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'``601?hl® CERTIFICATE OF LIABILITY INSURANCE 111 DATE(MMIDOIYYYY) 1 10/01/2014 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) 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 endorsement(s), PRODUCER PObEGRACZ INSURANCE AGENCY 116 S CATALINA #I 10 LIC #0612544 REDOND EACH CA 90277 OB, O B CONTACT TOM PODEGRACZ NAME: P'�VO�"NE -, x.310 374 8011 __I uc,H.o1,310 374 5321 ._ -MAIL 1oMr21aMiNSURF coM INSURER (S)AFFOftDING COVERAGE __ NAICIX INSURER A: COLONY INSURANCE COMPANY X11 POLICY NUMBER INSURED BEAVENS SYSTEMS, INC. 2200 PACIFIC COAST HWY #307 HERMOSA BEACH, CA 90254 INSURER B: ADMIRAL INSURANCE COMPANY _ INSURERC:TRUCK INSURANCE EXCHANGE A INSURERD:FARMERS INSURANCE EXCHANGE X INSURER E; 103 GL 0006349 -02 INSURER F; 09/25/2014 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 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. IITR TYPE OF INSURANCE ADOLB BR WVO V. POLICY NUMBER MMroDIYEYW MML00Y EXP _ LIMITS A BENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 17X OCCUR X 103 GL 0006349 -02 09/25/2014 09/25/2015 EACH OCCURRENCE S 2 000 000. _ OREI,ric' 'O.ENTEO nca, MED EXP (Any one person) $ 75,000. $ PERSONAL &ADV INJURY _ 5 2,000,001 GENERAL AGGREGATE S 2,1 GENT- AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO _ S 4,060,000, X POLICY PRO- LOO JECT S C AUTOMOBILE LIABILITY X 094107666 09!25/201409/25 /2015 COMBINED SINGLE LIMIT E "ccme,1_,___ 1,000,000. —� - ~— BODILY INJURY (Per person) $ ANYAUTO ALL AUTOS NED )( AUTOS BODILY BODILY INJURY(Per accident) $ X HIRED AUTOS X NOWOWNED AUTOS PROPERTYDAMAGE $ $ UMBRELLA LIAR OCCUR EACHOCCURRENC_E_ AGGREGATE _ $ EXCESS LIAR CLAIMS -MADC DED RETENTIONS M S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEIVEXECUTNe OFRCERIMEMBER EXCLUDED? (Mandatory In NH) NIA A09203249 -12 09/24/201409/24 /2015 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,006. [L. DISEAS6_EA EMPLOYCE $ 1,000,000. DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000. B PROFESSIONAL LIABILITY E0000020812 -03 09/25/20 409/25/ 01 $1,000,000. PER OCC. ,000. AGGREGATE I P DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Aaach ACORD10t,Additionnl Remarks Schedule, ifmera� ce a d) PROCESS ENGINEERING FIRM CERTIFICATE HOLDER IS ALSO NAMED AS AN ADDITIONAL INSURED PER ENWEIMENT ATTACHED, THIS INSURANCE IS PRIMARY AND NON - CONTRIBUTORY 30 DAY NOTICE OF CANCELLATION IS INCLUDED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE 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 AUTHORIZED REPRESENTATIVE �� - - - -- SANTA ANA, CALIFORNIA 92701 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 f2010/05) The ACORD name and logo are registered marks of ACORD