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ACORDL CERTIFICATE OF LIABILITY
<br />PRODUCER (949) 852-0909 FAX: (949) 852-1131
<br />Milestone Risk Management & Insurance Agency
<br />License No. OB72766
<br />DATE(MkUDD/YYYY)
<br />INSURANCE 11i5i2008
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />8 Corporate Park, Ste 130
<br />Irvine CA 92606
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED
<br />Pacific Advanced Civil Engineering, Inc.
<br />DBA' PACE
<br />17520 Newhope Street, Suite 200
<br />INSURERA:AXIS Surplus Insurance 26620
<br />INSURERB:Hartford Casualty 29424
<br />INSURER C. American Home Assurance 19380
<br />INSURER D. Continental Casualty CO. 20443
<br />INSURER E.
<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 />R T I I S SHOWN MAY VE BEE 4 REDUCED By PAID
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />To NRR TYPE OF INSURANCE POLICY NUMBER DATE MID DATE MMI LIMITS
<br />rA
<br />GENERAL LIABILITY
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE ❑X OCCUR
<br />X Contractual Liab.
<br />FAP70125508
<br />11/1/2008
<br />11/1/2009
<br />N 1,000,000
<br />DA'X
<br />PRE METO$ 50,000
<br />MED EXP Arw ongPerson) $ Excluded
<br />$ 1,000,000
<br />X wrap Up Excluded
<br />GENERA,$ 2,000,000
<br />GEMLAGGREGATE UMIT APPLIES PER.,
<br />p _ COMEMP AGG S 1,000,000
<br />Total ate 5,000,000
<br />POLICY }{ PRO- C
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALLOVAEDAUTOS
<br />SCHEDULED AUTOS
<br />72UECTR2380 (CA)
<br />72UECTR5063 (AZ)
<br />11/16/2009
<br />11/16/2008
<br />11/16/2009
<br />11/16/2009
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />(Ea accident)
<br />BODILY INJURY
<br />(Per person) $
<br />X
<br />X
<br />HIREDAUTOS
<br />NON-OYNJEO AUTOS
<br />BODILY.INJURY $
<br />(Per accident)
<br />X
<br />Comp. Ded. $500
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />X
<br />Coll. Ded. $1,000
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN EA ACC $
<br />ANY AUTO
<br />AUTO ONLY: AG $
<br />A
<br />EXCESSIUMBRELLA LIABIUTY
<br />EACH =URRFNCE $ 10,000,000
<br />S 10,000,000
<br />X OCCUR ❑ CL/UMSMADE
<br />EAU729588012008
<br />11/1/2008
<br />11/1/2009
<br />-AGGREGATE
<br />S
<br />$
<br />IDEDUCTIBLE
<br />X R T N $10,000
<br />C
<br />WORKERS COMPENSATION AND
<br />TH-
<br />X WC STAT OEEL
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />EMPLOYERS'UABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTI VE
<br />OFFICER/MEMBEREXCLUDED?
<br />3426866 (CA)
<br />3426867 (OTHER THAN CA)
<br />1/1/2008
<br />1/1/2008
<br />1/1/2009
<br />1/1/2009
<br />E.L. DISEASE - EA EMPLOYEE$ 1,000,000
<br />F.L. DISEASE - POLIYLIMIT I $ 1,000,000
<br />If yes, describe under
<br />SPECIAL PROMSIONS Wlow
<br />D
<br />OTHER Professional Liab.
<br />AEA133328084
<br />11/1/2008
<br />11/1/2009
<br />Limit $5,000,000
<br />Retro nate: 11/1/2005
<br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHtCLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insureds
<br />per forms CG2010 07/04 & CG2037 07/04 attached. waiver of Subrogation applies where required by written contract.
<br />Waiver endorsement forma SI 127, HA 99 16 12 99 & WC 04 03 06, attached. *10 days notice of cancellation for
<br />non-payment of premium.
<br />rcMT!C!f•Arc unl ncn CANCELLATION
<br />ACORD 25 (2001/08) C) AGVKU LuKrukAi Ivn 'I wan
<br />INS025 (oloo).oas Pape 1 of 2
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />City of Santa Ana
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER HALL IK" MAIL
<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
<br />ACORD 25 (2001/08) C) AGVKU LuKrukAi Ivn 'I wan
<br />INS025 (oloo).oas Pape 1 of 2
<br />
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