CALIFORNIA PROFESSIONAL ENGINEERING, INC. (5)

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ac iao�RL> CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 2/1712015 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 SUBROGRATION 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 OnPolnt Underwriting Inc. CONTACT NAME: Steven McComb 8390 E Crescent Pkwy, Suite 200 Greenwood Village, CO 80111 PHONE (A/C, No Ext): (360) 628-0644 FAX (A1C, NO): (360) 526-0699 GENERAL LIABILITY EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: ACE American insurance Company 22667 INSURER 6: INSURED Barrett Business Services, Inc. INSURER C: LCF CALIFORNIA PROFESSIONAL ENGINEERING INSURER D: INC. INSURER E: 929 OTTERBEIN AVE UNIT E INSURER F: ROWLAND HEIGHTS, CA 91746 En iFiCA E Ivulnai 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 ISSUES 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. INSR LTR TYPEOFINSURANCE ADDL INSR 51.8111 WVD POLICY NUMBER POLICYEFF (MMMO/YYYY POLICY EXP IMMIODIVYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE g COMMERCIAL GENERAL LIABILITY CLAIMS -MAO[ OCCUR DAMAGE TO RENTED PREMISES (Ea S necuronEa) MED EXP (Any one parson) g PERSONAL B AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICYPROJ- LOC ECT PRODUCTS - COMPIOP AUG $ AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Enacddene S ALL OWNED AUTOS SCHEOULEDAUTDS BODILY INJURY IPer Person) g' BODILY INJURY(Pel accident $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB OCCUR AGGREGATE It OED RETENTIONS $ 5 A WORKERS COMPENSATION AND EMPLOYERfi' YIN ANVCEAMMEETORIPARTNDE EXECUTIVE y OFFICER/MEMBER EXCLUDED? (Mandatory In NH If yes, describe under DESCRIPTION OF OPERATIONS below NIA RWC C46161662 Covered stales: CA 12/19/14 12/0112015 � WC TORY LIMITS OTH- ER E.I.. EACH ACCIDENT $4,000,000 E.L. DISEASE EA EMPLOYEE $2,000,000 E.L. DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CALIFORNIA PROF SIO L ENGINEERING, INC PROJECT NO 12-6761, 14-6814,14-6818 REVIEWED BY. , EUNICE HEREDIA (PG 6 OF 7) CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza ,Ross Annex AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Richard Poling c) 1966-2010 ACORD CORPORATION, All rights reserved, ACORD 25 (2010ID5) The ACORD name and logo are registered marks of ACORD.