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JLEEENG-01 YUENG
<br />CERTIFICATE OF LIABILITY INSURANCE 7131120 14
<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: If the certificate holder Is an ADDITIONAL INSURED, the policydes) 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 endomement(s).
<br />PRODUCER License # OE67768 NAAMME cT GI ig Yuen
<br />IDA Insurance Services -SF PNDNEFAX
<br />3876 Hopvard Road, Suite 240 Inic ,N Etc (925) 416-7862 . tArC, Nn): (925) 416.7869
<br />INSURED
<br />JLee Engineering, Inc.
<br />430 S. Garfield Avenue, #301
<br />Alhambra, CA 91801
<br />Insurance
<br />of America
<br />• u _ IE9[sITIlA91c33t�
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />ICY
<br />LTRR TYPE OF INSURANCE ANR DSL D
<br />POLICY NUMBER MMIIDNYYY PMIODNYW LIMITS
<br />-.
<br />GENERALLIABILRY
<br />EACH OCCURRENCE $
<br />2,000,00
<br />A X COMMERCIAL GENERAL LIABILITY
<br />6808855N694 09/0112013 09/01/2014 DA RI
<br />nunence $
<br />PREMIBES Earp
<br />1,000,000
<br />CLAIMS -MADE [A] OCCUR
<br />MED EXP (Any one person) $
<br />_
<br />10,00
<br />PERSONAL&ADV INJURY __$
<br />2,000,00
<br />GENERAL AGGREGATE $
<br />4,000,000
<br />GEN'LAGGREGATE LIMITAPPUES PER'.
<br />PRODUCTS-COMP/OP AGG S
<br />4,000,00
<br />—, POLICY X 1 PRI, IFCT LOC
<br />$
<br />AUTOMOBILE LIABILITY
<br />C OM BIN ED SI NGLELIMIT
<br />(Ea accitlanil $
<br />2,000,000
<br />A ANY AUTO
<br />80885 59 0910112613 0910112014 GUY INJURY(Perp.mn) $
<br />_
<br />ALLOWNED SCHEDULED
<br />BODILY INJURY(Peraecidont) $
<br />AUTOS AU r05
<br />X X NON'OWNEO
<br />PROPERTY OA AGS $
<br />HIRED AUTOS AUTOS
<br />A PER AD ".IN „$
<br />UMBRELLA LIAR OCCUR
<br />A17mey EACH OCCURRENCE $
<br />EXCESS tiAe CLAIMS-MADE7
<br />AGGt2EGATE &
<br />OED RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />IYY II STATU- OI'H-
<br />ANDEMPLOYERS'LIABILITY YIN
<br />--WC
<br />���Mu EH
<br />A ANY PROPRIFTORIPARMERCVFQUTIVE
<br />U63290T632 0910172013 0910112014 CH AccIDENT $
<br />1,000,00
<br />NIA
<br />OFFICE RIMEMBEREXGLUDED4 _1
<br />(Mantla[ory In NH)
<br />SEASE-EA EMPLOYEE $
<br />rEL
<br />1,000,000
<br />If yea, tlescrlbe under
<br />DESCRIP'NON OF OPERATIONS 091oW
<br />SEASE � POLICY LIMIT S
<br />1,000,00
<br />B Prof. Liab,
<br />IAE1252601 11102/2013 1111212014 1 Per Claim
<br />1,000,000
<br />B Prof. Liab.
<br />IAE1262601 11102/2013 1110212014,Aggregate
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach
<br />ACORD 101, Additional ROMI,rka Schedule, if morespace is roquired)
<br />All Operations of the Named Insured.
<br />r.9QTiPICATE HOI nFR CANCELLATION
<br />(1)1988-ZU10 ACUKD CUKPURAI IUN. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE '--
<br />Planning and Building Agency
<br />20 Civic Center Plaza, M-20
<br />-.
<br />Santa Ana CA 92702
<br />(1)1988-ZU10 ACUKD CUKPURAI IUN. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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