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, 'l CERTIFICATE OF LIABILITY INSURANCE �"'� CERTIFICATE DA JT 3/24/2015 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 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(les) 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 Greyling Insurance Brokerage 3780 Mansell Road NO T Clr Jerry Noyola PHONE (']')0)552-4225 FAX 866)550-4082 1L. _ FAX Iiq; MAIL REs5:7erry.noyola@greyling. tom Suite 370 Alpharetta GA 30022 INSURERS AFFORDING COVERAGE NAIC II INSURER ANational Union Fire Ins Co 19445 INSURED INSURERBN61m Hampshire Insurance Company 3841 POWER Engineers, Inc. INSURER C:S ndioate 2623/623 at Lloyd's 3940 Glenbrcok Drive INSURER D: P.O. BOX 1066INSURERS; X COMMERCIAL GENERAL LIABILITY CLAIMS-MAOE ®OCCUR Haile ID 83333 INsI a F: COVERAGES OEKIIH(;AIENUMBE1R;15-1b (PEI) 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. INSRR TYPE OF INSURANCE eR POLICY NUMBER POLICYEFF L YEXMMIDII Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS-MAOE ®OCCUR 5094741 4/1/2015 4/1/2016 DAE GE TO RON, Ee,cCg�- $ 500,000 MED EXP An one person g 25,000 X Contractual Liability PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE. $ 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: X PRO- X LOC PRODUCTS - COMPIOP AGO $ 2,000,000 $ A A AUTOMOBILE LIABILITY X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS X HIRED AUr05 X AUTOSNONLOWNCD 6403759 (AOS) 6403760 (MA) 4/1/2015 4/1/2015 4/1/2016 9/1/2016 COMBINED SIN LELI IE. 11000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ( ) PROPareER1cY A AGE $ $ UMBRELLA LIAR OCCU EACH OCCURRENCE $ EXCESS LIAR CLAIMSR -MAPF AGGREGATE $ DED I I RETENTI $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE YIN MFandatgry In NH FICERMEMSXCLUDEDP O ( 1 es, under NIA 039901492 (AOS) 39901493 (CA) 4/1/2015 4/1/2015 4/1/2016 4/1/2016 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1 000 000 EL. DISEASE -EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Dy RIPTIbe DESCRIPTION OF OPERATIONS below CD Professional Liability 13597150301 /1/2015 4/1/2016 Per Claim $5,000,000 Ag9re0ate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addifional Remarks Schedule, It moro space Is required) The City of Santa Ana, its Officers, employees, agents, volunteers 6 representatives are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation a professional liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided oth Cerr ificate Holder named below. POWER ENGINEERS, INC A-2013-006-02 REVIEWED BY: �Q a. EUNICE HEREDIA (PG 1 OF 6) City of Santa Ana Purchasing Department 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE Collings/JERRY - R^""�- '! C::�� All rights reserved. INa uIfZh Jnlllnnl of Tho ACnsin names and Innn am roniel. ,IA markt of Ar.nRn