CALIFORNIA PROFESSIONAL ENGINEERING 2A-2015

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CALIF01 OP ID: C6 A164 " CERTIFICATE OF LIABILITY INSURANCE D YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 04/0 /2 0410612016 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(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 endorsement (s). PRODUCER CONTACT _NAME Grosslight Insurance IE Div License #0247283 PHONE FAX o t ; 909- 204 -3600 AIC No): 909- 204 -3663 9381 Haven Ave. E-MAIL Rancho Cucamonga, CA 91730 ADDRESS: 02/26/2017 EACH OCCURRENCE George S Duran INSURERS AFFORDING COVERAGE NAIC # INSURER A:Burlington Ins Co 23620 MED EXP (Any one person) INSURED California Professional INSURER B: Engineering Inc. DBA: California Professional INSURER C: EBL: $1,000,000 INSURER D: $ 1,000,000 Electrical Engineering INSURER E: $ 2,000,000 929 Otterbein Avenue, Unit E La Puente, CA 91748 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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 ADDL SUBR POLICYNUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Ded: $5K per occ X 902BW34742 02/26/2016 02/26/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 1001000 X MED EXP (Any one person) $ 5,000 X EBL: $1,000,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY I "I I jE O [—] LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGO $ 2,000,000 Per Proj $ 5,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS ( BODILY INJURY Per accident ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB X J OCCUR EACH OCCURRENCE $ 10,000,000 A X EXCESS LIAB CLAIMS -MADE HFF0003227 02/2612016 02/26/2017 AGGREGATE $ 10,000,000 DED I X I RETENTIONS 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Design -Build High Voltage Street Lighting System, Agreement #A- 2015 -208 City of Santa Ana is included as additional insured as respects to general liability arising out of the operations of the named insured where required by written contract, per the attached policy forms lik` CE I-ILFdEDIA (I- I - 111 - 1 L I1--f\ CITOFSA City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD