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PACIF20 <br />........ ... f ---- ......-- __ 'I <br />ACORUM DATE jMWDDtfYYY) <br />CERTIFICATE OF LIA ILITY INSURANCE <br />11/29/2010 <br />PRODUCER C�aI �IT�erei�l Lines - �5��� ��� ���i� <br />THIS CERTIFICATE, IS ISSUED AS A MATTER OF tNI� RMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Wells Fargo Insurance Services USA, Inc. - CA LiC#: 0008408 <br />2030 Main Street, Suite 20 <br />FOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />P POLICY EFFECTIVEPOLICY <br />TYPE i F INSWRANCE POLICY I�IttMB�t DATE NIMA)Dryy <br />Irvine, CA 92614-7253 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Pacific. Advanced Civil Engineering, Inc. <br />INSURER A' Mitsui Sumitomo insurance USA Inc, <br />INSURER S. <br />17520 Newhope Street <br />I INSURER c, <br />-J <br />tNSURER 0: <br />i <br />Fountain Dalley, CA. 92705INSURER <br />E, <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BE LOW HAVE BEEN ISSUED TO THE :NS 11D,E,D NAMED ABOVE FUR THE POLICY PERIOD INDICATED. NOT ITHST"ANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T ? WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURAi CE AFFORDED BY THE POLI C 1!ES 0ESCR18ED HE .I N IS SUBJECT TO ALL THE. TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />€E <br />POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NSR <br />P POLICY EFFECTIVEPOLICY <br />TYPE i F INSWRANCE POLICY I�IttMB�t DATE NIMA)Dryy <br />EXPIRATION <br />OATI MMiE7DiYY LIMITS <br />GENERAL LIABILMY <br />EACH OCCURRENCE S <br />COMMERCIAL GENERAL.. LIABILITY <br />i <br />DAMAGE TO RENTED � <br />PREW SI S <br />CLAIMS MAGE OCCUR <br />MED EXP (Any pnL� person) $ <br />P RSONAL & ADV INJURY S <br />GENERAL AGGREGATE � <br />GENIL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS COMPIOP AGG $ <br />POLICY PRQ- LCA <br />JECT <br />A <br />AUTIJIi OEIL.E LIABILITY <br />B 88405776 <br />11/011 10 <br />1101/11 COMBINED SINGLE LIMIT <br />X ANY AUTO <br />{Ea ac6 moi} . <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />�---- <br />(Per perwn) <br />t <br />MIRED AUTOS <br />BODILY INJURY <br />X NON -OWNED AUTOS <br />I <br />{Per aCCider�i� � <br />PROPERTY DAMAGE <br />t ; (Per ;; cddent) <br />GARAGE LIABILITSf <br />� � � � <br />� "" <br />AUTO ONLY - EAACCIDENT � 1 <br />ANY AUTO <br />� <br />,,,,lTHER <br />THAN ACC <br />` <br />' <br />AUTO ONLY: <br />AGG 3 S <br />EXCESSIUMBRELLA LIABILITY <br />f. <br />w w , � <br />EACH OCCURRENCE <br />OCCUR � CLAIMS MADE <br />� <br />I AGGRI<GATE $ <br />i <br />DEDUCTIBLE <br />I <br />S <br />RETENTION SS <br />WORKERS COMPENSATION AND <br />YAC STATU- JOTH- <br />EMPLOYERS'LLABII-rTY <br />ANY PROPRIETORIPAFRTN( R1EXECUTIVE <br />E.L. EACH AGCJDI"N'i <br />OFFICER/MEMBER EXCLUDED? <br />` E.L DISEASE - EA EMPLOYEE- S <br />if yes, descrte under <br />SPECIAL PROVISIONS bet <br />F -L. DISEASE • POLICY LIMIT $ <br />OTHER <br />F <br />015SCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSE] ENT i SPECIAL PROVIIS"S <br />Evidence of A tormbile Liability COVerage for the Named Insured. <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />20 Civic Center Pt[za <br />Santa Ana, CA 92701 <br />CANCELLATION Ten Day Notice for Non-Pwyment <br />SHCILII_D ANY OF THE ABOVE DESCRIBEID POLICIES BE CANCELLED BEFOIRE 'THE EX IRAT)ON <br />DATE THERF_0F, THE ISSUING INSURER'I ILL eNDUWWWWAIL 3D DAYS WRn T;EN <br />NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, %0WJXM <br />�� Xx <br />AUTHORIZED R.EPRESENTAIIVE <br />ACORD 25 (2001105) 1 of 2 2068768 0 ACORD CORPORATION 1988 <br />