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''\ - R, 11 - IL' 9 -C
<br />ACORO® CERTIFICATE OF LIABILITY INSURANCE
<br />DAB`'
<br />10/25/2011
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsement(s).
<br />PRODUCER
<br />Tutton Insurance Services
<br />2913 S. Pullman St.
<br />Santa Ana CA 92705
<br />NAME:
<br />P-IC N Ext . (949) 261 -5335 FAC No l: (949) 261 -1911
<br />EMAIL
<br />ss:
<br />PRO t X00002827
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL=
<br />INSURED
<br />Environmental Engineering S Contracting, Inc.
<br />501 Parkcenter Drive
<br />Santa Ana CA 92705
<br />INSURERA :Starr Indelianity t Liability
<br />8318
<br />INSURERB:Peerless Insurance CoMany
<br />24198
<br />INSURERC:Dolden Eagle Insurance
<br />10836
<br />INSURERDNational Union File Ins. Co.
<br />19445
<br />INSURER E :
<br />_
<br />INSURER F:
<br />0/31/2011
<br />COVERAGES CERTIFICATE NUMBER:11 /12 Liab REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR ADM LTR TYPEOFWSURANCE - POLICY NUMBER A1MflI Elf LIMITS
<br />GENERAL
<br />LIABILITY
<br />Stanley Tutton /CLAUDI
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />PREMISES a o rence
<br />$ 100,000
<br />is
<br />iz
<br />COMMERC A GENERAL L LABILITY
<br />CLAIMS -MADE [i] OCCUR
<br />SISEIL70065111
<br />0/31/2011
<br />0/31/2012
<br />MED EXP (Any one parson)
<br />$ 25,000
<br />X
<br />PERSONAL BADV,NJURY
<br />$ 5,000,000
<br />NO Deductible
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMP /OP AGG
<br />$ 5,000,000
<br />X I POLICY PROT LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />I:BP9589097
<br />!
<br />/30/2011
<br />/30/2012
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />s
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />SCHEDULED ALTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE
<br />(Peraccident)
<br />$
<br />X
<br />NON -OWNED AUTOS
<br />Uninsured motorist combined
<br />$ 1,000,000
<br />Medical payments
<br />$ 5,000
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$ 1,000,000
<br />DEDUCTIBLE
<br />(/30/2012
<br />C
<br />X
<br />RETENTION $ 0
<br />U8555589
<br />/30/2011
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' EMPLOYERS' LIABILITY
<br />ANY PRO PRIETOR/PARTNERIEECUTIVE YIN
<br />(Mandatory EREXCLLIDED9 ,NIA
<br />UH) {Mandsrory In and
<br />�.f ye s, desmbe under
<br />007064808 (CA)
<br />0099701fi3 M)
<br />/24/2011
<br />/24/2011
<br />/24/2012
<br />/24/2012
<br />WC STATU-
<br />X Y
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Professional Liability
<br />SI SEIL70065111
<br />0/31/2011
<br />0/31/2012
<br />General Aggregate 5,000,000
<br />Deductible: $5,000
<br />Eacn Occurrence 5,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VE14CLES (AQach ACORD 101, Adaklonal Remarks Schedule, If more space Is required)
<br />SE: All Operations
<br />City of Santa Ana, its officers, agents 6 employees are named as additional insured per attached OG -023 01/09
<br />including primary /non - contributory wording 6 GL waiver when required by contract.
<br />C:ERifFill HOLDER f'AIJI I I ATIP1k1
<br />A's To FOR
<br />3; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701 ;:; 1l.Ii t %= 1`
<br />Stanley Tutton /CLAUDI
<br />P.�.,RW as;A%MV1ve) ®1988 -2008 ACORD CORPORATION. All rights reserved.
<br />IN3025 (200909) The ACORD name and logo are registered marks of ACORD `
<br />Y�r' ,
<br />
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