JAIRILITY POLTCY InbUMICC COMpally ZurichAmerigninsurance Company , This erdor-Renlelit modifies such insurance as is afforded by the provisions of Policy 4 GOIX) 596589107 folatijig to the following: 1. The City oflSantn Ana, 20 Civic Center Plaza, Santa Alm, California 92701,- its officers, emplovecs, agents, volunteers andreprcBentativw arc lianicd as additional insureds ( "additional basurccls") with regard to liability and di-,fow�c of suits arising from the operatiox)s and uses performed by or on behalf of the named insured, I 2. With respect to claims arising OUL Of the operations and uses pQrfoxm(ed by or on behalf of the namcd insured, such insurance as is affurdcd by this policy is primary and is trot additional to or contribUting With any otbor insurance carried by or :tar Me benefit of the additional iiisureds, 1, , I'll i V, insurance applies separa(ely to cacli insured against Whom ci afin is made or suit is brought except with respect to the company's limits of liability. The inuhision of any person or organization as an insured shall not affect aty right w17 icli such person or organization would haN,c as a claimant if not so included. (Completion of the )billowing, including coiintersignattire, is recicii-rcd to make this endorsement (.1'rective) Eff'cotiva April 1, 2015 to Aurit Ta 2016 this endorsement forni as a part of Policy # C,'-LO 596589107 Issued to AT',COM and its Subsidiaries Narned Insured Countorsi . ..... gned by ALAhori4d Roprose'llta Live REM DNED BY� E.WMCE HEREMA (PG S-OF'�J) A/NOC-GLlj Notification to Others of Cancellation, Nonrenew or Reduction of Insurance i sm Policy No, Eff, Date of Pol, Exp. Date of Pol. I Eff. Date of End, Produce, No, Addl. Prem Return Pi-em , THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided undertha Commercial General Liability Coverage Part Liquor Liability Coverage Part Products/Completed Operations Liability Coverage Part A. Kwecancel ornon-renew this Coverage Paq(s)bywritten notice tothe first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non -renewal: 1. Tothe name and address corresponding to each person or organization shown in the Schedule below; and 2. Atleast 1Odays prior tothe effective date ofthe cancellation ornon-renewa|.aaadvised imour notice tothe first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s) by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Part(s) is reduced or restricted, except for any reduction of Limits of Insurance due topayment ofclaims, vvawill mail ordeliver notice ofsuch reduction or restriction: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated inthe Schedule below. D. Ifnotice mydescribed |nParagraphs A., B.orC. ofthis endorsement iomailed, proof ofmailing will besufficient proof ofsuch notice. SCHEDULE Name and Address of Other Person(s) OLUanization(s): Number of Days Notice: City of Santa Ana 30 Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 All other terms and conditions of this policy remain unchanged. U- GL- 1447-AoVv i AC"R®' CERTIFICATE OF LIABILITY INSURANCE 16-_ -' I/l/2017 DATE(MM/DD/YYYY) 1 12/15/2015 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 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 Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 CONT CT NAME: PHONE A//C, No, Ext : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC If 949-252-4400 INSURER A: *** SEE ATTACHMENT **'r INSURED AECOM 1075642 AECOM Technical Services, Inc. 999 Town & Country Rd. INSURER B : INSURER C : Orange CA 92868 INSURER D : INSURER E : INSURER F : COVERAGES AECTE01 CERTIFICATE NUMBER: 11652859 REVISION NUMBER- XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSD SUBR NND POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS -MADE ❑ OCCUR. NOT APPLICABLE DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX MED EXP (Any one person) s XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE (COeBINEDtSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ALLOWNED SCHEDULED BODILY INJURY (Per accident $ XXXXXXX HIRED AUTOS NON -OWNED raEcidTnDAMAGE (Per $ XXXXXXX UMBRELLA LAB OCCUR EACH OCCURRENCE XXXXXXX EXCESS LAB CLAIMS -MADE NOT APPLICABLE AGGREGATE _$ $ XXXXXXX DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOY EMPLOYERS' Y YIN N SEE ATTACHEDACORD 101 I/l/2016 1/1/2017 X STATUTE OTH- E.L. EACH ACCIDENT $ 2,000 OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bel Dow N / A EL. DISEASE - EA EMPLOYEE 2,000 000 E.L. DISEASE -POLICY LIMIT 2,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: Ref. No. 14-037, Agreement #A-2013-034 and Agreement #A-2015-169. RD IE WED BY. _ ' f � _t:�1I�tV F P t�L EI�RA (f I.:fi mm O Fe � CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13652858 AUTHORIZED REPRESENTATIVE City of Santa Ana Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana CA 92702 ACORD 25 (2014/01) ©1 A8-201"CQfZDc6RP0RATI0N. All rights reserved The ACORD name and logo are registered marks of ACORD Policy # Issuing Company State(s) Covered 0910710 Nat'l Union Uire his Co Of 014268016 The Insurance Company of the State of Pennsylvania Fl, 014268017 The Insurance Company of the State of Pennsylvania IVIIi, 014268019 The Insurance Company of the State of Pennsykatua IL,KY 014268020 The Insurance Company of the State of Pennsylvania NV 01426802-1 The Insurance Company of the State of Pennsylvania CO 014268022 The Insurance Company of the State of Pennsylvania N,pA 014268023 The Insurance Company of the State of Pennsylvania MA,ND,Of I,AK'tA,WI,WS' 014268024 The Insurance Company of the State of Pennsytania CA 014268025 The 111stuancc Company of the State of Pennsylvania IL,KY,NC,NII,UT,VT 014268026 The Insurance Company of the Srate of Pennsylvania AI.,, lK,CO,C"I',17C:,DI?,C1,A,i II,IA,ID,IN,KS,LA,�dU,�II,�-[N,�1O,N[S, Nrf,NE,Ni,Af,NV,NY,C7K,C)R 014268027 The Insurance Company of the State of Penmyvania AK,AZ,VA 014268028 The Inst0-a11ce Company of the Sate of Pennsylvania NY 014268018 The Instuance. Company of the State of Pennsylvania ll,,WA 014268029 The Insurance Company of the State of Pennsplvania (10,ID,N\[,SC, rN 014268030 The Insurance Company of the State of Pennsylvania 1't Miscellaneous Attachment : M503712 Master ID: 1075642, Certificate ID: 13652858 REVIEWED BY. 14,� r � , EUNW-E HEREMA QG'G 'CClF �l) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). 'I'his endorsement, effective '1.2:01 AM 1/1/2016 forms a part of Policy No. SHE XI"I eAC;I ll?D ACORD 101 Issued to AlX:ON,l Al:C:O\d "Technical Services, Inc. By The Insurance Company of the State of Pennsylvania LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) I'his policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiation date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate l Iolder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3. prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations sct ford) in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organisations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Ilolder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule. within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific member of clays is not stated above, then the Advice will be provided to such Certificate Iloldcr(s) as soon as reasonable practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer einailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations cinder this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective crate thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement 1. Named Insured means the first named employer in Item I of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC990058 (Ed. 04/11) Attachment Code : D461827 Master ID: 1075642, Certificate ID: 13652858 I1""VBk U1iN N BY: ,�°0�_ D.tBtIt E 1R.Vfl:r1(4 C; A� a CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD,YYYY) 03/081206 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 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 Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: PHONE No Ext : FAX No): EMAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # Attn: LosAngeles.CertRequest@Marsh.Com INSURER A ; Zurich American Insurance Company 16535 06510-exp-15-16 Orange GLALP 09 2020 NOC INSURED AECOM INSURER B : N/A NIA INSURER C : Illinois Union Insurance Cc 27960 AECOM Technical Services, Inc. URS Corporation 999 W. Town & Country Rd. INSURER D : INSURER E : Orange, CA 92868 INSURER F : �R�r� .cm wGI Ci 1 lw_� \1■1VII Z10 --Je TJL1 ram\.\E\Iff L/,1.]�. 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE o OCCUR GLO 596589107 04/01/2015 04/01/2016 EACH OCCURRENCE 1,000,000 AMAGE TO RENTED PREMISES Ea occurrence) _$__ $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY ......._._....-- $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT LOC GENERAL AGGREGATE $ 2,000.000 GEN'L X PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP 596589307 04/01/2015 04/01/2016 EO aBBINEDtSINGLE LIMIT $ 1,000,000 AUTO BODILY INJURY (Per person) $ IANY ALL OWNED FSCHEDULED AUTOS AUTOS BODILY INJURY (Per ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A PER 5TH- STATUTE ER -' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 10/08/2014 04/01/2016 Per Claim/Agg 2,000,000 PROFESSIONAL LIAB. """CLAIMS MADEE" Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Client Reference No.14-037; City of Santa Ana On -Call Engineering Services 14-037; AECOM: Agreements No. A-2013-034 and Agreement No. A-2015.169; URS: Agreement No. A-2008-048-01 and Agreement No. A-2014-357; The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as - needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnicai, land/property, surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when4f a specific project or task order is assigned. (See Additional Page) — -- REVIIEWED BY, � E11N)CE HEREDWA �G C3F� � City of Santa Ana Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 V111Y V GLLM 1 1 V 1V 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 REPRESENTATIVE of Marsh Risk & Insurance Services James L. Vogel v Masts-ZU94 AGUKU GUKPURATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles A!2L)'® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc. POLICY NUMBER URS Corporation 999 W. Town & Country Rd, CARRIER Orange, CA 92868 NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Santa Ana is named as additional Insured for GL coverage, but only as respects work performed by or on behalf of the named insured, This insurance Is primaryand non- contributory over any existing insurance and limited to liability arising out of the operations of the named Insured and where required by written contract with respect to the GL coverage. Severability Of Inlerest/Cross Liability Is Included for General Liabllity, coverage. If the insurer for the General Liabllity or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Certificate Holders that require It by written contract. ACORD 101 12008/01) The ACORD name and logo are registered m � 4VVO M+ ,UKu wKVUKA I IUN. All rights reserved. RtwV1EU11ED BY` � �°� f�, � EU If.;E HEREMA (PG 20F ) AECOM and Its Subsidiaries BAP 6965893-07 Eff 0410112015 Blanket Notification to Others of Cancellation or Non -Renewal Policy No. I Eff. Date of P01. I Exp. Date 1 11:1 t Eff. Data of End. D fE d. ' 1:11,11cer No. T Add I Return P—r-m-il 1_13AP 5965893-07 1 04/0112015 ---------- 1 04/()1/2016 04) E04 01112 ()15 E15 3 _�20-000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form 1. The following is added to B. —General Conditions provision of Section IV —Business Conditions: A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured for any reason other than non-payment of premium, we will send, via electronic* means, a copy of the notification that such Coverage Part has been cancelled to each Person(s) or Organization (s), shown in a Schedule (of Others) provided to us by the First Named Insured or its designated representative. Such Schedule: 1. Must be initially provided to uswithin 15 days: & After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names, addresses and e-mail* addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule must be updated monthly and provided to us by the First Named Insured or its designated representative: during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above. B. Our sending of the electronic* notification described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation or non -renewal is sent to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be at least 30 days prior to the effective date of such cancellation or non -renewal as advised in our notice to the first Named Insured, or the longer number of days' notice if indicated in the Schedule, provided to us by the first Narned Insured or its designated representative. C. Proof of sending the electronic* notification will be sufficient proof that we have complied with Paragraphs A. or B. of this endorsement. D. Our failure to send notification as described in Paragraphs A. or B. ofthis endorsement will not: 1. Extend the Coverage Part cancellation or non-renewai, Z Negate the cancellation or non -renewal or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. or B. of this endorsement. F. This endorsement is only applicable to Other Persons or Organizations that are listed on the Schedule. All other terms and conditions of this policy remain unchanged. U-CA-380 A CW(07194) Includes copyrighted material of Insurance Services office, Inc., with its permission. REVIEWED BY: A E�',HCE HEREDIA (PG 50F7 8ECOMand Its Subsidiaries GuJ59O5eS1'U7 POLICY NUMBER: GLO 5965891-07 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |T CAREFULLY. ��Ul�U��K��U INSURED �� K�� ADDITIONAL ' ---~~~ ~~� ^^��~°"^~~�� DESIGNATED �� ORGANIZATION PERSON ~,"^ ��"~~�x—x �m�.��on��x� This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Only those where required by contract. Information required to com.plete this Schedule, if not shown above, will be shown in the Declarations. A. Section U — VVho Is An Insured is amended to include asmnadditional insured Mh organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1, |nthe performance ofyour ongoing operations; or 2. In connection with your premises owned by or rented toyou. However: 1' The insurance afforded to such additional insured only applies tothe extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreememt, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, B. Wth respect to the insurance afforded to these additional insureds, the following is added to Section U| —LindtoOf|nouranoe: If coverage provided to the additional insured is required by contract or agreement, the most *m will pay on behalf ofthe additional insured is the amount ofinsurance: Y. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever ialess. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 0 Insurance Services Office, Inc., 2012 Page 1 of I Kluwer Financial SeNces I Uniform Form ST11 REVIEWED BY:/ ADDITIONAL INSURED ENDORSEMENT FOR CONI M P,'R(-.rf.AL GE, NTI RAL LIABILITY POLTCY InSUMCC COInp,111y - Zurich American Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy 4 GLO 596589107 f clating to the fol I owing: 1. The City of Santa Ana, 20 Civic Center Plaza, Santo Ana, Califbmia 92701; its officers, employees, agcnfs,vo(iinteer,gaiidrepre,sentativmarc naDlOdaqadditional insi-n�eds ("additional 1SUrcds") with regard to liability and defense of suits arising from the operations and uses p erfoimed by or on behalf of the named insured, 2. With respect to claims arising OUL Of the operations and uses pQrforrned by or oil behalf of the namcd insuredsuch insurance as is afforded by this policy is primary and is riot additional to or contributing With ally Other insurance carried by or ibr the benefit of the additional insureds. This is insurance applies separately to each insured against whom clArn is made or suit is broijghte-,ceptwith.respectioLbe-compatiy'siiiiiit-,oi'babifit),. The inclusion ofany person or organization as an insured shall not affect aty right wh ich such person or organiudoa would have as a claimant if not so included. (Completion of the ftillo-wing, including countersignature, is required to make this endorsement ellbetivo,) Eft'ective April 1. 2015 to Aj)rj1 1.2 2016 this endorsement form as a part of Policy # — GLO 596589107 Issued to AMC OM and its Subsidiaries Named Insured Countersigned by 1Z huthoriz4d Representative ti REVIEWEF..) BY: / "I— - EUNICE FIEREMA (FIG kv AN0C-BLlj Notification to Others of Cancellation, NonrenewaU Reduction ^��Insurance Policy No. Eff. Date of Pol, E X-P. D AIM. Prern Return Prem—, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part Liquor Liability Coverage Part Products/Completed Operations Liability Coverage Part A. If we cancel or �� Named _��_-- _~,~~v~.~,° "'="=..."wv�v/u/�ncx any reason �hothan ��me��p�m�m'*e*�maU�d��am�y��n��efo�c��--cm-renewal: t To the name and address corresponding to each person or organization shown in the Schedule below; and 2 A1least 1Ddays prior bothe effective date ofthe cancellation or non -renewal, ooadvised inour notice hothe first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s) by written notice tothe first Named Insured for nonpayment of premium, we will written or deliver o copy ofsuch written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation, C. If coverage afforded by this Coverage Part(s) is reduced or restricted, except for any reduction ofLimits ofInsurance due to payment of claims, we will mail or deliver notice of such reduction or restriction: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated inthe Schedule below. D. |fnotice aedescribed in Paragraphs A., B. orC. nfthis endorsement immailed, proof ofmailing will bnsufficient proof ofsuch notice. SCHEDULE Name and Address of Other Person(s) Organization(s): Number of Days Notice: City of Santa Ana 30 Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 All other terms and conditions of this policy remain unchanged. Page 1 of 1 Includes copyrighted material of/mmrancaseNcesOffice, Inc AC'ORbr CERTIFICATE OF LIABILITY INSURANCE �►---� 1/1/2017 DATE(MM/DD/YYYY) 1 2/26/2016 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 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 Lockton Insurance Brokers, LLC 725 S. Figueroa Street, 35th Fl. CA License #OF15767 Los Angeles CA 90017 CONTACT NAME: PHONE FAX A o Ex1 : A/C No); E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N (213) 689-0065 INSURER A: * * * SEE ATTACHMENT INSURED AECOM INSURER B 1389302 URS Corporation INSURER C dba URS Corporation Americas 2020 E. First St., Ste. 400 Santa Ana CA 92705 INSURER D INSURER E INSURER F 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 LTR TYPE OF INSURANCE ADDL SUER p POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR NOT APPLICABLE EACH OCCURRENCE ! $ XXXXxxX DAMAGETO PREMISES (Ea occurrence) $ XXXXXXX MED EXP (Any one person) $ XXXXXXX r1EI'LGREGATE PERSONAL & ADV INJURY $ XXXXxxX LIMIT APPLIES PER: ICY PRO- JECT LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS -COMP/OP AGG $ XXXXXXX $ ER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident - $ XXXXXXX BODILY INJURY (Per person) $ X= ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS - BODILY INJURY Per accident) ( $ X)Cy-, �X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ XXXXXXX $ XXXxXXX UMBRELLA LIAB HI OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XX I=X DED RETENTION $ $ XXX}xXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N I A N SEE ATTACHED ACORD 101 1/ t/2016 1/1/2017 '' PER OTH- X I STATUTE ER E.L. EACH ACCIDENT $ 2 000 000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) THIS CERTIRCATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: AECOM Agreement No. A-2013-034 and Agreement No. A-2015-169; URS Agreement No. A-2008-048-01 and Agreement No. A-2014-357. d � 6 EViEVVELW BY. � � � Ei.1NICE HE1-�MA (I'G F.m"' ....... 1+111tlliGGG/YIIVitl JGG L'1LLCLlil1l11G(1LJ 13241225 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza - Ross Annex (1VI-36) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana CA 92701 USA 7 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED © 1d88-201nCGkD CORPORATION_ All rinhtc rncnr A ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORD 101 Policy # Issuing Company State(s) Covered 0910710 National Union Fire Insurance Company of Pittsburgh, PA - NAIC #19445 OH 014268016 The Insurance Company of the State of Pennsylvania - NAIC #19429 FL 014268017 The Insurance Company of the State of Pennsylvania - NAIC 419429 ME 014268019 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,KY 014268020 The Insurance Company of the State of Pennsylvania - NAIC #19429 NV 014268021 The Insurance Company of the State of Pennsylvania - NAIC #19429 CO 014268022 The Insurance Company of the State of Pennsylvania - NAIC #15429 NJ,PA 014268023 The Insurance Company of the State of Pennsylvania - NAIC #19429 MA,ND,OH,WA,WI,WY 614268024 The Insurance Company of the State of Pennsylvania - NAIC #19429 CA 014268025 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,KY,NC,NH,UT,VT 014268026 The Insurance Company of the State of Pennsylvania - NAIC #19429 AL,AR,CO,CT,DC,DE,GA,HI,IA,ID,IN,KS,LA,MD,MI,MN,MO,MS, MT,NE, NM,NV,NY,OK,OR,RI,SC,SD,TN,TX,WV 014268027 The Insurance Company of the State of Pennsylvania - NAIC #19429 AK,AZ,VA 014268028 The Insurance Company of the State of Pennsylvania - NAIC #19429 NY 014268018 The Insurance Company of the State of Pennsylvania -NAIC #19429 IL,WA 014268029 The Insurance Company of the State of Pennsylvania - NAIC #19429 CO,ID,NM,SC,TN 014268030 The Insurance Company of the State of Pennsylvania -NAIC #19429 TX Miscellaneous Attachment: M503712 Master ID: 1389302, Certificate ID: 13241225 REVIEWED BY: � �(,� ` E::t. NICE I IIvRlnMA (PG :)F � ) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 1/1/2016 forms a part of Policy SEE ATTACHED ACORD 101 No. Issued to AECOM URS Corporation dba URS Corporation Americas By The Insurance Company of the State of Pennsylvania LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2, the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3, prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC 99 00 58 (Ed. 04/11) Attaclunent Code: D503695 Master ID: 1389302, Certificate ID: 13241225 M".-.VIEVWED BY: r`' '� '��rr �/ .�'f � E1JNK]1:; I-tERE[31A (PG , i TIFICAT F LIB LIABILITY INSURANCE DATE (MM/DDlYYYY) 03/2112016 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A staternent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: __ ___ AAt-Na,_.Ex )L — A/C No: E-MAIL ADDRESS: i _— INSURER(S) AFFORDING COVERAGE NAIC # Attn. LosAngeles.CertRequest@Marsh.Com _ —_� INSURER A : Zurich American Insurance Company 16535 06510--"ECOM--16-17 _ Orange GLALP 09 2020 NOC INSURED AECOM INSURER B : NIA N/A INSURER C : Illinois Union Insurance Co 27960 AECOM Technical Services, Inc. URS Corporation 999 W. Town & Country Rd. _ INSURER D INSURER E Orange, CA 92868 INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001972726-16 REVISION Kill IMRFP: 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP (MM/DD/YYYYILIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR GLO 596589108 04/0112016 04/01/20'17 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 _ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ PR COT- LOG _ GENERAL AGGREGATE $ 2,000,000 GEN'L PI PRODUCTS - COMP/OP AGG $ 2,000,000 0 $ OTHER: A AUTOMOBILE LIABILITY BAP 5965893 08 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ JX ALL OWNED SCHEDULEDBODILY AUTOS AUTOS INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS LAUTOS PROPERTY DAMAGE jPer accidenl1_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB _ CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �I N / A PER OTH--- STATUTE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE --— --- $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT -- $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 04/01/2016 04/01/2017 Per Claim/Agg 2,000,000 PROFESSIONAL LIAB. ""'CLAIMS MADE""' Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Client Reference No. 14-037; City of Santa Ana On -Call Engineering Services 14-037; AECOM: Agreements No. A-2013-034 and Agreemen(No, A-2015-169, WNS. Agreement No A-20619-0413,0t xtdAgreement No, A•20f'4-:3"5 ; The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as - needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnical, land/properly surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when/if a specific project or task order is assigned. (See Additional Page) — y C F +iFUVI L1 C31: i. N1 C>E:. F EREDj,Aa (,PG d OF City of Santa Ana Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 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 REPRESENTATIVE of Marsh Risk & Insurance Services James L. Vogel U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc. POLICY NUMBER URS Corporation 999 W, Town & Country Rd, CARRIER NAIC CDDE Orange, CA 92868 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Santa Ana is named as additional insured for GL coverage, but only as respects work performed by or on behalf of the named insured, This Insurance is primary and non- contributory over any existing Insurance and limited to liability arising out of the operatlons of the named Insured and where required by written contract with respect to the GL coverage, Severability Of Interest/Cross Liability is included for General Liability coverage. If the Insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Cerlificate Holders that require it by written contract, FVEf ED BY: wrtv I V I tcvvow I � v auus ACORO UORPORATiON. All rights reserved. The ACORD name and logo are registered marks of ACORD AECOM and Its Subsidiaries BAP5965805-08 Blanket Notification ~ Others ��v��K�x~�u um*�^w"n�v��K�k� �K� ��xue1rs of Cancellation or Non —Renewal Policy No. Eff. batO of Pol. EXP. 0 Producer No. totum Prom. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage: Form 1. The following isadded to8`—General Conditions provision dSection IV— Business Conditions: A. Uwe cancel o, non -renew this Coverage Pert by written notice to the first Named |uaun:d for an h than non-payment ofpnenn|um.wmv�Ksend, via o|m�von�*means, acopy ofthe ood�no�vnthat �mhCoverage Part has been oonoe||o6 to each Person(s) or Orgenizetion(s), shown in a Schedule (of Others) provided to us by the First Named. Insured orits designated representative. Such Schedule: 1. Must be initially provided to uswithin 15days: e.After the beginning of the policy period shown in the Declarations; or b.After this `endorsement has been added to. policy; 2. Must contain the nemea, addresses and o'mai|° addresses, of only the persons or organizations requiring notification thetouphCovermgo Part has been cancelled; 3. Must beinanelectronic format that isacceptable tnus; and 4. Must beaccurate. Such Schedule must baupdated monthly and provided to us by the First Named Insured cvits designated representative: during the policy period. Such updated, Schedule must comply with Paragraphs 2., 3. and 4. above. B[� Our sending of the o� notification described in Paragraph A. of this endorsement will be based on the most recent Schedule hnour records oeo[the date the notice of cancellation or non'[*newm| issent hothe first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be at least 30 days prior to the effective date of such cancellation or non -renewal as advised in our notice to the first Nerned Insured, or the longer number of days' notice if indicated in the Bohadu|e, provided to us by the first Named Insured or its designated representative, C. Proof of sending the electronic* notification will besufficlentproof that *ohave complied with Paragraphs A.orB. of this endorsement. D. Our failure toeendnotifioaMmmaad000hbedinParagnaphe4.or[lofMhisandomomontwiUnot I. Extend the Coverage Part cancellation nrnon-mnowa|. 2. Negate the cancellation mnmn'mnewa|or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. Ei We are not responsible for the mooumoy, integhty, timeliness and validity of information contained in the Schedule provided tousmadescribed inParagraphs A.o,B.ofthis endorsement. P. This endorsement is only applicable to Other Persons or Organizations, that are listed on the. Schedule. All other terms and conditions of this policy remain unchanged. AQVyK)71g4 Includes material of Insurance Services Offioo Inc., with its permission. AECOM and Its Subsidiaries GLO 5965891-08 Eff 04/01/2016 POLICY NUMBER: GLO 5965891-08 COMMERCIAL GENERAL LIABILITY CG 20 26 0.413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. '4%*1410 901 V901 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Narne Of Additional Insured Person(s) Or Organization(s): Only those where required by written contract. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A. Section 11 — Who Is An Insured. is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule,, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1, In the performance of your ongoing operations,; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement t to provide for'suoh, additional insured. B. With respect to the, insurance afforded to these additional insureds, the following is added to .Section III — Limits Of Insurance: If coverage provided to the, additional insured is required by a contract or agreement, the most we will pay on behalf of th& additional insured is the amount of insurance-, 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the. Declarations; whichever is. less. This endorsement shall not increase the applicable Limits of Insurance shown in the, REV EVVED BY, EUMCE HEREMA CG 20 26 0413 0 Insurance Services Office, Inc., 2012 Page I of I Wdters Kluwer Financial SerAces I uniform ForrnsT"' N rN, 1.2 (L uj a d lb 2, Z5 Lo Z5 C -so) . 4) d) - 8 T 2 'C' 2 ��* d) I - 1. - "o-12 - . mn �; I- 16 O0 0) FL a - IL T. O c 12 Or d) o T. icL Si c 0 z 8 L '-a 1 Ew 9 22 C5 �s fS 0 w r- �F z '86 5i 2 Fi hA r O's or Z Lq 0 r N I'; L ............... ,doom CERTIFICATE OF LIABILITY INSURANCE Ill1/1/2018 DATE(MM/DD/YYYY) r 5/24/2017 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 Lockton Insurance Brokers, LLC 1.9800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 CONTACT NAME: PHONE FAX A/C No Ext): (A/C No): E-MAIL _ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC a1 949-252-4400 INSURER A: SEE ATTACHMENT _ INSURED AECOM INSURER B : INSURER C : 1075642 AECOM Technical Services, Inc. 999 Town BL Country Rd. Orange CA 92868 INSURER D : - INSURER E INSURER F : COVERAGES AECTE01 CERTIFICATE NUMBER: 13652858 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL',SUBR INSD'.. WVD POLICY EFF POLICY NUMBER MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE C OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TO RENTED PREMISES Ea occurrence) $ XXXXXXX MED EXP (Any one person) $ XXXXXXX & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: _PERSONAL GENERAL AGGREGATE $ XXXXXXX POLICY D PRO uI LOC JECT _PRODUCTS - COMP/OP AGG $ XXXXXXX___ $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident_ $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AAUTOSDONLY AUTOSULED BODILY INJURY (Per accident) $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE _(Per accident $ XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX A IONILIT Y / N AND EMPLOYERS' LIABILITY YERS'LIABILITY AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N N / A'. SEE ATTACHED ACORD 101 1/1/2017 I/l/2018 X STATUTE oRH L E.L.ACH ACCIDENT $ 2,000,000 E.L. DISEASE EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000 000 --- - -_ L DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) THIS CERTIFICATE SUPERSEDES ALL. PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER. APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: Client Ref. No. 14-037, City of Santa Ana On Call Engineer ing Services 14-037, AECOM Agreements No. A-2013-034 and Agreement No. A-2015-169: URS AgreementNo. A-2008-048-01 and Agreement No. A-2014-357, The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as -needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering. geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when/if a specific project or task order is assigned. w� Y 13652858 City of Santa Ana Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana CA 92702 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 ©1688-2015`ACGIRD CORPORATION. All rinhts resarverl ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORD 101 Policy # Issuing Company State(s) Covered 0910715 The Insurance Company of the State of Pennsylvania - NAIC #19429 OH 014629409 The Insurance Company of the State of Pennsylvania - NAIC #19429 FL 014629410 The Insurance Company of the State of Pennsylvania - NAIC #19429 ME 014629404 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,KY 014629408 The Insurance Company of the State of Pennsylvania - NAIC #19429 MA,ND,OH,WA,WI,WY 014629406 American Home Assurance Company - NAIC #19380 CA 014629407 The Insurance Company of the State of Pennsylvania - NAIC #19429 AK, AL, AR, AZ, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, Ml, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY,OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WV 014629403 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,WA - NWP Entity Only 014629405 The Insurance Company of the State of Pennsylvania - NAIC #19429 CO,ID,NM,SC,TN - NWP Entity Only 014629411 The Insurance Company of the State of Pennsylvania - NAIC #19429 TN - project specific policy for CH2M Oak Ridge, LLC 014629412 The Insurance Company of the State of Pennsylvania - NAIC #19429 NV Combat Support Services ttachment:Ma, ter1ID 1075642, Certificat eID1 13652858 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement. effective 12:01 AM 1/1/2017 Issued to AECOM AECOM Technical Services, Inc. By *** SEE ATTACHMENT *** forms a part of Policy No. SEE ATTACHED ACORD 101 LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3. prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC 99 00 58 (Ed. 04/11) Attachment Code: 6I827 Master ID: 1075675642, Certificate ID: 13653858 .. f A� " CERTIFICATE ®F LIABILITY INSURANCE DATE /YYYY) 03122/2017 2017 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 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 Marsh Risk & Insurance Servicesu CA License #0437153'1 CONTACT NAME: __ __ _ /c _(APHONE . Ext): E-MAIL ADDRESS: 777 South Figueroa StreeW Los Angeles, CA 900171 Attn: LosAngeles.CertRequest@Marsh.Com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A ; Zurich American Insurance Company 16535 06510 -STND-GAUE-17-18 Orange GLALP 09 2020 NOC INSURED AECOM- INSURER B : NIA NIA AECOM Technical Services, Inc.1 INSURER C ; Illinois Union Insurance Co 27960 URS Corporation': 999 W. Town & Country Rd.l INSURER D : Orange, CA 92868 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001972726-22 RFVIRION NtIMRFR- 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. INTRR OF INSURANCE ADDTYPE INS WVD SUER POLICY NUMBER MM/DDNYYY MMIDDtYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L11 OCCUR GLO 5965891 09 04/0112017 04/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 &ADVINJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT _PERSONAL GENERAL AGGREGATE $ 2,000,000 GEN'L X PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP 5965893 09 04/01/2017 04/01/2018 COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ X1HIRED ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR LJ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER OTH- STATUTE E.L. EACH ACCIDENT $ E.L, DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 04/01/2017 04/01/2018 Per ClaimlAgg 2,000,000 PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Client Reference No, 14-037: City of Santa Ana On -Call Engineering Services 14-037; AECOM: Agreements No, A-2013.034 and Agreement No. A-2015.169; URS: Agreement No. A-2008-048-01 and Agreement No. A-2014-357; The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as -needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services, A detailed scope of work will be outlined when/if a specific project or task order is assigned.lti T (See Additional Page) REVIEWED BY: EUNICE HEREDIA (PG OF ) City of Santa Anaf Attention: Monica M. Suter, PE, TE, PTOEO 20 Civic Center Plaza, M-36L Santa Ana, CA 92702 tilct_' 1 Iq NW-1 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 REPRESENTATIVE of Marsh Risk & Insurance Services James L. Vogel�G1'"�,,,�I�I� �,..�._.. @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles A� ® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED Marsh Risk & Insurance ServicesL AECOR AECOM Technical Services, Inca URS Corporation POLICY NUMBER 999 W. Town & Country Rd._ Orange, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ;L City of Santa Ana is named as additional insured for GL coverage, but only as respects work performed by or on behalf of the named insured. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to the GL coverage. Severability Of InteresUCross Liability is included for General Liability coverage. If the insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract, I ACORD 101 (2UU8/U1) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD REVIEWED BY; �ti El1NICE HEREDIA (PGy OF ) AECOM and Its Subsidiaries BAP 5965893-09 Eff 04/01/2017 A/NOC1 Blanket Notification to Others of Cancellation or Non -Renewal Policy No. Eff. Date of Pol. Exp. Date of Po 1. Eff. Date of End. Producer No. Add'] Prom Retum Prem. BAP 5965893-09 04/01 /2017 04/01 /2018 04/01 /2017 75320-000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form 1. The following is added to B. —General Conditions provision of Section IV —Business Conditions: A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured for any reason other than non-payment of premium, we will send, via electronic* means, a copy of the notification that such Coverage Part has been cancelled to each Person(s) or Organization(s), shown in a Schedule (of Others) provided to us by the First Named Insured or its designated representative. Such Schedule: 1. Must be initially provided to us within 15 days: a. After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names, addresses and e-mail* addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule must be updated monthly and provided to us by the First Named Insured or its designated representative: during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above. B. Our sending of the electronic* notification described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation o r no n - re n e wa I is sent to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be at least 30 days prior to the effective date of such cancellation or non -renewal as advised in our notice to the first Named Insured, or the longer number of days' notice if indicated in the Schedule, provided to us by the first Named Insured or its designated representative. C. Proof of sending the electronic* notification will be sufficient proof that we have complied with Paragraphs A. or B. of this endorsement. D. Our failure to send notification as described in Paragraphs A. or B. of this endorsement will not: 1. Extend the Coverage Part cancellation or non -renewal, 2. Negate the cancellation or non-rene%el or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. or B. of this endorsement. F. This endorsement is only applicable to Other Persons or Organizations that are listed on the Schedule. All other terms and conditions of this policy remain unchanged. U-CA-388 A CW (07194) Includes copyrighted material of Insurance Services Office, Inc., with its permission. REVIEWED EiY: EUNICE HEREDIA (PSG S0F,5.a.)j AECOMmnd Its Subsidiaries GLD5965 91f09 POLICY NUMBER: GLO50G58A1-O0 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizalion(s): Only those where required by written contract. I Information required to complete this Schedule, it not shown above, will be shown in the Declarations. | . A. Section U —Who Is An Insured is amended to include as an additional insured the (s) or organization(s) shown in the Schedule, but only With respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. |nconnection with your promises ownedby or rented to you. However: 1. The insurance afforded to such additional insured only applies tothe extent permitted by law; and 2. Ucoverage provided tothe additional insured is required by a contract or agreement,the insurance afforded to such additional insured Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: M coverage provided to the additional insured is required byacontract or agreement,the most wm wj|| pay on behalf of the additional insured is the amount o|insurance: 1. Required bythe contract uragreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the CG 20 26 04 13 0 Insurance Services Office, Inc., 2012 Page I of 1 TM uo fa O ab E r5 A2 0.0 a) t5 :3 Q 2L 0 M Lli Z [7L 0 ab c 0 0 E M 0 7M w rr -0 $LN C, 72 0 1 m 0 n;9 12 LL LU < Q a 112, zm LU E.2 sl N m =CD 1 0 m z ro U >: ci 0 U3 0 LL (I 4 n t-a 4.5; wpp 0 ra CL LU x Z 0gcYi -0 0 -0 3., .0 g 2 Am'& -ai a - :5 2 .2 d k -2-8 � 4 , (j V 76 0- Eq OR "I m i2 A C6 M 'd ti w w m S :3 Ao x 0 i2 0to Cb OE T' -E y Cc w *4 c . E W iQ :33 .90 0 U ti 3: -j § ,g K .2 � P -,0, CD� <��wu ti OE E c c = c n w Q E F-g75 af .? m u '15-2 E 23 ;R 6.4 a E 0 E = m zIZ C4 e4 li m r'- 2 2 CL rrE :3 0. 4 REVIEWED BY: [Maim m