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<br />C CERTIFICATE OF LIABILITY INSURANCE04103r2017
<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 I'NSURER(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 endorsement(s).
<br />PRODUCER CONTACT Briana Casillas
<br />NAME:
<br />PHONE. ,.,...,.. 916-361-9585 %2.6691'..6-361-9821
<br />Skyles Insurance Agency E-MAIIFss: bcasillas@skylesinsurance.com
<br />ADD9840 Business Park Drive INSURER(S) AFFORDING COVERAGE NAIC q
<br />Sacramento CA 95827 INSURER A: Colony Insurance Company 39993
<br />INSURED
<br />INSURER B
<br />Naka Engineering X Construction Inc INSURER C:
<br />Nader Alex Kazem" INSURER D :
<br />P.O. Box 5444E f INSURER E r
<br />Irvine A % .. ;CA92619
<br />INSURER F
<br />COVERAGES CERTIFICATE NIIMIRER- REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE 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 />k"SR
<br />LTR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY E%P
<br />MMIUDrPYYY
<br />LIMITS
<br />COMMERCIAL. GENERAL LIABILITY
<br />EACH OCCURRENCE.
<br />S 1,000,000
<br />PREMIS S (Ea uc24rrenae
<br />S 100,000
<br />CLAIMS -MADE J OCCUR
<br />. ME EXP (Any one person)
<br />S 5,000
<br />PERSONAL BADVINJURY
<br />S 1,000,000
<br />A
<br />Y
<br />101GL0051688-01
<br />04107/2017
<br />04/07/2018
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER ;
<br />GENERAL AGGREGATE
<br />S 2,00D,000
<br />POLICY El PRO- JECT L.00
<br />PRODUCTS - COMP/OPAGG
<br />S 2,000,000
<br />$
<br />OTHER:,
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea =Idenl)
<br />$
<br />ANY AUTOBODILY
<br />INJURY (Par person)
<br />5 _
<br />ALL OWNED ..._.. _., SCHEDULED
<br />AUTOS AUTD!S
<br />I
<br />BODtlLY INJURY (Per accident)
<br />I.,.S
<br />PROPERTY DAMAGE
<br />3
<br />NON' -OWNED
<br />HIRED AUTOS AUTOS.,.
<br />�.
<br />Per accidanl _
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<br />S
<br />UMBRELLA UA8
<br />Li
<br />OCCUR
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<br />EACH OCCURRENCE
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<br />CLAIMS -MADE
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<br />DEO RETENTIONS
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<br />WORKERS COMPENSATION
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<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOMPARTNERIEXECUTIVE
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<br />DISEASE -EA EMPLOYEE
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<br />If yes describe under
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<br />DESCRIPTION OF OPERATIONS below
<br />,re'• •.
<br />E L. DISEASE - POLICY LIMIT
<br />$
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<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
<br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO
<br />GENERAL LIABILITY PER THE CONDITIONS OF THE ATTACHED FORMS: U 156-0310 AND U047-0310..
<br />CERTIFICATE HOLDER CANCELLATION
<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 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATgVE
<br />SANTA ANA CA 92702
<br />b 1988-20 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are r r Bred marks of ACORD
<br />
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