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"�'��'� CERTIFICATE ®F LIABILITY iNSURANCE
<br />b r11105)2015 r,
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsemends),
<br />PRODUCER
<br />ADD Risk insurance Services West, Inc.
<br />LOS Angeles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />(ao.NP,E•p; C806) 283-7127 No No 1: (800) 3h3-0105
<br />i-MAIL
<br />ADDRESS:
<br />'
<br />Los Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NA(C tt
<br />INSURED
<br />INSURER A: National Fire Ins, CO. Of Hartford
<br />20478
<br />willdan Engineering
<br />2401 East Katella Avenue, Suite 300
<br />Anaheim CA 921106 USA
<br />INSURER a: The Continental Insurance Company
<br />.35289
<br />INSURER C: Lexington Insurance Company
<br />19437
<br />INSURER 0:
<br />INSURER E:
<br />INSURER F:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTRINSR
<br />TYPE OF INSURANCE
<br />INBD
<br />0
<br />POLICY NUMBER
<br />MMlOOrrYYY
<br />MppIYY Y
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />- 1
<br />EACH OCCURRENCE
<br />81 i000, OUO
<br />CLAIMS -MADE EOCCUR
<br />0 NT D
<br />PREMISES Ea omurtence -
<br />31,000,000
<br />MEO EXP OM, Pne pe,N,a)
<br />$15,000
<br />_
<br />PERSONAL 3 ADV INJURY
<br />$1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PRO X LOC
<br />JECi I
<br />GENERALAGGREGATE
<br />$2,000,000
<br />PRODUCTS - COMPIOP ADD
<br />$2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />6020541619
<br />11/09/ZO1511/09/2016
<br />COMBINED SINGLE UMrr:
<br />Ea aceldeal
<br />$1,000,000
<br />BODILY INJURY (Pa, person)
<br />X ANY AUTO
<br />ALL OWNEQ SCHEDULED
<br />AUTOS NOR
<br />HIRED P.UTOS N.R." IEQ
<br />AUTOS
<br />BODILY INJURY (Par aadarb
<br />PROPERTY pAMAGE
<br />Per aaoldon0
<br />UMBRBLLALIAB
<br />H
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESSUAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED
<br />RETCNTION
<br />9
<br />9
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />PNYPROPRIETORIPARTNERIEXECUTNE YIN
<br />OFFICERIMEMBER EXCLUOEO9 FI
<br />(Mandatory la NFB
<br />IryS,,afescfib. under
<br />NIA
<br />6022647422
<br />workers Compensation A08
<br />602054157Z
<br />Workers compensation CA
<br />11/09/2015
<br />11/09/2015
<br />1.1/09/2016
<br />11/09/2016
<br />PER OTH.
<br />X s A UTE ER
<br />E,L. EACH AccioENi
<br />$1 000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1-,000,000
<br />DESCRIPTION OF OPERATIONS halary
<br />c
<br />Contractor Prof
<br />02$174912
<br />Professional Liability
<br />11lp9/2015
<br />11/09/2016
<br />Per Claim
<br />Aggregate
<br />$11000,000
<br />$2,000,000
<br />SIR
<br />$250, 000
<br />DESCRIPTION OF OPERATIONS l LOCATIONS IVEHICLES (ACORDTai,Addldanal Remarks Schedule, maybe attached Amore space is re9uimdi
<br />Re: TO provide engineering services on an as -needed basis. Engineering9 services may include, but are not 'limited to, civil
<br />engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and
<br />landscaping design services and grant writing services. General Liability policy exclludes claims arising out of the performance
<br />of professional services. InContractors are included as respects/,W General Liability,
<br />RFV1EWE1 t
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />N ACCORDANCE 9YITH THE
<br />POLICY PROVISIONS.
<br />City OF Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: City Clerk
<br />20 CIVIC Center P1 aza(M-30)
<br />Santa Ana CA 92702 USA
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<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 12014101) The ACORD name and logo are registered marks of ACORD
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