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PAULUSENG U nDP7 AI4C41>REP CERTIFICATE OF LIABILITY INSURANCE DAT13012020 4/3012D20 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 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 endorsemen s . PRODUCER O ACT THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 20261 SW Acacia St., Suite 200 Newport Beach, CA 92660 PRONE FAX Ahco No, Eat: (949) 287-5677 A/C No: 0 INSURERS AFFORDING COVERAGE NAIL& INSURERA:Executive Risk Indemnity, Inc. 35181 INSURED INSURERS -Federal Insurance Company 20281 INSURERC: Paulus Engineering, Inc. 2871 E. Coronado Street Anaheim, CA 92806 INSURER D: INSURER E ; INSURER F ERTIFICATE NL -- - -- KCYIDIUIN MUm6CK: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DA&EUGE TO RENTED 100+0.0.0. CLAIMS -MADE OCCUR X 54303105 51112020 5/112021 S 5,000 MED EXP (Anyone arson PERSONAL &ACV INJURY 6 11000,000 GENLAGGREGATE LIMITAPPLIES PER o POLICY [XI JECT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS -COMP/OP AGG 2,000,000 S OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000ggg X ANY AUTO W03104 51112020 51112021 BODILY INJURY Par arson $ OWNED SCHEDULED AIUITEEO��S ONLY AUOoTO-ppSWWNNEE BODILY INJURY PeracCident AURTOS ONLY AUT0.50NLS PerO i�ddant AMAGE $ $ UMBRELLA UAE H OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS -MADE AGGREGATE CEO I I RETENTIONS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER E OTH- ANY PROPRIETORIPARTNERIEJ(ECUTNE YIN ��FFICERIMEMBER E%CLUDEDT NIA 54303106 51112020 51112021 E.L EACH ACCIDENT $ 1+ggg+ggg E.L. DISEASE- EA EMPLOYE$ 1,000,000 (Mandatory In NH)if describe under EL. DISEASE- POLICY LIMB 11 1,000.000 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may as attached if more space Is remained) RE: Santa Ana Emergency Work. glalp City of Santa Ana, Its officers, employees, agents, volunteers and representatives are Named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. ,By5iiL KMAfEMENT UIVISIUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management DivisionACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE v 11100-LUT3 AL-1.1I110 GUKVUKAI IUN. All rights reserved. The ACORD name and logo are registered marks of ACORD )PEZ Id.