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ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE/IYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL '7/19 9 201 2013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AZC80876923 7/21/2013 INSURERS AFFORDING COVERAGE INSURED INSURER A: Fireman Is Fund Insurance Co. PENCO Engineering, Inc. 16842 Von Karman Avenue, Suite 150 Irvine CA 92606 INSURER B: Everest National Ins Cc INSURER c:Hartford Ins. Co of Midwest INSURER D: Q( Il O INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BERN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR MUDDiwi LIMITS A GENERAL LIABILITY AZC80876923 7/21/2013 7/21/2014 EACH OCCURRENCE $1 000 1 000 FIRE DAMAGE IAry one fire) $1 000 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) 81-01 000 CLAIMS MADE ExOCCUR PERSONAL &ADV INJURY $1 000 000 X Contractual X EFPD XCU GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGS $2 000 000 Poucv X PRO LOC JPCT A AUTOMOBILE X LIABILITY ANY AUTO AZC_"80876923 7/21/2013 7/21/2014 COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 BODILY INJURY $ (Per person) X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS"�e�A��'"' NON -OWNED AUTOS gg�� y,8 ,. ✓ ^ �r F �'� prry` 4: ✓~ ,,,..-^"'✓ Corney BODILY INJURY (Per accident) $ PROPERTY yAMAGE $ GARAGE LIABILITY p�c�\S�a� ONLY -EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO b'/AUTO AUTO ONLY: AGS $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE I $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 72WEGDZ3753 7/21/2013 7/21/2014 X WCSTLIMATT- OTH- E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE - EA EMPLOYEE $1 000 1 000 E.L. DISEASE - POLICY LIMIT I $1 000 000 B OTHER Professional Liability Claims Made 79AE002071131 7/21/2013 7/21/2014 Per Claim $1,000,000 Annl Aggr $2,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability. Re: On Call Engineering Services City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured as respects to General Liability as required by written contract. Primary and on -Contributing coverage applies to GL as required by written contract. CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION" 10 T1av II ca fnr Nnn-Pavmnt of Drom ACORD 25-S (7/97) O AC RD CORPORATION 1988 J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Aria WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE 20 Civic Center Plaza -Ross Annex (M-36) HOLDER NAMED TO THE LEFT. Santa Ana CA 92701 AUTHORIZED REPRESENTATI f p{ gym by S ACORD 25-S (7/97) O AC RD CORPORATION 1988 J