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A R� CERTIFICATE OF LIABILITY INSURANCE
<br />�...../
<br />DATE(MM11/031120162016 YV)
<br />1
<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 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 Ilea of such endorsement(s).
<br />PRODUCER
<br />AOD Risk Insurance services West, Inc,
<br />Los An eles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />PNONE (g66) 283-]122 (800) 363-0105
<br />(PIONBe, E,,1: aC, Na.):
<br />EMAIL
<br />ADDRESS:
<br />Los Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE NAIC#
<br />INSURED
<br />INSURER An National Fire Ins. Co, of Hartford 20478
<br />Willdan Engineering
<br />2401 East I(atella Avenue
<br />Suite 300
<br />INSURER e: The continental Insurance company 35289
<br />INSURERC: Lexington Insurance Company 19437
<br />"
<br />Anaheim CA 92806 USA
<br />INSURER 0:
<br />,V�.
<br />INSURER E:
<br />INSURER F:
<br />LEA
<br />COVERAGES CERTIFICATE NUMBER: 570064388BO54
<br />RMVIRIf m MIIMMFR•
<br />THIS IS TO CERTIFY THAT THE POLICIES OP 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 16 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />190
<br />VD
<br />POLICY NUMBER
<br />MD EP
<br />Wern, Y'VVY I
<br />I LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />Attn: City clerk
<br />20 civic Center M-30)
<br />Santa Ana CA 9270202 VSAUSA
<br />EACH OCCURRENCE $1,000,000
<br />,V�.
<br />CLAIMEMAOE X❑ OCCUR
<br />E $1,000,000
<br />PREMISES Me caamree
<br />MED EXP (Any one person) $15,000
<br />PERSONAL& ADV INJURY $1.,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PRO X LOC
<br />JECT
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS -COMPIOP AGG $2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />6020541619
<br />11/09/2016
<br />11 09 2017
<br />COMeINEO SINGLE LIMIT $],000,000
<br />Ric ecaldml
<br />BODILY INJURY (Par parson) `
<br />% ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />IIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Par ealden)
<br />PROPERTYDAMAGE
<br />Parapaldent
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED1 RETENTION
<br />B
<br />e
<br />RKE SCOMPENSATION AND
<br />EIWORKERS
<br />ANY PROPRIETORI PARTNERI EXECUTIVE
<br />OrFICERIMEMSER EXCLUDED?
<br />(Mandatory In NH)
<br />DESCRIPTION OF OPERATIONS balow
<br />NIA
<br />602264742211/09/201611/09/017
<br />A05
<br />6020541572
<br />CA
<br />11/09/2016
<br />11/09/2017I
<br />X DTATUTE EI
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.J., DII EMPLOYEE $1,000,000
<br />EA, DISEAS-POLIOYLIMIT1,,0000000
<br />o
<br />Archit&Eng Prof
<br />028174912
<br />SIR applies per policy terns
<br />11/09/2016
<br />& condi
<br />7/0/2017
<br />ions
<br />Per Claim
<br />Aggregate $2,000,000
<br />SIR $250,000
<br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SchadUle, maybe attached Encore apace Is rDgQlmd)
<br />Re: To provide engineering services on an as -needed basis, Engineering services may include, but are not limited to, civil
<br />engineering, Glectrical engineering, traffic engineering, geotechnical, land /property surveying, structural, architecture and
<br />landscaping design services and grant writing services. General Liability policy excludes claims arising out of the performance
<br />of professional services. Independent Contractors are included as respects to General Liability.
<br />EI,INICE HREpIA
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />©1996.2015 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />CY
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
<br />CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS,
<br />city oPSanta Ana
<br />AUTFIORIZED REPRESENTATIVE
<br />Attn: City clerk
<br />20 civic Center M-30)
<br />Santa Ana CA 9270202 VSAUSA
<br />gy RaA.dttE?tt,G a -Lys"
<br />,V�.
<br />©1996.2015 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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<br />
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