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coirc�® CERTIFICATE OF LIABILITY INSURANCE
<br />°"Till"2oo"°'
<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 lieu of such endorsemente .
<br />PRODUCER
<br />ADD Risk insurance services West, Inc.
<br />Los An eles CA Off Ce
<br />707 Wi shire Boulevard
<br />Suite 2600
<br />Las Angeles CA 90017-0460 USA
<br />cow7
<br />AD
<br />NAME'
<br />aC.N�66) 263-7122 FN( (500) 363-0105
<br />NC. Npp:
<br />EMAIL
<br />ADDRESS:
<br />Limits shown are as requested
<br />INSURERt31 AFFORDING COVERAGE NAIC If
<br />INSURED
<br />Willdan Enolneerinl
<br />2401 East Katella Avenue
<br />suite 300
<br />Anaheim CA 92806 USA
<br />INSURER A: National Fine. Ins. CO, Of Hartford 20478
<br />INSURER B: The continental Insurance Company 35289
<br />INSURER G LeXington Insurance Company 19437
<br />INSURER 0:
<br />fkvlffiyry�yll
<br />INSURERS;
<br />NSURER P:
<br />COVERAGES CERTIFICATE NUMBER: 570004S8860g
<br />PF\/ISIfIM NIIIMGCA,
<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 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 IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />ASUDIWMI
<br />POLICYNUMBER
<br />MMIDDYF
<br />fkvlffiyry�yll
<br />LIMITS
<br />X COMMERCIALGENERALLIABILITY
<br />EACHOCCURRENCE $1,000,000
<br />CLAIMS MADE FE OCCUR
<br />$1,000,000
<br />P L- S 8 Ee Sora ce
<br />MEDEXP(Anyonepader) $15,000
<br />PERSONAL A ACV INJURY $1.,000,000
<br />S
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE2,000,000
<br />8
<br />POLICY El�EC ❑X LOU
<br />ad
<br />PRODUCTS -COMPIOP AGO $2,000,000
<br />OTHER:
<br />o
<br />0
<br />A
<br />AUTOMOBILE LIABILITY
<br />60205 1619
<br />11/09/201
<br />11/09/2017
<br />COMBINED SINGLE LIMIT
<br />EeaaaMent $110001000
<br />BODILY INJURY(Per person)
<br />X ANYAUTO
<br />0
<br />OWNED SOHeOULEp
<br />AUTOS ONLY AUT09
<br />BO OILV INJURY (Perecpltlan0
<br />PROPERTYDAMAGE
<br />HIRED AUTOS NONAWNED
<br />ONLY AUTOS ONLY
<br />gPar.aodI
<br />C
<br />C
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />N
<br />U
<br />EXCE88 LIAR
<br />El
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED I
<br />IRETENTION
<br />B
<br />WORKERS COMPENSATION AND
<br />6022647422
<br />2016
<br />09 017
<br />X PER OT&
<br />EMPLOYERS' LIABILITY Y
<br />AOS
<br />STATV E ER
<br />E.L. EACH ACCIDENT $1,000,000
<br />B
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? N
<br />NIA
<br />6020541572
<br />11/09/2016
<br />11/09/2017
<br />(Mandatory In NH)
<br />If ea, describe under
<br />CA
<br />E.L. DISEA9E•EA EMPLOYEE $1,000,000
<br />EL. DISEASE -POLICY LIMIT 1,000,000--
<br />DESCRIPTION OF OPERATIONS beIaY
<br />0
<br />Archi t&Eng Prof
<br />028174912
<br />11/09/2016
<br />—11/155746&per
<br />claim 1,000,000
<br />SIR applies per policy terns
<br />& condi
<br />ions
<br />Aggregate $2,000,000
<br />B
<br />SIR $250,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES tACDRD tat, Atldlllonai Ramarha 9ohetlu1a, moy bo attached If more Spada la reeulmd)
<br />nI
<br />Re: To provide engineering services on an as -needed basis. Engineering services may include, but are not limited to, civil
<br />z:A
<br />engineering, electrical engineering, traffic engineering, geotechnical, land /property surveMg, structural, architecture and
<br />landscaping ng design services and grant writing services. General Liability policy excludes c aims arising out of the performance
<br />Df prafessTonal services. Independent contractors are included as respects to General Liability.
<br />REVIEWED BY EUNICE HEREDIq CPG 1.,OF `f) J
<br />II
<br />CERTIFICATE HOLDER CANCELLATION11101
<br />AI
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 'THE
<br />R
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana
<br />tcenterkPlaza(M-30)
<br />AUTHORIZED REPRESENTATIVE
<br />20tcivic
<br />Santa Ana CA 92702 USA
<br />cXYa ..:71.c9k J f�a�✓
<br />el®�
<br />©19882015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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