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~ ACORDIiIJ CERTIFICATE OF LIABILITY INSURANCE411/2013 I DATE (MMfDDIYYYY) ~ 3/?7/2012 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: 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 CONTACT NAME: 725 S, Figueroa Strcet, 35th F1. PHONE Ir.ifc No: Ale No Ext: CA License #OF 15767 E.MAIL Los Angelcs CA 90017 AODRESS: (213) 689-0065 INSURER'S\ AFFOROING COVERAGE NAIC# INSURER A: Travelers Property Casualty Co of America 25674 INSUREO AECOM Technology Corporation INSURER B : 1075642 AECOM Teclmical Services, Inc INSURER C : 515 S. Flowcr St., FI 4 INSURER 0 : Los Angeles CA 90071 INSURER E : INSURER F : COVERAGES AECTEOI OE CERTIFICATE NUMBER: 10713239 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 OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR ~~)-J%M~ ~~~6%~1 LIMITS LTR INSR WVD POLICY NUMBER ~ERAL L1ABIUTY NOT APPLICABLE I'ACH OCCURRENCE S ,y I DAMAGE TO RENTED ~"'~~ ,~,'"'-'"',~ PREMISES (Ea occurrence) S XXXXXXX I CLAIMS-MADE UOCCUR MED EX? (Anv one oorsoni S XXXXXXX PERSONAL & ADV INJURY S XXXXXXX GENERAL AGGREGATE S XXXXXXX GEI~'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG S XXXXXXX I n PRO. n s POLICY I JEeT LOC AUTOMOBILE L1ABIUTY NOT APPLICABLE <;'UMHINeD SINGle L1MI S XXXyxxx - lEa accident) ANY AUTO BODILY INJURY (PGr parson) S XXXXXXX - - SCHEDULED ALL OWNED BOOlL Y INJURY (Per accident) S XXXXXXX AUTOS AUTOS - - NON.OV~NEO PROPERTY DAMAGE - HIRED AUTOS - AUTOS S XXXXXXX S XXXXXXX UMBRELLA L1AB H OCCUR NOT APPLICABLE EACH OCCURRENCE S xxxxxxx 1--1 EXCESS L1AB CLAIMS. MADE AGGREGATE S XXXXXXX OED I I RETENTION $ S XXXXXXX WORKERS COMPENSATION N X lro~~m,w~ 10TH' A AND EMPLOYERS' LIABILITY TRJUB-4245B231-12 411/2012 4/1/2013 ER A YIN (AZ.MA.OR,WIl 1.000,000 ANY PROPRIETOR/PARTNERiEXECUTIVE lliJ E.L EACH ACCIDENT S A OFFICERn~EMBER EXCLUDED? N NfA TC2JUB-4245B22A.12 4/1/2012 411/2013 A (Mandatory In NH) (All Olher StOles) E.L DISEASE - EA EMPLOYEE S 1.000.000 H yes, describe under S 1.000.000 DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT - DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) NOliec of Can cella lion applies pcr 311aehed endorsement RE: EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION See Altaclllnent SHOLlLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10713239 AECOM Technical Services. Inc. 5]5 S. Flower St.. F] 4 . Los Angeles CA 900]7 AUTHORIZED REPRESENTATIVE II ...._nn "l:" ,....,.... n.nC'\ 10 City of Sunny Isles Beach I Design & Permitting Services of the Intracoastal Parks RFQ No. 12-04-04 A::""COM