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AcoRo�CERTIFICATE OF LIABILITY INSURANCE DATE DONYYV <br />PpODUCER <br />1/6 J 2009 0 9 <br />{949) 852-0909 FAX: (949) 852-1131 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br />estone Risk Management & Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License No. OB72766 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />8 Corporate Park, Ste 130 <br />Irvine CA 92606 Inlmlo=eo --_ <br />INSURED - - - - --• -- -... �,...�,� <br />INSURER A: National Union Fire & 19445 <br />Pacific Advanced Civil Engineering, Inc. INSURER 8: <br />ABA: PACE <br />INSURER C: <br />17520 Newhope Street, Suite 200 / <br />- J, �(% Dt� INSURER D: <br />Fountain Valley CA 9270$ XV U INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING 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 />&WHEOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE E] OCCUR <br />LIMIT APPLIES PER: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTCS <br />I NON-OW4ED AUTOS <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESSIUMBRELLA LIABILITY <br />DOCCUR 0 CLAIMS MADE <br />DEDUCTIBLE <br />A WORKERS COMPENSATION AND <br />EMPLOYERS LABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PRQV1qIONS below <br />OTHER <br />3429018 (CA) 1/1/2009 1/1/2010 <br />3429019 (OTHER THAN CA) 11/1/2009 1 1/1/2010 <br />LIMITS <br />COMBINED SINGLE LIMIT <br />(Ea acddent) $ <br />BODILY INJURY <br />(Per Person) $ <br />BODILY INJURY <br />(Per acddent) $ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />OTHER THAN <br />AUTO ONLY: <br />1,000,00 <br />1,000,00 <br />1,000,00 <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS <br />City of Santa Ana, its Officers, employees, agents, volunteers and rapresentatives. Workers Compensation Waiver of <br />Subrogation applies Where required by written Contract, endorsement attached. *10 days notis of cancellation for <br />non-payment of premium. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />INS026 mioa).m <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER "LL (�(p( MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �ll�cll <br />AUTHORIZED REPRESENTATIVE <br />Gayle Graaf/MICHEL <br />CACORD CORPORATION 1988 <br />Party t nr � <br />