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•""'�""� PAULUSENG _pp <br />CERTIFICATE OF LIABILITY INSURANCE GATE IMMIDDNYYY) <br />S 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 policy(les) 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 doos not confer rights to the certificate holder in lieu of such endorsement e . <br />PRODUCER I 29NJJ CT <br />INSURED <br />INSURANCE SERVICES, Inc. <br />Paulus Engineering, Inc. <br />2871 E. Coronado Street <br />Anaheim, CA 02806 <br />r.0VPnAr'PQ--___ <br />rvUry BER; <br />THIS IS TO CERTIFY THAT THE POLICIES OE 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$UBJECTTO ALL THE TERMS, <br />LIMITS SHOWN MAY HAVE BEEN CLAIMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH. nooL <br />INS- <br />TYPE OFINSURANCE <br />suBR. <br />'IR'EDo`O�VDB-YPPOL <br />POLICY NUMBER <br />p <br />CV ExP <br />r'' --- <br />LIMITS <br />A <br />x- <br />- <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENC6 <br />1,000,000 <br />CLAIMS -MADE X OCCUR <br />)( <br />54303105 <br />5/1/2020 <br />5/112021 <br />DAMAGE TO REN TED <br />�Epg5E91E yRqurtence <br />1001000 <br />- <br />MEDEXP An tlne rsan <br />5,000 <br />_ <br />PERSONAL&ADVINJURY <br />1,000,D00 <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GERL <br />AGGREGATE LIMIT APPLIES PER; <br />n <br />_PRODUCTS-COAj-P/Dp AGO„ <br />$-_ 2,OD0.000 <br />POLICY w LOG <br />I <br />OTHER <br />B <br />AUTOMOBILE <br />LIABILITY <br />COMB I ���—ED SINGLE LIMIT <br />11000,000 <br />% <br />ANY AUTO _ <br />OWNED SCHEDULED <br />54303104 <br />511/2020 <br />S1/2021 <br />BODILY INJURY Ip on <br />$ ----- <br />,TO DILY INJURY per acddenr <br />AU�ppT��Op$ ONLY AUpTT�Oa$ <br />HUTOS ONLY AUTOS ONLY <br />VROPEcRide 1 AMAGE <br />UMBRELLA LIAB _ OCCUR <br />EACH OCCURRENCE <br />EXdE59 LIAB CLAIMSDE <br />AGGREGATE- <br />RE <br />TENTIODLN$ <br />B <br />WORKERS COMPENSATION <br />ANOEMPLOYERB'LIABILITY <br />x PER UIE OTH- <br />ANY PROPRIETORMARTNENEXECUTIVE Y N <br />(Q�F'FIGEWMEMBF.� EXCLUDED? <br />) <br />NIA <br />54303106 <br />5/1/2020 <br />511/2b21 <br />E.L,.E�CH ACCIDENT <br />fig <br />$ <br />{man�at¢ryPln <br />Ifyyes,descnbeunder <br />E:L. DISEASE-EAE LOVE <br />t,000 0170 <br />-s----I <br />EL. DISEASE• POLICY LIMB <br />1,000,000 <br />DESCRIPTIONO OPERATIONS below <br />D55CRIPTION OP OPERATIONS I LOCATIONS I VEHICLES ((ACDRD tei, Addm¢Pel Rmnarka $chetlule, may be ¢It¢ched Iflnor¢ ¢pets le rogvir¢d) <br />RE: Santa Ana Emergency Work. glaiP <br />City of Santa Ana, Its officers, employees, agents, volunteers and representatives are Named as Additional Insureds as respects General Liability <br />per <br />Attached Endorsement. <br />This Insurance shall apply as Primary and Non -Contributory per attached endorsement. <br />BY Risk MANAGEMENT DivISiON <br />City of Santa Ana <br />Risk Management Division Y <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 />20 Civic Center Plaza <br />....... <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Acoi[b 25 (26 iu;vo) 01988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />