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Acc a® CERTIFICATE OF LIABILITY INSURANCE 9/292017 DIYYYY) 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). PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604-2675 NAMEACT Doris A. Chambers PHONE 510 465-3090 FAx (� No�)' laic Ne)' EMAIL , dchembers@deafeyrenton.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:XL Specialty Insurance CO. 37885 INSURED MARKTHOMA INSURER B: Mark Thomas & Company, Inc. 2290 N. First Street INSURERC: EACH OCCURRENCE $ San Jose CA 95131 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 223923456 REVISION NUMBER: THIS IS TO CERTIFY 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. INT R TYPE OF INSURANCE I SD D POLICY NUMBER POLICY EFF MMIODIYYYY POLICY EXP MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FIOCCUR EACH OCCURRENCE $ DAMAGETORE E PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO. POLICY FI PRO- LOC GENERAL AGGREGATE $ PRODUCTS-COMPIOPAGG $ $ OTHER: AUTOMOBILE LIABILITY IN�D SINGLE LIMIT Ea accident $ _ BODILY INJURY (Per person) $ A`NY AUTO H AUTOS NED AUTOSULED HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DA AGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? N / A OTH- REVIEWED BY: EUNICE HEREDIA (PG DOF � ER E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ E.L, DISEASE • POLICY LIMIT $ A ProfessionalLlability DPR9915552 7/1/2017 7/1/2018 $2,000,000 Per Claim $2,000,000 And Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) REF; MTC's Job #IR -15103 On -Call Engineering Services. Cancellation provisions are solely as shown on this certificate. SEE CANCELLATION SECTION of Certificate for 30 Days Notice of Cancellation. w.cr[Irri%,mi c nui-Lim c I:HNGCLLHI IVN ov vdy vo-)ut Iv vay IVr IVUnrav Of r'rem City of Santa Ana 20 Civic Center Plaza 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. AUTHORIZED REPRESENTATIVE U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD