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# • 2-011-f •zap• 01
<br />PAULUS ENG
<br />ACORO"
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDNYYYI
<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(ies) 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 endorsementfsL
<br />PRODUCER
<br />THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc.
<br />20261 SW Acacia St., Suite 200
<br />Newport Beach, CA 92660
<br />INSURED
<br />Paulus Engineering, Inc.
<br />2871 E. Coronado Street
<br />Anaheim, CA 92806
<br />PHONE FAX
<br />(MC, No, Ext): (949) 287-5677 (AC, No):
<br />EMAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL If
<br />INSURER A: Executive Risk Indemnity, Inc.
<br />35181
<br />INSURER B. Federal Insurance Company
<br />20281
<br />INSURER C : Travelers Property Casualty Company of America
<br />25674
<br />INSURER D
<br />INSURER E
<br />COVERAGES CERTIFICATE NIIMRFR DFtncfnM Nn MDCD•
<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
<br />THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY
<br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED
<br />BY PAID CLAIMS.
<br />INSft TYPE OF INSURANCE ADDLGUBR
<br />LTR IN D POLICY NUMBER
<br />POLICY EFF POLICYEXP
<br />M MM DDIYVYY LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />1,000,000
<br />EACH OCCURRENCE $
<br />CLAIMS -MADE X OCCUR X 54303105
<br />05/01/2018 05/01/2019 DAMAGERENTED
<br />TeE(Dence)
<br />APREMGET
<br />700'QQQ
<br />Ea $
<br />MED EXP (Any one person) $
<br />5,000
<br />-
<br />PERSONAL B ADV INJURY $
<br />1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $
<br />2,000,000
<br />POLICY X PRO-
<br />JECT LOC
<br />PRODUCTS-COMPIOP AGO $
<br />2,000,000
<br />OTHER:
<br />$
<br />B AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />1,000,000
<br />accident) $
<br />X ANY AUTO 54303104
<br />05/01/2018 05/01/2019 BODILY INJURY
<br />BODILY (Per person) $
<br />OWNED SCHEDULED
<br />.
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident( $.
<br />HIRED NON -OWNED
<br />PROPERTY DAMAGE
<br />AUTOS ONLY AUTOS ONLY
<br />(Per accident) $
<br />$
<br />C UMBRELLA LIAR X OCCUR
<br />EACH OCCURRENCE $
<br />3,000,000
<br />X EXCESS LIAB CLAIMS -MADE ZUP-15T82203-18-NF
<br />05/01/2018 05/01/2019
<br />3,000,000
<br />.
<br />DED X RETENTION$ 10,000
<br />AGGREGATE $
<br />$
<br />B WORKERS COMPENSATION
<br />X PER OTH
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />ANY PROPRIETOMPARTNER/EXECUTIVE 54303106
<br />OSI01I2D78 05/0112019
<br />E.L. EACH ACCIDENT $
<br />1,000,000
<br />OFFICEWMEMBER EXCLUDED? NIA
<br />(Mandatory In NH)
<br />E.L. DISEASE - EA EMPLOYEE $
<br />1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be
<br />aaached if more space is required)
<br />RE: All operations performed by the Named Insured during the current policy period.
<br />glaip
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included
<br />as Additional Insureds as respects General Liability
<br />per
<br />attached endorsement.
<br />This Insurance shall apply as Primary and Non -Contributory per attached endorsement.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />/ 2 _
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