PACIFIC ADVANCED CIVIL ENGINEERING INC. (PACE) (2) - 2009

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�'''', "R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/13/2011 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(les) must 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 endorsement(s). PRODUCER Commercial Lines - (949) 225-6900 CONTACT NAME: Maegan Kawczynski Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 2030 Main Street, Suite 200 Irvine, CA 92614-7253 _._ n/c° r Ext : 949-225-6914 ac No 949-225-6910 L --- E-MAIL mae an.kawcz nski wellsfar o.co ADDRESS: g Y @ 9 PRODUCER pACIF20 CUSTOMER ID #: -- " — _-�--- INSURERS AFFORDING COVERAGE NAIC # INSURED Pacific Advanced Civil Engineering, Inc. -INSURER A: Seabright Insurance Company 15563 — - - INSURER B: 17520 Newhope Street INSURER C INSURER D: INSURER E: Fountain Valley, CA 92708 INSURER F COVERAGES CERTIFICATE NUMBER: 2269032 RFVISInhl NIIMRFP- See hpinw THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE �ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDfYYYYI - LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY 1 CLAIMS -MADE I� OCCUR _ DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person)I $ PERSONAL & ADV INJURY _ $ I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ .:_.,::.::; `" $ -- AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS— _ - _. BODILY INJURY Per accident) r$ L HIRED AUTOS rl.�" - - PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS•'` UMBRELLA LIAB__ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE _ AGGREGATE $ DEDUCTIBLE _ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/N 661113671 01/01/11 01/01/12 I WC STATU-OTH- T YLIMIT ERANY �EXL. EACH ACCIDENT $ 1,000,000 PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 - E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of Workers' Compensation Liability coverage for the Named Insured. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2009/09) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE k9 1a1su-zuUU AGUKU L:UKPUH:ATION. All rights reserved. The ACORD name and logo are registered marks of ACORD