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Client#: 1704821 <br />A-2017-171 <br />305AMERIENG <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />DO YYYY) <br />DATEMy8/1( <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />8/1812 01 /2101 7 <br />THIS CERTIFICATE IS ISSUED ASA 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 policypes) 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 <br />CONTACT Jennifer Hernandez <br />NAME: <br />BB&T Insurance Services <br />AICNNo Ea:714.941.2848 (AIc,No: 877-297-9245 <br />of Orange County <br />E-MAIL <br />enner.ernanez @ <br />ADDRESS: 1ifhdbbandt.com <br />2400 Katella Avenue Ste 1100 <br />EACH OCCURRENCE $ <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Anaheim, CA 92806 <br />INSURER A: Houston Casualty Company 42374 <br />INSURED <br />INSURER B: <br />American Engineering Laboratories Inc. <br />205 W. La Habra Blvd. <br />INSURER C <br />La Habra, CA 90631 <br />INSURER D <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR 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 />IINR <br />LTRINSR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYV <br />POLICY EXP <br />MMIDD/YVYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS-MADE1:1 OCCUR <br />PREMISES Eppa occurrence $ <br />MED EXP (Any one person) 5 <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />PRO- <br />POUCV JECT LOC <br />PRODUCTS-COMP/OP AGO $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />- <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />(Per accldenU <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />S <br />WORKERS COMPENSATION <br />IPER BETH - <br />AND EMPLOYERS' LIABILITY YIN <br />ISTATUTE <br />OFFICERIMEMBER/ EXCLUDED?ECUTIVEā‘ <br />NIA <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS beldw <br />E.L. DISEASE -POLICY LIMIT $ <br />A <br />Professional <br />HCC1722621 <br />06/24/2017 <br />0612412011 <br />$1,000,000 <br />Liability <br />Deductible: $25,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Proof of Insurance <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2014/01) 1 of 1 <br />#S18643740/M18356409 <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 />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />JLHER <br />