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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDNYYY) <br />11116/2015 <br />t nla CeR I IrIL:A i E I.`G IaBUEU As A MAI TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />- FORDED BY THE POLICIES BELOW, THIS CSRYIRICAft OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />SUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the peltay(les) must be endorsed. If SUBROGRATION IS WAIVED '1 <br />subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER OnPoint Underwriting Inc. CONTACT NAME: Steven McComb <br />8390 E Crescent Pkwy, Suite 200 PHONE (AID, No Ext): (380) 828 -0844 '!PAX (A/C, NO): (360) 828 -0690 <br />Greenwood Village, 00 80111 EMAILADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIL # <br />INSURERA: !ACE American Insurance Can 122667 <br />INSURED INSURER B. + ! <br />Barrett Business Services, Inc. VO /F INSURER Ct <br />REAL ESTATE CONSULTING & SERVICES, INC. INSURER D: <br />827 E CIVIC CENTER DRIVE INSURER E: - <br />SANTA ANA, CA 92701 INSURER F: ! <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY Be <br />ISSUES OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPEOPINSURANCE <br />ADOL <br />INSR <br />SUER <br />WVO <br />POLICY NUMBER <br />POLICYEFF <br />tMMIDOIYYYY) <br />POLICY EXP <br />(MMIDO/YYYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />�.W. <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE DOCCUR <br />DAMAGE TO RENTED PREMISES IEa <br />ocauranue) <br />$ <br />MED EXP (Anyone Nareon) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY PROD LQO <br />PRODUCTS- COMPIOP AGO <br />$ <br />ECT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea actddene <br />$ <br />ALLOWNEDAUTO$ MSMIEDULED AUTOS <br />BODILY INJURY (Per person) <br />$ <br />HIREDAUT09 NON -OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCVRRENCE <br />$ <br />EXCESS LIAR <br />OCCUR <br />AGGREGATE <br />$ <br />DEO III <br />RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION AND EMPLOYERS' <br />LIABILITY YM <br />RWC <br />048545129 <br />11/14115 <br />1110112016 <br />y/ <br />WC STATU- <br />TORYUMITG <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />32,440,400 <br />ANY PROPRIETOWPARTNER/ EXECUTIVE Y <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatory In NH) If yes, describe under <br />N/A <br />Covered states: <br />CA <br />EL. DISEASE - EA EMPLOYEE <br />$2,4tl0,Otl0 <br />E.L, DISEASE - POLICY LIMIT <br />52,000,04tl <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORG 101, <br />Addflionel RecraBS Schedule, if more space is required) —eot5� Q <br />�Aq <br />LA <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City f Santa A Santa A Public Works Dept. <br />y Ana, Ana P <br />EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br />POLICY PROVISIONS. <br />WITH THE <br />20 Civis Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />cZanta Ana CA 92702 <br />Richard Paling <br />c) 1988 -2010 ACORD CORPORATION: All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD. <br />7 <br />