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WKEINCG-01 ROSEM
<br />'`;� CERTIFICATE OF LIABILITY INSURANCE
<br />DA11121200114
<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(les) 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 endorsements .
<br />PRODUCER License # OE67768
<br />IDA Insurance Services -SID,
<br />4350 La Jolla Vtit�qa Drive, Suite 900
<br />San Otago, Ca 92122
<br />NANTACT ME: All Smith
<br />PHONE 619 874-6220
<br />Alc N Ea4L ( tac. No7: (619)574-6288
<br />AODRc�s Alt Smlthioausa.00m
<br />INISURER(S) AFFORDING COVERAGE.............— NAIC*
<br />INsuRERA:RLI Insurance Company 13056
<br />INSURED
<br />WKE, Inc.
<br />400 N. Tustin Ave., #275
<br />Santa Ana CA 92705
<br />�
<br />INsuRERB:Atlantic Specialty Insurance Company 27154
<br />INSURERC:
<br />INSURER D:
<br />_.......�..__....,.....,. _
<br />INSURERE:
<br />INSURER F : ...._�..-. _
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECTTOWHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />pyg
<br />POLICY NUMBER
<br />MND(YYY
<br />M@DlYYYY
<br />LIMITS
<br />A -X-
<br />COMMERCIAL GENERALLKWLITY
<br />EACH OCCURRENCE
<br />$ 7,000,000
<br />CLA S^KADE 1�1 OCCUR
<br />X
<br />X
<br />PSBQOO1793
<br />10111/2014
<br />1011112015
<br />PREMISES Ea omVrzarxe '$
<br />1000,
<br />MED EXP (Any one pareon)
<br />$ 10,00
<br />X Cont LlablSevofint
<br />X I No Co, Owned Autos
<br />PERSONAL &ADV INJURY
<br />$ 2,000,0001
<br />GEN'L AGGRE�Gy�AT"E LIM IT APPLI ES PE R'.
<br />GENERAL AGGREGATE
<br />$ 4,000,00
<br />POLICYU""pT L00
<br />PRODUCTS-COMP/OPAGG
<br />$ � 4,000,00
<br />Deductible
<br />$ 0
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />Ea MBINED accident S1WG
<br />$ 2,000,000
<br />BODILY IN.URY(Per person)
<br />$
<br />A
<br />ANY AUTO
<br />X
<br />PSB0001793
<br />10/11/2014
<br />10/11/2015
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X HIREDAUTOG X AUTOS N-OMED
<br />7MC5= MANAGE
<br />Peraccldent
<br />_.
<br />$
<br />j( UMBRELLA UAB X OCCUR
<br />EACH OCCURRENCE
<br />$ 2,00 0,D4
<br />AGGREGATE
<br />$ 2,0001
<br />A
<br />EXCESS LAS .CLAIMS-AAADE
<br />PSE0001604
<br />10/1112014
<br />10/1112015
<br />OED RETENTION$
<br />$
<br />A
<br />WORKERSCOMPEN$ATION
<br />AND EMPLOYERS' IJABIUTY
<br />ANY PROPRIMORIPARTNER/EXECUTIVE YO
<br />OFFICERIMEMBER EXCW DE07
<br />(Mandatoryln NH)
<br />N/A
<br />X
<br />PSW4001614
<br />14/11/2414
<br />14!11/2415
<br />X I 6TATUTF FORTH—
<br />E.L.EACH ACCIDENT
<br />$ 1,000,ODO
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY UMP
<br />7000,000
<br />$ ,
<br />If o under
<br />Dyes, IPTI NOFO
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Prof Liab/Clms Made
<br />OPL370714
<br />10/1112014
<br />10/11/2015
<br />Per Claim 2,000,000
<br />B
<br />Dad.: $15k Citrus Made
<br />DPL376714
<br />10/11/2014
<br />10/11/2015
<br />Aggregate 2,000,000
<br />DESCRI PTIO N O F OPERATIONS I LOCATI ONS I VEHICLES (ACORD 101, Addllional Remarks Schedule, m ay be %method if more space l s required)
<br />Re: Fifth Street Bridge at Santa Ana River
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured°s with respect to Ganaralli fired & Non -Owned Auto
<br />Liability psi, the attached endorsement as required by written contract. Insurance is Primary and NortrContributory. Waiver of Subrogation applies to General
<br />Liability and Workers' Compensation.
<br />D Days Notice of Cancellation with 10 Days Notice for Non-Paym dnt of Prernitun in accordance with the policy provisions.
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2014/01)
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza
<br />Ross Annex (M-36)
<br />`T•!
<br />Santa An CA 92701
<br />ACORD 25 (2014/01)
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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