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CERTIFICATE OF LIABILITY INSURANCE DATE(MM6DDl'YYYY) 11 /12/2015 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 DOMES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE,R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(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 endorsements . PRODUCER CONTACT NAME: Dealey, Renton & Associates PHONE 714-427-6810 Fax 714-427-6818 License 0 =LE rlee deals renton.00m � y 550 �. O. BOX 1 n55n x INSURERS AFFORDING COVERAGE NAIL # Santa Ana CA 92711-0550 INSURER A:ACE American Insurance Company 22667 INSURED PSQ'l'v°1AS INSURER B ; PSOMA S INSURER C 555 South Flowerer Street, Suite 4300 Los Angeles CA 90071 INSURER D INSURER E :. INSURER F ; COVERAGES CERTIFICATE NI1MRFR- 910959488 Pl=vrcrnlu MI IRAraIP-o- 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. INSR LTR TYPE OF INSURANCE. ADDLSUBR IN'.SD WVD POLICY NUMBER POLICY EFP MMJDOIYYYY POLICY EXP MM1D0fYYYY. LIMITS COMMERCMAL GENERAL LIABILITY CLAIMS -MADE F OCCUR EACH. OCCURRENCE- $ DAMAGE TO RENTED PREMISES (Ea occurrence)$ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY F7 JECT JECT D LOC GENERAL AGGREGATE PRODUCTS - COMPIOP AGG $ OTHER: AUTOMOBILE. LIABILITY O aecldeD SINGLE LE LIMIT $ BODILY INJURY (Per person} ANY AUTO AUTS OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE :Per accidenl. $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED '...... I RETENTION$ $ WORKERS COMPENSATION '�.. PER OTH- AND EMPLOYERS'LIABILITY Y d N STATUTE ER F.L. EACH ACCIDENT $...... ANY PROPRIET4yWPARTNERI'EXECUIrI'�+E OFFICERWEMBER EXCLUDED? LJ N d A F.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) 11 yea describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A PralesslnnalLilability Claims Marie G236383811007 1011512015 10/15/2016 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS C LOCATIONS I VEHICLES (ACORD 101.,. Additional Remarks Schedule, may be attached if more space is requdred) 30 Day Notice of Cancellation/1 0 Day notice for Non -Payment of Prem 2SAN051' 100, City of Santa Ana On -Cali Engineering Services 14-037. Agreement No.'s= A-2008-219 and A-2015-167 lIC.L-i6IIC lib Ri D1/ /I °I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, PWA-Design Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Monica M, Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 ' ice"'" '�"`" J �k 01P Q9 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE