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CERTIFICATE OF LIABILITY INSURANCE <br />71512017YYY' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />LAURIE BRENNAN HAUCK <br />9114 Adams Ave #182 <br />Huntington Beach, CA 92646 <br />OC98533 <br />N NTAGT <br />PHONE (702)629-6700 - F AX 702)629-6701 <br />�renco ao .com <br />INSURERS AFFORDING COVERAGE NAICM <br />INSURERBurlin <br />ton Insurance company <br />INSURED Assoc, Inc. <br />17782 Georgetown Lane <br />Huntington Beach, Ca 92647 <br />(714)375-3830 <br />INSURERS: The <br />Hartford 66. <br />UZU2ERD.Hcuston Casualty Company <br />NSURERD:T a Hartfor <br />Ns <br />INSURER <br />GVVt"UtS GERfIFIGATF NIIMRFR- oo nolnni u <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN h4 SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS, <br />INaX OR <br />TYPE OF INSURANCE <br />Is <br />MIC <br />0 <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $2 QQQ QQQ, <br />T COMMERCIAL GENERAL LIABILITY <br />7AMMES $ ZOO QQ, <br />CLAIMS -MAGE OCCUR <br />MEOEXP An ono arsana § 5000 <br />A <br />x <br />Y <br />154BW40150 <br />6/24/2017 <br />6/24/2018 <br />PERSONAL 6ADVINJURY 1210001000. <br />GENERAL AGGREGATE 52,000.;000.. <br />GEN'L AGGREGATE LIMITAPPLIES <br />PER: <br />PRODUCTS - COMrvoP AGO s2,000,000. <br />- <br />PROM <br />$ <br />LOG <br />AUTOMOBILE <br />LIABILITY <br />7,119,50FMOUELIMIT <br />$ r r <br />X <br />ANYAUTO <br />ALLOWNED SCHEDULED <br />n <br />72UECTQ777Q <br />7/7/20177/7/ZO1B <br />BODILY INJURY Farperaan) s <br />B <br />AUTOS AUTOS <br />�{ <br />y <br />9001LY INJURY ) <br />(Per accident $ <br />X <br />HIRED AUTOS X NON-OWNEDAUT <br />A <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />DED T. <br />W1100O,000 <br />WORKERS COMPENSATIONANDEMPLOYERS'LIABILITYy�/�ANY <br />PROPRIETORIPARTNER/EXECUTIVE r-�•1 <br />72WECKU6780 <br />4/11/2017 <br />/11/2818b <br />ACCIDENT(Mandatory <br />OFFICERIMEMBER EXCLUDED? {I—II <br />in NH) <br />unde'R'1E2 r <br />If yea.9ESC <br />N/AE.L.EACH <br />E.L. DISEASE -EA EMPLOYEE <br />E.L. DISEASE - POLICYIT 1 , Q <br />IPa 0 ATI N <br />C <br />Professional Liab. <br />HCC 17 22635 <br />07/09/1707/09/18 <br />$2,000,000.per claim <br />$2,000,000. aggregate <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Atlach ACORD 101,AddiOonal Re dened Schedule, if mora space le required) <br />RE: RFP15-055 Geotechnical, special inspection & material testing <br />A-2011-057-01 for inspection & testing services <br />A-2016-111 for inspection & testing services <br />Certificate holder is named as an additional insured per the a tacd form. <br />Primary/Non Contributory wording applies per the atta <br />REVIEWED BY: EUNICE HEREDIA (PG j OF <br />City of Santa Ana <br />Its Officers, Employees, Agents <br />Volunteers and Representatives <br />20 Civic Center Plaza <br />Santa Ana, Ca 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS.. <br />©19j/5-2010 ACORD CORPORATION. All <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />reserved. <br />