CALIFORNIA PROFESSIONAL ENGINEERING 2A-2015

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A� �.--� CERTIFICATE OF LIABILITY INSURANCE 419/2TH 0912p15 'MMM`' I 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pogcy(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 Ilea of such endorsement(s). PRODUCER Brown & Brown Insurance Brokers of Sacramento, Inc P, 0. Box 619043 Uc 710638004 Roseville CA 95661 -9043 CONTACT PHONE � 816.630 -8643 FAX 800 - 783 -0083 ). E -MAIL INSURERS AFFORDING COVERAGE NAIOq Y INSUaERA:Houston 5- peoiaity Insurance Co 12938 _ ^- INSURED CAL -165 _ INsuRER S:Nationai Union Fire Ins Co PA 19445 California Professional En inearing Inc, Coal California Professional Electrical Engineering INSURER C:California Automobile Ins. Co. _ 38342 INSURER O: MED EXP An one .e) 929 Otterbein Avenue Unit E INSURER E: La Puente CA 91748 INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF UI INSURANCE LISTED BELOW HAVE BEEN ISSUED TO OR INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING Ra ISSUED O ANY REQUIREMENT, TERM OR CONDITION D ANY CONTRACTOR DESCRIBED DOCUMENT SUBJECT RESPECT TO WHICH THIS CERTIFICATE MAYO 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, IN TYPE OF INSURANCE MaD POLICYNUMBER POIID EPF urnrY, POLICYDn P LIMITS A X CORIMERCIAL OENERALLNRILITY CtAIMS.MADE OCCUR Y TEW5401 U2612015 Z12III201 8 EACHOCCURRENCE $1,000000 PAM! SES fEa occurtencef 5100,000 MED EXP An one .e) 59006 PERSONAL& AOV INJURY 51,000000 GEN'L % AGGREGATE LIMIT APPLIES PER: POLICY�jECT 0LOC GENERALAGGREGATE v 52,00%000 PRODUCTS - COMP /OPAGO 52,000,000 5 OTHER: C AUTOMOaaE LIAe1Utt BA040000005827 411012015 ,16 SINULa LIMI Ee sc dent 9 X ANY AUTO BODILY INJURY (Per person) _1,000,000 5 ALL OWNED SCHEDULED AUTOS AUTOS HIREOAUTOS NON,OWNEO AUTOS P accltlent (Par BODILY INJURY I ) S DA AG Peraal enl 5 -- 1 S B UMBRELLA LIA6 % OCCUR Y BE065404667 56!2015 126I2016 EACH OCCURRENCE $10,000_,000 X EXCESS LEAD CLAIMG IIAOE AGGREGATE S1 D,000,000 DED ETENTICNS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY yIN - TH- ATUJ F . E.L EACH ACCIDENT 5 ANY PROPRI£TOMPARTNEWEXECVTIVE OFFICERRMEMDER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE — S -- ---- -- (Manddory lnNig yyes. under D RIIPrI ESCRIIfiIONOFOPERATIONSUeIwi El, DISEASE - POLICY LIMIT 9 IT DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (dCOR01a1, Additional RamarXa SchadWe, may be eltacM1ed If morn space is mquiredi Certificate holder is included as an Additional Insured under Commercial General Liability policy per endorsements CG 20 10 07 04 & CG 20 37 07 04, subject to a written contract between the Named Insured and the Additional Insured. Sample endorsement attached. ` "Subject to company approval. The Cityof Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured. SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701��,,.,.,,,� 4. e_� 1588.2414 ACORD CORPORATION. All AGUKU 2b t213141U11 The ACORD name and logo are registered marks of ACORD CALIFORNIA PROFESSIONAL ENGINEERING A -20'15 -090 REVIEWED BY' r.. ° EUNICE HEREDIA (PG 1 OF 7)