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A ®® CERTIFICATE OF LIABILITY INSURANCE <br />4!912015OOMW) <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 policy(les) 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 />certificake holder in Ileu of such endorsement(s), <br />PRODUCER <br />Brown &Brown Insurance Brokers of Sacramento, Inc <br />R 0, Box 619043 Lie #OH38004 <br />Roseville CA 95661.9043 <br />CONTACT <br />PHONE g16-630-8643 FAX .8O0-783.0083 <br />— ----- <br />EMAIL' <br />AnnRF 51 <br />INSURERSAFF(RDINOCOVERAGE___..._.,_,',_NAICY <br />X COMMERCIAL GENERAL LIABILITY <br />CWMS.MAOEX7 OCCUR <br />INSURER A: Houston Specialty Insurance CO 12936 <br />INSURED CAL -165 <br />INSURER n:National Union Fire Ins Co PA —19446 <br />California Professional Engineering Inc. <br />doe California Professional Electrical Engineering <br />929 Otterbein Avenue Unit E <br />INSURER C:Califomia Automobile Ins, Co. 38342 <br />_ <br />InsuneR o: <br />----- <br />INSURERE: ,^ <br />La Puente CA 91748 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 866182012 REVISION NUMBER <br />THIS IS TO CERTIFY THAT THE POLIOIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTIAT HSTANDING 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />e <br />D <br />POLICYNUMBER <br />POLICY EFF <br />WDO <br />POLICY EXP <br />MWDDMYY1 <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CWMS.MAOEX7 OCCUR <br />Y <br />TE1,115401 <br />V2612015 <br />12612016 <br />EACHOCCURRENCE 51,000,000 <br />P E IS S Ea accRu rs $100,000 <br />MED EYP (Ant ona Person) $5,000 <br />_ <br />PERSONAL &ADV INJURY 31,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />X POLICV ❑ . ❑ <br />JEOTPROLOC <br />GENERAL AGGREGATE $2,000000 <br />PRODUCTS-COMPIOPAGG 52,009,000 <br />5 <br />OTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />BA040000005827 <br />411012015 <br />411012016 <br />cc I <br />(Eaecddenll <br />ANYAUTO <br />BOOILYINJURY(par person) <br />p g�MJEO R�CU�I�RULED <br />BODILY INJURY (Per amlJon1) <br />JX <br />HIRED AUTOS NON.OWNED <br />AUTOS <br />OP T <br />(Perecclaentl <br />B <br />UMBRELLA LIPS <br />X <br />OCCUR <br />Y <br />BE050404687 <br />25/2016 <br />/26/2016 <br />EACH OCCURRENCE <br />WS <br />AGGREGATE <br />%EXCESS <br />LIAO <br />CLAIMS MADE <br />DED RETENTONS <br />WORKERS COMPENSATION <br />AND ESIPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNER1eXECUTIVE ❑ <br />OFFICERIMEMeER EXCWDED9 <br />NIA <br />P R O H. <br />S T E ER <br />E.1 -EACH ACCIDENT <br />E.L. DISEASE-EAEMPLOYE S <br />(Mandatory In qH) <br />II as, d"'OE"'undo' <br />DESCRIPTIONOFOPERATIONS below <br />-- <br />E.L. DISEASE - POLICY LIMIT 5 <br />DESCRIPTION OF OPERATIONS ILOCATIONS ) VEHICLES tADDRD 101, AtltllllPnPl RPmuNa Sc3edelq may be Anacnetl It mom spore Isrequlmdl <br />Certificate holder Is included as an Additional Insured under Commercial General Liability policyper 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 />Re: Intersection of Raid & Adams, at al City of Santa Ana -Project No's: 12-6761, 14-6814 & 14-6818 <br />CALIFORNIA PRO ESSIONAL ENGINEERING, INC PROJECT NO 12-6761, 14-6814, 14-6818 <br />REVIEWED BY EUNICE HEREDIA (PG 1 OF 7) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 />1988.2014 ACORD CORPORATION. All <br />ACORD 25 (2514/01) The ACORD name and logo are registered marks of ACORD <br />