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�c r� CERTIFICATE IA I I TY INSURANCE DATE (MM /DDfYYYY)
<br />3!3/2015
<br />THIS CERTIFICATE IS ISSUED AS A FATTER 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: If the certificate holder is an ADDITIONAL INSURED, the polioy(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 N ACv
<br />3rown & Brown Insurance Brokers of Sacramento, Inc PHONE
<br />'.
<br />0. Box 619043 L.ic #01-138004 E -Mailer
<br />Roseville CA 95661 -9043 npoRts�l._.__
<br />INSURED CAL. -165
<br />California Professional Engineering Inc.
<br />dba California Professional Electrical Engineering
<br />929 Otterbein Avenue Unit E
<br />La Puente CA 91748
<br />COVERAGES CERTIFICATE NI IMRGR� 4arNn'7nn7 c Cc rvarnr., — iaar 1—
<br />THOS 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 />u__.
<br />TYPE OF INSURANCE .....v...,......_. a`LS6StTBR m_n°°__ ....,..._. _ _ .. ....,_ . �______._,...,....,.,,....,_.._
<br />ILTR POLICY EFF POLICY EXP
<br />!N R� POLICY NUMBER M POD V Y 7AMu IYYYY LIMITS
<br />A GENERAL LIABILITY
<br />Y
<br />TEN15401
<br />V2612015 /26/2016
<br />EACH OCCURRENCE
<br />51,000,000
<br />'{ COMMERCIAL GENERAL LIABILITY
<br />' CLAVMS -MADE OCCUR
<br />_
<br />PREFAlSES lEa orcuence,L.5100,000_.
<br />MEO EXP {Any dna persovt
<br />56 000
<br />L:..,,._I
<br />PERSONAL &ADVINJURY. y
<br />$1,000,000
<br />.GEN't.
<br />GENERAL AGGREGATE
<br />52,OOo,000
<br />AGGREGATE LIMIT APPLIES PER:+
<br />PRODUCTS - COMP /OP AGG
<br />$2,000,000
<br />X POLICY P; O-. LOC
<br />$ .__.
<br />C AUTOMOBILE LIABILITY
<br />SAG40000005627
<br />411012014 /1012015
<br />Eaaccdant _
<br />�� 000raon,
<br />X—.... ANY AUTO
<br />...
<br />BODILY INJURY (Per person)
<br />ALLOV1NED SCHEDULED
<br />.
<br />AUTOS .,.„ AUTOS
<br />BODILY INJURY C Par aU;tlOnt )
<br />$..
<br />NON-OWNED
<br />HIREDAUTOS AUTOS
<br />B ... UlABRELLA LIAR X OCCUR
<br />Y
<br />BE066404687
<br />12612015 ./26!2016
<br />EACH OCCURRENCE
<br />51010001000
<br />X EXCESS LIAR CLAIMS -MADE
<br />r..
<br />c^
<br />AGGREGATE
<br />slo,00QOoo
<br />E3Er1 RETENTION $
<br />WORKERS COMPENSATION
<br />wCSTATU- OTH-
<br />AND EMPLOYERS' LIABIUTY YIN
<br />-Y- `--� --
<br />— ,—...------..-.--
<br />ANY PROPRIETOR/PAR'rNERIEXECUTIVE
<br />N 1
<br />E.L. EACH ACCIDENT
<br />$
<br />OPI'ICER7MEMBER EXCLUDED?
<br />I (Mandatary In NH)
<br />A
<br />i
<br />._
<br />E.i.DISEASE - EA EMPi OYE
<br />S
<br />It Keg, desoxibe undae
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE: - POLICY LIMIT,..
<br />$
<br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sdhadule,. If more space is required)
<br />Certificate holder is Included as an Additional Insured under Commercial General Liability policy per endorsements CG 20 10 07 04 & CG 20
<br />37 07 04, subject to a written contract between the Named insured and the Additional Insured. Sample endorsement attached. — Subject to
<br />company approval..
<br />The Cltyof Santa Ana; its officers, employees, agents, volunteers and representatives are included as additional insured.
<br />�C CALIFORNIAP I� L 4NGINEERS (CPE) A- 2014 -136
<br />REVIEWED- BY: EUNICE HEREDIA (PG. '1 Of 5)
<br />The City of Santa Ana
<br />20 Civic Centel Plaza
<br />Santa Ana CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTOO ED REPRESENTATIVE
<br />IP 1tR$b -GU1U AUUKU UURPURA i 10N. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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