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PAULUS ENG 2UI'f • L2_�'1 - Lam! ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 20261 SW Acacia St., Suite 200 Newport Beach, CA 92660 INSURED Paulus Engineering, Inc. 2871 E. Coronado Street Anaheim, CA 92806 (AICNN., Ex):(949) 287-5677 (AIC, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A: Executive Risk Indemnity, Inc. INSURER B: Federal Insurance Company INSURER C : INSURER D : INSURER E : f`COTICIPATE M1 Dataco- REVISION NUMBER: NAIC If 35181 20281 V 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. INSR TYPE OF INSURANCE �ABBO 8UE. POLICY NUMBER MM DCY EFF MM DD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X occuR X 54303105 05/01/2018 05/01/2019 PPREMISES(Ea occurrence) $ 10Q,000 5,000 MED EXP(Any one person) $ 1,000,000 PERSONAL &ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY X JECT LOC PRODUCTS - COMPIOP AGO S 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO 54303104 05/0112018 05/01/2019 BODILY INJURY (Per person) $ AUTOS ONLY AWNED UTOS BODILY INJURY (Per accident $ ) qNp NN AUTOS AUT030NLV PROPERTY accdent)AMAGE $ ONLY 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ S WORKERS COMPENSATION PESTATUTE OTRH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ EXCLUDF_D? NIA WFICERIMEMBER .(mandatory:. NH) -- EL. DISEASE- EA EMPLOYEE ,$ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Emergency Sewer Repairs and/or Water Repairs for and in the. City of Santa Ana. glalp City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, Its Officers, Employees, Agents, Volunteers & Representatives are named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsment. ✓,/J i City of Santa Ana 20 Civic Center Plaza M-93 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 ACORD 25 (2016/03) W 198tI-2D1 b ACONU f UKIPIJKA I lulu. Au rlgnrs reserves. The ACORD name and logo are registered marks of ACORD