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Client#• 13851 CIVILSOUR ACURO CERTIFICATE OF LIABI LITY INSURANCE r`Y' TM osi2s/ZO?2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton 8 Assocl ales ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92711-0550 714 427-681 O INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Indemnity Co. of Connectic 25682 Civil Source, Inc. INSURER B: Travelers Property Casualty Co of Am 25674 9930 Research Drive INSURER C: Travelers Casualty&Surety Co of Amer 31194 Irvine, CA 92618 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY 680281 OL758 07/20/11 p7/2U/12 EACH OCCURRENCE $2 QQQ QQQ X COMMERCIAL GENERAL LIABILITY General Liab. DAMAGE TO RENTED $1 000 000 CLAIMS MADE O OCCUR excludes claims MED EXP (Any one person) $1 ? 0()() X Contractual arising OUt Of PERSONAL B. ADV INJURY $2 000 QUQ Liability the performance GENERAL AGGREGATE $4 QQQ QQQ GEN'L AGGREGATE LIMIT APPLIES PER: Of prOfesslOnal PRODUCTS -COMP/OP AGG $4 DDD QQQ POLICY ECT LOC se rvlCES. B AUTOMOBILE LIABILITY BA4592 L377 07/20/11 ()7/20/12 COMBINED SINGLE LIMIT E id 51 000 000 ANY AUTO a acc ent) ( , , ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S )[ HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accidenp $ PROPERTY DAMAGE $ (Per accidenq GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ B EXCESS/UMBRELLA LIABILITY CUP6772Y251 p7/20/11 ()7/20/12 EACH OCCVRRENCE $1 ()?() ??? )( OCCUR ? CLAIMS MADE Does not Include AGGREGATE $1 0()() ()0() Professional $ DEDUCTIBLE Liability $ RETENTION $ $ B WORKERS COMPENSATION AND UB6771 Y518 07/20/11 07/20/12 X WC sTATU- oTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S1 000 000 OFFICER/ME MBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S1 U00 0U0 If yes. describe under SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT $1 000 000 G` OTHER professional 105316987 07/20/11 07/20/12 $2,000,000 per claim Liability $2,000,000 annl aggr. Claims Made $5,000 Ded. er claim DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Re: City Engineering Services. The City of Santa Ana and their officers, agents and employees are Additional Insured as respects to General & Auto Liability coverage as required by written contract. AppRC3 VE;ll AS TO F O1ZM (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION - L$UT8 ? J CC SIIEC(Jy NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana assistant Cicy Attorne DATE THEREOF, THE ISSUING INSURER WILL Jt1yl;fpglrJtRR4C MAIL ?_ DAYS WRITTEN Attn: Raul Godinez NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, YOKRWIC K 20 Civic Center Plaza )MPfOARM4ilOlQWJF1t7tl0IK1GItXlCJiKIiX74LXWX]LKWOXRJQKRE06(IWdKE1PJ(-0[liRlllE/NCOWQ({(xX Santa Ana, CA 92701 R ' AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 Of 2 #M286045 TMN ©ACORD CORPORATION 1988