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PAULUSENG 1LOPF7 'A14 R" CERTIFICATE OF LIABILITY INSURANCE OAT117/2D/YYYY) 6/17/2024 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 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 Jessica Lopez Commercial The Brokerage PHONE Fax The Brokerage, an Ahsra Grou mpany • (AIC, N. E>:0: ' 9 335-0621 20261 SW Acacia St, Suite 20'�^I�, T,jl i .c Newport Beach, CA 92660 INSURER S AFFORDING COVERAGE NAIC p INSUREF T S P TY TVC P INSURED INSURr .B Paulus Engineering, Inc. INSU+ :R C 2871 E. Coronado treet INS .AERO: Anaheim, CA 928 nt RER COVERAGES I TAdlemicLilxiiii NIME • • SI . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED ',R r N HAVE BEEN ifl D AMED E F T POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR fJN',TION 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 LTRTYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICDY EXP NYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X OT22-CO-tY47573A-TIL-24 5/112024 51112025 DAMAGE TO RENTED PREMISE ,man 300,000 MED EXP (Any one parson $ 5,000 PERSONAL&ADV INJURY 1+000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY PRO LOC 2,000,000 PRODUCTS - COMP/OP AGG OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E ant 1,000,00 ANY AUTO 810-1Y475612-24-26-G 511/2024 5/1/2025 X BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) AUTOS ONLY AUTOS ONLY Pe�acGRtlent AMAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ A WORKERS COMPENSATION X PER OTH- STAT T ER AND EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT $ 1,ggg,gg0 ANY PERIME TOR/PARTNDED? CUTIVE UB-1Y475765-24-26-G 51112024 SI112025 NNR EXCLUDED? ❑ ) NIA `ManEabME^ 7 E.L. DISEASE - EA EMPLOYE $ 1,000,000 Hea describe under y E.L. DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, me be attached If more space Is required) RE: Master Agreement #A-2019-142-02; Agreement #A-2020.091-02; Agreement #A-2621-132-05; Santa Ana Emergency Work. glaipwv 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. Waiver of Subrogation for General Liability: See Attached Endorsement. SHOULD ANY OF THE ABOVE DESCI City of Santa Ana THE EXPIRATION DATE THEREI Risk Management Division ACCORDANCE WITH THE POLICY PF 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 C142_ - ACORD 25 (2016/03) ©1938.2015 ACORD The ACORD name and logo are registered marks of ACORD BE OY an.A ®' RI&l M1OlYg0110t[VNNI011 REMF&rED f, APPROVm BY: A-a.�:r Acw�ato Risk Management Specialist