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ACORD CERTIFICATE OF LIABILITY INSURANCE 11/23/2009 <br />(949) 852-0909 FAX: (949) 852-1131 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Milestone Risk Management & Insurance Agency ALDER. THIS <br />LOTER THE COVERAGECERTIFIAFFORDED BY THE POLICICATE DOES NOT ES BELOW EXTEND <br />License No. OB72766 <br />8 Corporate Park, Ste 130 INSURERS AFFORDING COVERAGE NAIC # <br />Irvine CA 92606 29424 <br />INSURER A: Hartford Casualty <br />INSURED <br />Pacific Advanced Civil Engineering, Inc. INSURERB:National Union Fire & 1944 <br />INSURER C: <br />DBA: PACE <br />17520 Newhope Street, Suite 200 INSURER D: <br />Fountain Valley CA 92708 INSURER E: <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 AT I T N M HAVE <br />N R D Y P IM POLICY EFFECTIVE POLICY EXPIRAATON LIMITS <br />TYPE OF INSURANCE: <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 0 OCCUR <br />LIMIT APPLIES PER: <br />GARAGELIABILITY <br />ANY AUTO <br />EXCTR.TENTION <br />RELLA LIABILITY <br />CLAIMS MADE <br />IBLE <br />B WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />UANWUC i�r«rv, �., $ <br />PREMISES Ea occurrence <br />MED EXP (Any oneperson) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />Donna irTc _ r.nMP/OP AGG $ <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />11/16/2009 11/16/2010 BODILY INJURY $ <br />11/16/2009 11/16/2010 (Per person) <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />... m K11 V _ ce nccinPNT $ <br />OTHER THAN x <br />.1:..ti L1 H], AUTO ONLY: AGG $ <br />--�...._.._.__ .,. ,1 TIL^(EACH OCCURREN $ <br />''- AGGREGATE $ <br />3429018 (CA) 1/1/2009 1/1/2010 <br />3429019 (OTHER THAN CA) 1 1/1/2009 1/1/2010 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />1.000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Waiver of Subrogation applies where required by written contract. Waiver endorsement forma HA99161299 & WC040306, <br />attached. *10 days notice of cancellation for non-payment of premium. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2001/08) <br />INS025 (0108).08a <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED �BEFFOOREE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL Ke1Gii ak)(AX MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KO <br />AUTHORIZED REPRESENTATIVE _ <br />CatherineCaM•[�� <br />© ACORD CORPORATION 1988 <br />Page 1 of 2 <br />AUTOMOBILE <br />LIABILITY <br />X <br />ANY AUTO <br />A <br />ALL OWNED AUTOS <br />72UECTR2380 (CA) <br />SCHEDULED AUTOS <br />72UECTR5063 (AZ) <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />X <br />Comp. Ded. $500 <br />Y <br />,•„1i_ nPd- 51.000 <br />GARAGELIABILITY <br />ANY AUTO <br />EXCTR.TENTION <br />RELLA LIABILITY <br />CLAIMS MADE <br />IBLE <br />B WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />UANWUC i�r«rv, �., $ <br />PREMISES Ea occurrence <br />MED EXP (Any oneperson) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />Donna irTc _ r.nMP/OP AGG $ <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />11/16/2009 11/16/2010 BODILY INJURY $ <br />11/16/2009 11/16/2010 (Per person) <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />... m K11 V _ ce nccinPNT $ <br />OTHER THAN x <br />.1:..ti L1 H], AUTO ONLY: AGG $ <br />--�...._.._.__ .,. ,1 TIL^(EACH OCCURREN $ <br />''- AGGREGATE $ <br />3429018 (CA) 1/1/2009 1/1/2010 <br />3429019 (OTHER THAN CA) 1 1/1/2009 1/1/2010 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />1.000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Waiver of Subrogation applies where required by written contract. Waiver endorsement forma HA99161299 & WC040306, <br />attached. *10 days notice of cancellation for non-payment of premium. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2001/08) <br />INS025 (0108).08a <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED �BEFFOOREE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL Ke1Gii ak)(AX MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KO <br />AUTHORIZED REPRESENTATIVE _ <br />CatherineCaM•[�� <br />© ACORD CORPORATION 1988 <br />Page 1 of 2 <br />