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"ACC)RCERTIFICATE OF LIABILITY INSURANCE
<br />Droo IYYYY
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br />3//la/18/2o1144
<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(S). AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: N the Certificate holder Is on ADDITIONAL INSURED, the policy(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 endorselne s .
<br />PRODUCER
<br />COMITACT JerrX Noyola
<br />Greyling Insurance Brokerage
<br />450 Northridge Parkway
<br />PI Ne _
<br />770)552-4225 (246) 350-4002
<br />AWE-N-J*ZrY-noyola@Meling.com
<br />Suite 102
<br />Atlanta GA 30350
<br />NSURERf AFFORDING COVERAGE NAIC0
<br />NSURERANational Union Sire Ins Co 19445
<br />INSURED
<br />POWER Engineers, Inc.
<br />3940 Glenbrook Drive
<br />P.O. Box 1066 j1•-2013 • Ob b
<br />Kailey ID 83333 R'1.ol3 - 001 01
<br />mwevisNew Hampshire Insurance Company 26247
<br />N R A ndicate 2623/623 at Lloyd's
<br />srwReRo:
<br />ERe:
<br />r:
<br />wyanAGES cERTIFi:A1r NUMBE:R:14-1S (PEI) REVISION N"-
<br />---
<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 REQUIREMENT, 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 />J
<br />TYPE OF INSURANCE
<br />11MlTf
<br />GENERAL LWILITY
<br />EACHDCCURRENCE S 1,000,000
<br />X COMMERCM GENERAL LIABILITY
<br />S 500,000
<br />A
<br />CLAIMS -MADE ®OCCUR
<br />3L 5094741
<br />/2/2014
<br />/1/2015
<br />MED EXP JAy em P.) $ 25,000
<br />X Contractual Liability
<br />PERSONAL 6 AOV INJURY S 1,000,000
<br />GENERAL AGGREGATE S 2,000,000
<br />GENL AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS-COMP/OP AGO $ 2,000,000
<br />III POLICY
<br />XP" X LOC
<br />S
<br />AUTOMOBILE
<br />UAmUTY
<br />, 1,000,000
<br />A
<br />X
<br />AM'AUTO
<br />BODILYWJURVIP pemIol S
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />6403759 (LDS)
<br />1/1/2014
<br />/1/2015
<br />BODILY IUURV (Pse acManl) $
<br />A
<br />X
<br />HIRED AUTOS X µNjID�NED
<br />6403760 (NIU
<br />4/1/2014
<br />1/1/2015
<br />I r $
<br />S
<br />U"IIELUI LUUI
<br />OCCUR
<br />EACHOCCURRENCE S
<br />EXCESS UAB
<br />CWMS-MADE
<br />AGGREGATE S
<br />T N
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />049901174 (BOB)
<br />/1/2014
<br />/1/2015
<br />A -
<br />X
<br />ANDEMPLOYERf'UABIUTY YIN
<br />E.L EACH ACCIDENT S 1 000 OOQ
<br />ANY PRGPRIETOB,PARTNERIEXECUTVE
<br />OF�CERIMEMSER EXCLUDED?
<br />NIA
<br />A
<br />( "In NNl
<br />04990117S (CA)
<br />4/1/2014
<br />/1/2015
<br />E.L. DISEASE -EA EMPLOYEE$ 1,0001000
<br />IfOII=Be Mer
<br />y
<br />E.L. DISEASE -POLICY LIMIT S 1,000,000
<br />DESCRIPTON OF OPERATIONS
<br />C
<br />Professional Liability
<br />13897310201
<br />/1/2014
<br />/1/201S
<br />pe. CIF;,P $5,000,000
<br />AgOra9ax 85,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aftwh ACORO 101, A"&wW Awnwhe SCIeeule. K mere a mM,* is rW WM)
<br />The City of Santa Ana, its officers, employees, agents, volunteers i representatives are named as
<br />Additional Insureds on the above, referenced liability policies with the exception of workers compensation
<br />6 professional liability where required by written contract. Should any of the, above described policies
<br />be cancelled by the issuing insurer before the, expiration date thereof, 30 days' written notice (except
<br />10 days for nonpayment of premium) will be provided to the Certificate Holder named below.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana �1 y-� c�A E' t ?.Cf�ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Purchasing Department` rt
<br />20 Civic Center Plaza (.,S`''"� ( i �AUTHOR9EO REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />David Collings/JERRY
<br />ACORD 25 (2010105) - - 0 1988.2010 ACORD CORPORATION. All richts
<br />IrvsnzS,�nl�oa� �, TH. acnan ,..,....red Innn ,., ..alerAr.d ms.Rr. nF armmn
<br />
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