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19 <br />CERTIFICATE OF LIABILITY INSURANCE DATEIMMri7DNYYY) <br />2-28-2017 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />ISK Insurance services/ Slcyles Insurance Agency AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />IJ642 sand Canyon ave CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Irvine, CA 92619 COVERAGE AFFORDED BY THE POLICIES BELOW, <br />949-275-3648 <br />INSURERS AFFORDING COVERAGE NAIL 4 <br />INSURED INSURER A: Colony INS CO <br />NAKA ENGINEERING & CONSTRUCTION INC INSURER B; 215t Century Insurance Company <br />26081 Merit Circle, Ste 11.4 INSURER c State Compensation insurance Fund <br />Laguna Hills, CA 92653 INSURER R <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTft <br />INSR <br />INSRO <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATB 1NMID6 <br />POLICY EXPIRATION <br />DATE Mfi�16D7YY <br />LIMITS <br />® <br />GENERAL LIABILITY <br />® COMMERICAL GENERAL LIABILITY <br />❑❑ CLAIMS MADE ®OCCUR <br />IOIGLOO51688 <br />4/07/16 <br />4/07/I7 <br />EACH OCCURENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea oxurrenee} <br />$100 000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />❑❑ <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMP/OP AGO <br />$2,000,000 <br />® POLICY El PROJECT [I LOC <br />$ <br />B <br />�I <br />AUTOMOBILE LIABILITY <br />® ANY AUTO <br />10527507 <br />1T,18-16 <br />11-i8-E7 <br />COMBINED SINGLE LIMIT <br />jHach Occurrence) <br />$1,000,000 <br />❑ ALL OWNED AUTOS <br />❑ SCHEDULED AUTOS <br />BODILY INJURY <br />(Per parson) <br />$ <br />® HIRED AUTOS <br />® NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />® Hired Auto pj sical dams a <br />� <br />eo <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />❑GARAGE <br />LIABILITY <br />El ANY AUTO <br />❑ <br />r <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: qGG <br />$ <br />$ <br />❑EXCESSIUMBRELLA <br />LIABILITY <br />❑ OCCUR ❑ CLAIMS MADE <br />I-- <br />{p� <br />" <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />❑ DEDUCTIBLE <br />(k <br />$ <br />❑ RETENTION $� <br />$ <br />®WORKERS <br />COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />3943582-2014 <br />5/01116 <br />5/0[l17 <br />® WCSTATU. ❑ OTH- <br />TORY LIMITS ER <br />ANY PRCPRiETORIPARTNER)EXECU- <br />TIVE OFFICERIMEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - FA EMPLOYEE <br />$1000,000 <br />If yes, describe under <br />SPECIAL PROVISIONS babw <br />E-L- DISEASE - POLICY LIMIT <br />$1000,000 <br />❑ <br />OTHER <br />DE`$CRIPTION OF OPERATION91 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDEO BY ENDORSEMENT! SPECIAL PROVISIONS <br />1 <br />ERTIEi ICATE ROLDER IS NAMED AS ADDITIONAL INSURED. <br />Additional insured certificates and endorsements will he sent to certificate holder direotly upon renweal dates. <br />UITY OF SANTA ANA <br />PURCHASING DEPARTMENT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />Vli1YMCl„I.M 1 IVIV <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE NCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE INSURER AFFORDf COVERAGE WILL ENDEAVOR TO <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICA;t HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATI09ORLIA -ATY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVE,$. // <br />AUTHORIZED <br />RD 26 J2001/08j -- — ACORD CORPORATION 1988 <br />