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DATE (MMIDD/Y1'YY)
<br />ACORD9)BCERTIFIICATE OFILIABILITY HNSURANCEIS CERTIFIGAIE IS SS�ED A9 A MATTER OF INFORMATION
<br />PRODUCER
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Milestone Risk Management 6 Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />License NO. OB72766 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />8 Corporate Park, Ste 130
<br />Irvine CA 92606
<br />NAIC III
<br />INSURERS AFFORDING COVERAGE
<br />INSURED -
<br />Pacific Advanced Civil Engineering, Inc.
<br />DBA: PACE
<br />17520 Newhope Street, Suite 200
<br />26620
<br />INSURERA:AXIS Sll lus Insurance 2662
<br />INSURERB:Hartford Casualty 29424
<br />INSURER c. American Home Assurance 19380
<br />INSURER D. Continental CasualtyCo. 20443
<br />"Su;RE.
<br />Fountain Valley CA 92708
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />AG RE TE LI I SHOWN MAY HAVE N RED CED BY P ID IMS.
<br />INSR ADOL PODGY EFFECTIVEPOUCY EXPIRATION LIMITS
<br />TYPE OF INSURANCE POLICY NUMBER DATE MNVD DATE MMI
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIALGENERALLIABILITY
<br />o_NMSMADE ❑X OCCUR
<br />EAP70125508
<br />11/1/2008
<br />11/1/2009
<br />H N $ 1,000,000
<br />DAMAGEMITOL RENTED $ 50,000
<br />MED EXP one rson $ Excluded
<br />$ 1,000,000
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ARMMAIL
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />X Contractual Liab.
<br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />X Wrap Up Excluded
<br />GENE AGGREGATE $ 2,000,000
<br />AUTHORIZED REPRESENTATIVE
<br />Gayle Graef/MICHEL y Q
<br />GEHL AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS- $ 1,000,000
<br />Total ate 5,000,000
<br />IF
<br />POLICY X PRO- LOC
<br />B
<br />AUTO
<br />X
<br />MOBILE LIABILITY
<br />ANY AUTO
<br />ALLOWNEDAUTOS
<br />SCHEDULED AUTOS
<br />72UECTR2380 (CA)
<br />72UECTR5063 (AZ)
<br />11/16/2008
<br />11/16/2008
<br />11/16/2009
<br />11/16/2009
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />(Ea accident)
<br />BODILYINJURY
<br />(Per Person) $
<br />X
<br />X
<br />HIREDAUTOS
<br />NON -OWNED AUTOS
<br />BODILY INJURY
<br />(Pmacadent) $
<br />X
<br />Coup. Dad. $500
<br />PROPERTY DAMAGE $
<br />(Per acadent)
<br />X
<br />Coll. Dad. $1,000
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHERTHAN EA ACC $
<br />ANY AUTO
<br />AUTO ONLY: AGG $
<br />A
<br />E%CESSNMBRELLA LIABILITY
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE s 10,000,000
<br />X OCCUR ❑ CVUMSMAGE
<br />EAU729588012008
<br />11/1/2008
<br />11/1/2009
<br />$
<br />DEDUCTIBLE
<br />X RETENMnN S10.000
<br />G
<br />WORKERS COMPENSATION AND
<br />X WC STATU- OTH-
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />EMPLOYERS' LIABILITY
<br />ANY PROPRIETORJPARTNER/ ECUTIVE
<br />OFPCER/MEMBER EXCLUDED?
<br />3426866 (CA)
<br />3426867 (OTHER THAN CA)
<br />1/1/2000
<br />1/1/2008
<br />1/1/2009
<br />1/1/2009
<br />E.L. DISEASE - EA EMPLOYEE$ 1,000,000
<br />EL DISEASE -POLICY LIMIT $ 1,000,000
<br />If yes, describe under
<br />RPE IAL PROM N below
<br />D
<br />OTHER Professional Liab.
<br />AEA133328084
<br />11/1/2008
<br />11/1/2009
<br />limit $5,000,000
<br />Retro Date- 11/1/2005
<br />DESCRIPTION OF OPERATIONS(LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insureds
<br />per forms CG2010 07/04 6 CG2037 07/04 attached. Waiver of Subrogation applies where required by written contract.
<br />Waiver endorsement forms SI 127, RA 99 16 12 99 6 WC 04 03 06, attached. •10 days notice of cancellation for
<br />non-payment of premium.
<br />licr I I r IVMICn F N—
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />City Of Santa Ana
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ARMMAIL
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />AUTHORIZED REPRESENTATIVE
<br />Gayle Graef/MICHEL y Q
<br />ACORD 25 (2001108) "As"s'r�� ...,," V �� V .1—
<br />INS025 (o orfLoSa Pape t or z
<br />
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