CALIFORNIA PROFESSIONAL ENGINEERING 1 - 2014

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AtC°BZLIP CERTIFICATE OF LIABILITY INSURANCE DATE(MM)DDIYYYYI x/20/201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsoment s . PRODUCER Brown & Brown Insurance Brokers of Sacramento, Inc P, 0. Box 619043 Lic f#01-38004 Roseville CA 95661 -9043 NAME: P ONE FAX .I c Ne;000 °783_gg,$ ,MAIL DDR : INSURERISI AFFORDING COVERAGE NAICA EACH OCCURRENCE NSUREft A It Insuranca Go 12936 $100000 INSURED CAL -165 INSURERS: • Lonal�115._C.Q PERSONAL &ADV INJURY -A -_ wsuRERC: „8jjflJU]iO..Automoblle Ins Co .1.9.44 California Professional Engineering Inc. DBA: California Professional Electrical Engineering 929 Otterbein Avenue Unit E -- '� INSURER D $2000000 INSURER E: LIMIT APPLIES PER: PRO- LOG IFCT 1 INSURER F: $2000,000 La Puente CA 91748 ten• era: aeTn: n�tlaY. laUwalIa011li91 :1q:R:LYrYYYLIiI. Y�g6Yt•1. �.IIh01:1tl:� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW FIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NJ$R TYPE OF INSURANCE IN SR POLICY NUMBS POLICY EFF OD POMCYEXP M D NYVY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR Y TEN13729 212612014 /2612015 EACH OCCURRENCE $1,000,000 PR ISE $100000 MED EXP(Any one parson) $_5u000 PERSONAL &ADV INJURY $1:000,,000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE X7 POLICY LIMIT APPLIES PER: PRO- LOG IFCT PRODUCTS - COMPIOP AGG $2000,000 $ C AUTOMOBILE X LIABILITY ANY AUTO ALL AUTOS OWNED SCHEDULED AUTOS NON-OWNED HIRED AUTOS AUTOS BA040000005827 110/2014 /1012015 OMB/ ED 1090000 BODILY INJURY (Per person) $ BODILY INJURY (Per acdden0 $ P OPERTY DAMAGE r M1 $ 8 B X UMBRELLA LIAR EXCESS LIAR X I OCCUR CLAIMe-MADE Y BE014360939 /26/2014 26/2015 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIE %ECUTIVE OFFICERIMEMDER EXCLUDED' � (Mandatenf in NH) If yyes, Describe under DESCRIPTIONOF OPERATIONS below NIA WC STATU- OTH EL EACH ACCIDENT $ E.L. DISEASE -eA EMPLOYE $ ELDISEASE- POLICYLIMR "—"'- $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Ifrnore apace Is required) Certificate holder is included as an Additional Insured under Commercial General Liability policy per endoreementS CG 20 10 07 04 & CG 20 37 07 04, subject to a written contract between the Named Insured and the Additional Insured. Sample endorsements attached. "Subject to company approval, The Cityof Santa Ana, Its office�.7 fyq-k g10Lyi(c�J"c1 representatives are included as additional insured. — Y� rr�: alllgfwsv. yem�ny: a� .swlwr.el�lv�irnsn..+1...,.... a.ar�i�ti,IraTu "�4n17ASSIStant Cloy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza Santa Ana CA 92701 +AUTHORIZED REPRESENTATIVE (9 19138 -2 010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD