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n CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDO'YYY)
<br />0/312019
<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 polley(tes) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of suchendorsement(s).
<br />PRODUCER CONTACT ey Ferrick
<br />Dealey, Renton & Associates
<br />License # 0020738uc,Nn.F,xg 510�465.3op0 ,__„�u;510 452-2:1p3
<br />F dAIL
<br />P. O. Box 12675 ApDRE55 DeRI(IcalesQdsalti _canton GoIT_ _
<br />Oakland CA 94604-2675 - - INeURER(S)AFFORDING COVERAGE NAICN
<br />Butler Engineering, Inc.
<br />Tustin Financial Center
<br />17822 E 17th St Suite 404
<br />Tustin CA 92780
<br />pwuKtrc 4.
<br />rIVR D
<br />kASURER E
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<br />COVFRAMPS OFRTIFICATF NIIMRFR'I9ninCddd71 RFVt:QirSTd NIIMRFR•.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._..._._.
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<br />TVPE OFINSURANCE
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<br />POL CV NU ER
<br />.. ICY
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<br />DOIYYYV
<br />_.. LIMITS
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<br />x
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<br />COMMERCIALGENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />Y
<br />Y
<br />MZ690996613
<br />6/25/2019
<br />6/25/2020
<br />EACHOCCURRENCE
<br />$1,000.000 ...._.
<br />PFN' E3: En�,i4 „yVD
<br />$.1,ODD,000
<br />MED E%P (Any one parson) W.
<br />$1Q000-.__....
<br />,--a,,,
<br />PERSONAL aADV INJURY
<br />$1,000,000 _. T
<br />GENLAGGRE�GATE LIMIT APPLIES PER:
<br />POLICY,.. JEST DLOC
<br />. GENERALAGGREGATE
<br />PRODUCTS-COMP/OP AGO.
<br />52,DD 0000
<br />$2000,000
<br />$
<br />WHEN
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />MZA60339109
<br />6/25/2019
<br />6/25/2020
<br />COMBINED SING MIT-
<br />I AL, ..
<br />$1,000,000
<br />x
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED -SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED X ,NON -OWNED
<br />AUTOS ONLY -AUTOS ONLY
<br />BODILY INJURY (Per accident)
<br />$ _
<br />'X
<br />OgXJY'QAMAGE
<br />dcq an
<br />$
<br />E
<br />-UMBRELLA LIAB
<br />OCCUR
<br />EACH.00CURRENCE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$
<br />... T-
<br />'E'
<br />A :
<br />WORKERS COMPENSATION - -
<br />ANDWPLOYERVLIABILITY ,Y,tN
<br />Y
<br />8OW0011111101
<br />7/1/2019
<br />7/1/2020
<br />X P -
<br />� 61-IE
<br />E.L. EACH ACCIOEN7
<br />_
<br />E1,000a000.
<br />ANYPROPRIETOMPARTNEMEXECUTIVE
<br />OFFICER/MEMBEREXCLUDEW
<br />NIA
<br />(Mandatory In NH)
<br />If yyeaa, describe under
<br />DESCRIPTION OF OPERATIONS balow
<br />_.
<br />... ..__.
<br />Ems, DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />EL. DISEASE -POLICY LIMIT
<br />$1_000,000
<br />B
<br />Professlonal Uabillty
<br />107108511
<br />6/25/2019
<br />612SY2020
<br />$1.000.000
<br />per Claim
<br />$2,000,0110
<br />Annual Aggregate
<br />DESORIPTIONOFOPERATIONSr LOCATION$I'VENIOLEa (ACdRD 101, Addlllongl Ramprks Sohedgla,mbY bottlNohgtlifeCgrP spaao is rau01rtid1
<br />Rel; San Lorenzo Sewage Lift Station Projeof (RFP*18;049j, The Cityy Of Santa Ana,lts o0lgersi employees agents, volunteers and represematives are named
<br />as Additional Insured for General and Auto-1111lityy as required by wd ton contract oragreernmll. GBneral Llabi lty Insurance Is primary and non-doplributory per
<br />policy form. AWaivar of 561biogatlon applies per the:attached endorsements. 30 Days Nolice of Gan'Dellatinn.
<br />REVIEWED & APPROVED
<br />By RISk MANAGEMENT DMSION
<br />City of Santa Ana
<br />Risk Management Division, 4th Floor
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />ACORD
<br />reserved.
<br />ACORD 25 (2016103)
<br />The ACORD name and logo are registered marks of ACORD
<br />
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