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ABC L� CERTIFICATE OF LIABILITY INSURANCE <br />(+--"� <br />2E(MMIDDmr1 <br />4!99/12015 <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 CERT KATE 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 polloy(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 Ilan of such ondosement s . <br />PRODUCER <br />Brown &Shown Insurance Brokers of Sacramento, Inc <br />P. 0. Box 619043 Lie #OH38004 <br />Roseville CA 95561 -9043 <br />CONTACT <br />_NAME' <br />PHONE FA% <br />A6.NO.Fa4N 916- 630.8643 ��em.NRn 800-783 - 0083__ <br />E-MAIL <br />X <br />INSURER(LLAFPCROING COVERAGE <br />INSURER A:Housten Spec ally Insurance CO <br />12936 – <br />TEN78401 <br />INSURED CAL -165 <br />INSURER B:National Union fire Ins Co tPA <br />19445 <br />California Professional Engineering Inc. <br />dba California Professional Electrical Engineering <br />INSUgeac:California Automobile Ins. Co. <br />38342 <br />INSURER-0: <br />-- <br />929 <br />929 Otterhein Avenue Unit E <br />- - - -- _ -_.— _ <br />INSURER_F.: <br />_ <br />Le Puente CA 91748 <br />INSURER F: <br />COVERAGES CPRTIPICATP NIIMRPR• 611140352 pcvlmrser <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 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_POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />IL1R <br />TYPE OF INSURANCE .� <br />IN DL <br />WO <br />POLICY NUMBER <br />MMI�DY EFF <br />MMIDOY EXP <br />LIMITS <br />A <br />X <br />I COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE a] OCCUR <br />Y <br />TEN78401 <br />2612015 <br />112612018 <br />EACH OCCURRENCE <br />51000000 <br />�_ V ..... <br />PR 5 €5.!€a accuoance <br />Si00,Otltl _ <br />PERSONAL A ADV INJURY <br />3ix0o O <br />OEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑ JERR 1:1 Lee <br />GENERALAGGREGATE <br />_ <br />62,000000 <br />PRODUCTS- COMrVOP AGO <br />_ <br />$2,000,000 <br />- <br />S -� -� <br />aTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />SAD40000006627 <br />11011.019 <br />17012018 <br />Eaocciden0 <br />S1,O0b,000 <br />X <br />AWAUTO <br />_ <br />BODILY INJURY (Par person) <br />-5 �_._— .._.... -._- <br />„- <br />A4LppWNED $gC I OLEO <br />AUTOS AUI <br />NON So <br />HIRED AUTOS AUTOS <br />BODILY INJURY (Pnrncaltlenl) <br />3 <br />-OP-E-�p-O F— <br />Per accmenlj_ -_�. <br />5 - - - -- <br />,_- <br />$ _ <br />B <br />UMBRELLA LIAB <br />x <br />OCCUR <br />Y <br />a 06840468 <br />126/2015 <br />/2612016 <br />EpCHCCCURRENCE <br />310,000,000 <br />X <br />EXCESS LAB <br />CIAIMH -MADE <br />I AGGREGATE <br />510,000,000 <br />DEC <br />RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YiN <br />ANY PROPRIETOMPARTNEWEXECUnVE <br />OFFICERIMEMBB EX <br />R CLUOED1 <br />NIA <br />E.L. EACHACENT <br />CID- -- <br />$ ^� <br />E.LDISEASE.EAEMPLOYEE <br />- --- <br />E.L. DISEASE - POLICY LIMIT <br />---- _.--rs <br />5 - - - - -- <br />5 <br />(Mandatory In NHX <br />Ifyyaedn9edbountlar <br />OESdRIPt10NOFOPERATiOM56ebw <br />DESCRIPTION OF OPERATIONS ILOCAA71ONS I VEHICLES (ACORD 101, Additloeal Remarks Schedule, may be a6achod cream 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 Cityof Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured, <br />The 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 />'I'HE EXPIRATION BATE THEREOF, NOTICE WILL or DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />©1988.2014 ACORD <br />ACORU 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />CALIFORNIA PROFESSIONAL ENGINEERING A- 2015 -090 REVIEWED BYk k' 4. a EUNICE HEREDIA (PG 1 OF 7) <br />reserved. <br />