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AC40RDI CERTIFICATE OF LIABILITY INSURANCE DATE(MMroD/YYYY) 1/412018 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(les) must 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). PRODUCERCONTACT •-- Dealey, Rentor/ & Associates — License #0020739 P..0. Box 10550 Santa Ana CA 92711-0550 NAME: - PHONEAX . 714-427-6810('Ale,No : 714-427-6818 _ ADDARESS: riee@dealayronton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: XL Specialty Insurance Co. 37885 INSURED PSOMA9 PSOMAS INSURER B 555 South Flower Street, Suite 4300 INSURERC: INSURER D: Los Angeles CA 90071 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1619397522 REVISION.NUMBER: THIS IS TO C.F_RTIFY 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. ILSRR OF INSURANCE ADDLITYPE iNgn wvn SUER POLICY NUMBER MMIDD/YYYF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE F]OCCUR DA A TO RENTEU--- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO GENERAL AGGREGATE $ POLICY ❑ JECT El LOG PRODUCTS - COMPIOP AGG $ $: OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Pe accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVEENT OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N/A STATUTE I I ER -$ _ REVIEWED BY: EUNICE HEREDIA(PeSOF' EMPLOYE $ 4 Ues describe under SGtRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT 1-s A Professional Liability Claims Made DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachad If more space Is required) 2SAN051200, Engineering Design Services For Rehabilitation Of City Well 29, SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation. VCI[ I IrIVA 1 G rIVLUCR 6ANUIZI_I_A I IUfv JU uaV Nonce or uancenavon City Of Santa Ana 20 Civi Center Plaza (M-21) Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUYHORIZED REPRESENTATIVE h l.rsa. J k Cv, fD (019BB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD