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ACG►RU0 CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DDYYYY) r �. 9/15/2017 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(ies) must have ADDITIONAL INSURED provisions or 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). Asero Insurance Services 200 N. Almaden Blvd. 3rd Floor San Jose, CA 95110 CONTPRODUCER NAME: Asero Insurance Services PHONEFAX (A/C. No Ext): 866-966-8928 A/c No): 408-271-1802 E-MAIL ADDRESS: certs@aseroins.com INSURER(S) AFFORDING COVERAGE NAIC # 680-28548914 _ INSURER A: Travelers Property Casualty Co of Alner 25674 www,aseroins.com License No. OA91339 INSURED Mark Thomas & Company Inc. 2290 North First Street, Suite 304 INSURERB: Travelers Indemnity Company of CT ' 25682 INSURER C INSURER D: San Jose CA 95131 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER 3773R9C1R RFVISION NIIMRFR- 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. TIL TYPE OF INSURANCE ADSL BR POLICY NUMBER EFF MMIDD YYYV MMIDDYPOLICY POLICY YY IY LIMITS B ✓ COMMERCIAL GENERAL LIABILITY �/ �/ 680-28548914 9/15/2017 9/15/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ❑✓ OCCUR DAMAGES ( RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY✓❑ JE� ❑✓ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY BA -68189707 9/15/2017 9/15/2018 Ea sBINEDtSINGLE LIMIT $ 1,000 000 BODILY INJURY (Per person) $ ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED ✓ AUTOS ONLY ✓ AUTOS ONLY ( Perr ac is den DAMAGE $ Comp/Coll Ded: $1,000 $ A ,/ UMBRELLA LIAB �/ OCCUR SCUP -9E095562 9/15/2017 9/15/2018 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 '.. EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N / A ✓ XJUB4342T25017 9/15/2017 9/15/2018 �/ STATUTE EERH EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEEI E.L. DISEASE - POLICY LIMIT — $ 1,000 000 1$ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Job #IR -15103 On -Call Engineering Services The City of Santa Ana, its officers, employees, agents, volunteers and representatives NOTE: 30 DAYS NOTICE OF CANCELLATION WILL BE GIVEN EXCEPT 10 DAYS FOR NON-PAYMENT. REV9 WED BY: ,0 E. UNICE I-IERE:DIA (PG OF ) L.tK 1 It-IUA I C riULUCK L ANI;t LLA I IUN Job #IR -15103 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'^ Joe Longwello ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 3773;296I HARKT-1 1 17/18 10a:3ter Certificate ' Stephanie Scheller 1 9/15/2017 10:21.:21 All (PD7') I Page 1 of 10