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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/03/2016 F 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 have ADDITIONAL INSURED provisions or 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 Aon Risk insurance services west, Inc. Los Angeles CA Office 707 Wilshire Boulevard Suite 2600 CONTACT NAME: (A/cC.. No. Ext): (666) 283-7122 (vc No ): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Los Angeles CA 90017-0460 USA INSURED INSURER A: National Fire. Ins. Co, of Hartford 20478 willdan Enqineerinq 2401 East Katella Avenue Suit suite 300 INSURER B: The continental Insurance Company 35289 INSURERC: Lexington Insurance company 19437 Anaheim CA 92806 USA INSURERD: INSURER Ec INSURER F: COVERAGES CERTIFICATE NUMBER: 570064388609 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE DD INSD 3 BR WVD POLICY NUMBER POLICYF MMIDD/YYYY P MMIDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)$1, 000, 000 MED EXP (Any one person) $15 , 000 PERSONAL & ADV INJURY $1.,0001000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 , 000, 000 POLICY [DPRO ❑X LOC JECT PRODUCTS - COMPIOPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY 6020541619 11/09/2016 11/09/2017 COMBINED SINGLE LIMIT Ea accident $1, 000 , 000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per acclden0 PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION B B WO WORKERS COMPENS'LIABILATION AND Y/N PLOYEH ANY PROPRIETOR PARTNER EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 6022647422 6020541572 CA 11/09/2016 11/09/2016 11/09/2017 11/09/2017 X PER ER E.L. EACH ACCIDENT $1 000, 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L. DISEASE -POLICY LIMIT $1, 000, 000 C Archit&Eng Prof 028174912 1-1/09/2016 11/09/2017 Per claim $1,000,000 SIR applies per policy terms & conditions Aggregate $2,000,000 SIR $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: To provide engineering services on an as -needed basis. Engineering services may include, but are not limited to, civil engineering, electrical engineering, traffic engineering, geotechnicalt land/property surve�ing, structural, architecture and landscaping design services and grant writing services. General Liability policy excludes c aims arising out of the performance of professional services. independent contractors are included as respects to General Liability. REVIEWED BY: EUNICE HEREDiA (PG ( OF F)I -'A' 0 2 e0 0 0 cri CERTIFICATE HOLDER CANCELLATION 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Attn: city clerk 20 civic Center USA i x 9 Santa Ana CA 9270202 USA J. !L :d4ifc 9ta�(ltdCG9tCG dt.2/� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD