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WKEINCO-01 GRAESSI
<br />'4�O�RL7 CERTIFICATE OF LIABILITY INSURANCE DAT ,2n/iD/YYYY)
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<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER License # OE67768 CONTACT All Smith
<br />NAME•
<br />IOA Insurance ServicesPHONE FAX
<br />4370 La Jolla Village Drive (A/c, No, Ext): (619) 788-579550206 (A/c, No):(619) 574-6288
<br />Suite 600 E-MAIL Ali.Smith@loausa.com
<br />San Diego, CA 92122 ADDRESS:
<br />INSURED
<br />WKE, Inc.
<br />400 N. Tustin Ave., #275
<br />Santa Ana, CA 92705
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR-
<br />13056
<br />27154
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<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 IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />-------------- —
<br />INSR
<br />LTRTYPE
<br />OF INSURANCE
<br />ADDL
<br />SUBR
<br />_
<br />POLICY NUMBER POLICY EFF r PMLIICY EXP, LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 2,000,000
<br />CLAIMS -MADE X OCCUR
<br />X
<br />XPSB0001793
<br />10/11/2017 10/11/2018
<br />DAMAGE TO RENTED 1,000,000PREMISES aoccurrence) $
<br />X Cont Liab/Sev of IrttMED
<br />EXP An one arson $ 10,000
<br />X BFPD
<br />2,000,000
<br />PERSONAL_8 ADV INJ_Y
<br />UR.....
<br />I
<br />--- — --
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE___..._ $ 4,000,000
<br />X J
<br />__- _
<br />4,000,000
<br />POLICY JE LOC
<br />PRODUCTS - COMP/OP AGG 1 $
<br />D@EJ11Ctltll@ 0
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />O aBcde ISINGLE LIMIT $ 2,000,000
<br />ANY AUTO
<br />PSB0001793 10/11/2017 10/11/2018'BODILYINJURY (Per person) $
<br />OWNEDSCHEDULED
<br />j
<br />— --- -
<br />AUTOS ONLY AUTOS
<br />SSyy
<br />BODILY INJURY jParacddentL__--_ _ -
<br />X
<br />p
<br />AIR OS X AUTOS
<br />OPERTY AMAGE
<br />XNo
<br />ONLY ONtY
<br />Co. Owned
<br />Autos
<br />--
<br />A
<br />XUMBRELLA
<br />LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />PSE0001694 10/11/2017
<br />10/11/2018 AGGREGATE $ 2,000,000
<br />DED X RETENTION $ 0
<br />A
<br />AND EMPLO ERS' LIA IB LIIT!
<br />0TH-
<br />-X PER A�� I ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y (_N
<br />1
<br />X
<br />PSWO001614 10/11/2017
<br />10111/2018 1,000000
<br />;_E.L. EACM ACCIDENT___-_-_- $- r_
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH) -
<br />NIA
<br />-- _ _ _
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />-_T-- --- - - - - ---- _
<br />E.L. DISEASE - POLICY LIMIT ': 1,000,000
<br />B
<br />Prof Liab/Clms Made
<br />DPL723217 10/11/2017
<br />10/11/2018 Per Claim 2,000,000
<br />B
<br />Ded.: $25k Clms Made
<br />DPL723217 10/11/2017
<br />10/11/2018 :Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />Re: Fairview Ave Bridge at Santa Ana River, Agreement No. A-2014-248 and A-2017-262
<br />City of Santa Ana, its officers, agents, volunteers and employees are Additional Insureds with respect to General Liability per the attached endorsement as
<br />required by written contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to General Liability and Workers' Compensation.
<br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions.
<br />REVIEWED BY: EUNICE HEREDIA (PG Q OFF
<br />City of Santa Ana
<br />Attn: Mindy Ly
<br />20 Civic Center Plaza
<br />Ross Annex (M-36)
<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 />AUTHORIZED REPRESENTATIVE
<br />-T` 1Wsz-
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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