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

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PACIF20 ACORDT. CERTIFICATE OF LIABILITY PRODUCER Commercial Lines - (949) 225-6900 Wells Fargo of California Insurance Services Inc. INSURANCE 1 (MM//2009 Y) D-11(1 11 /23/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2030 Main Street, Suite 200 Irvine, CA 92614-7253 INSURED Pacific Advanced Civil Engineering, Inc. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Catlin Specialty Insurance Company 15989 INSURER B: INSURER C: 17520 Newhope Street INSURER D: INSURER E: Fountain Valley, CA 92708 COVERAGES HAVE BEEN ISSUED TO THE INSURED ANY CONTRACT OR OTHER DOCUMENT THE POLICIES DESCRIBED HEREIN HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE WITH RESPECT IS SUBJECT TO ALL FOR THE POLICY PERIOD TO WHICH THIS THE TERMS, EXCLUSIONS EXPIRATION INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR AND CONDITIONS OF SUCH THE ANY MAY POLICIES. POLICIES REQUIREMENT, PERTAIN, OF INSURANCE LISTED BELOW TERM OR CONDITION OF THE INSURANCE AFFORDED BY AGGREGATE LIMITS SHOWN MAY LTR NSR TYPE OF INSURANCE POLICY POLICY NUMBER EFFECTIVE DATE MM/DD/YY POLICY DATE MMIDD/YY LIMITS 1,000,000 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GLA -97803-1110 11/01/09 05/01/11 EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES rr n $FI50,000 MED EXP (Any one person) $ Excluded PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PE� LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS 1 = 1/ l , .� - Y � - COMBINED SINGLE LIMIT $ Ea accident) BODILY INJURY (Per person) BODILY INJURY $ (Per accident) NON -OWNED AUTOS ` v \l. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY X OCCUR F1 CLAIMS MADE XSA-97804-0510 11/01/09 05/01/11 EACH OCCURRENCE $ 10,000,000 A AGGREGATE $ 10,000,000 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE -POLICY LIMIT $ ll yes, describe under SPECIAL PROVISIONS below OTHER Professional/Pollution Liability Retro Date 1/1/95 CPL -95417-0410 04/30/09 04/30/10 Per Claim $5,000,000 Aggregate $6,000,000 A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named as Additional Insured per forms CG201007/04 and CG203707/04 attached. Waiver of Subrogation applies where required by written contract. CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Santa Ana Attn: Sheri Barkley NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza Santa Ana, CA 92701 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �O /J/0 / ACORD 25 (2001/08) 1 Of 2 972703 © ACORD CORPORATION 1988 (This certificate replaces certificate# 957615 issued on 11/12/2009)