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C:FIRTIFIrATF OF I..I.A.RJUTY INSI.IIRANCF I M/2B118 <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 />to holder Is an ADDITIONAL INSURED, the pollcy(IsS) MUSt haVO ADDITIONAL IN5UREP provisions or be <br />IS WAIVED, Subject to the terms and conditions of the pollcy, certain policies may require an endersement. A <br />Ina <br />COVERAGES CERTIFICATE NUMBER: 1873463 REVISION NUMBER: <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 CLAVAS, LIMITS SHOWN AREAS REQUESTED. <br />INSF <br />LTR <br />TYPE OF INSURANCE <br />AD LSURR <br />VNO <br />POUCYNUMBER <br />POLICY OF <br />dMIDONYYYMIZIDDY <br />POLICY EXP <br />LIMITS <br />COMMBRCIAI GENERAL LIABILITY <br />CWM9.MAbE OCCUR <br />AUTHORIZED REPRESENTATIVE <br />(i'Eon',p�idk�'eavlete, Rtia.o <br />EACH OCCURRENCE $ <br />DETORENTED <br />PREMISES aaaaueenca 3 <br />MEDEXP ane e,son 3 <br />PERSOMAL&ADV INJURY S <br />GENL AGGREGATE LINT APPLIES PER: <br />POUOY ❑ PROJECT ❑ L00 <br />OTHER <br />GENERALAGOREGATE 5 <br />PRODUCTS-COMPIOPAGG 5 <br />5 <br />AITTOMOBILB <br />LIABILITY <br />ANY AUTO <br />OWNED 9CHFDULEO <br />AUTOS ONLY AVTO8 <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />Eau Genf 5 <br />BODRY INJURY Per arson S <br />BODILY INJURY(Per no dem $ <br />PROPERTYOAMAGE <br />Paracdden 5 <br />S <br />UMBRELLA UAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMSddADE <br />EACHOCCURRENCE 3 <br />AGGREGATE 3 <br />DEO I I RETENTIONS <br />A <br />WORKERS COMPENSATIONX <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETDRIpARTNEWE%EWTIYE <br />OFFICERIMEMBER EXCLUDED? [:]NIA <br />(MandA10 In NHI <br />vyee, dead' under <br />DESCRIPTION OF OPERATIONS below <br />K <br />WC 028181717 CA <br />01/0118 <br />07101118 <br />STATUTE ER <br />E.L EACH ACCIDENT $ 2.000,000 <br />EL DISEASE• EA EMPLOYE $ 2,000,000 <br />E. L. DISEASE -POLICY LIMIT $ 2,00%DO0 <br />DESCRIPTION OF OPERATIONS I LOCATIONDI VEHICLES (ACORD 101, Additional Remarks Schedule, may be aReched If more apace le raqulred) <br />See eUatlred ceNAcele HolderCer�OaAon Notice, <br />A0=000mployeoswaH,gfor KEYSERMARSTON ASSOCIATES, INC., Pad MdWAOPYOTALSOURCE, INC-psyrot aro cry" undarneabcao Mated pellcy, <br />WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTAANA ITS OFFICERS, OFFICIALS, ENPLOYEES.AGENT, REPRESNTATIVES AND VOLUNTEERS AS RESPECTS OF JOB PERFORMED BY <br />KEYSER MARSTONASSOCIATES, INC, AS REQUIRED BYWRITTEN CONTRACT, <br />CERTIFICATE HOLDER CANCELLATION <br />C yof Swda Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE <br />ExeenNa Direatot ofCDA <br />THE EXPIRATION DATE THEREOF, NOTICE WILL <br />BE DELIVERED IN <br />20CANo CdMMPlara M-26 <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Santa Ane, CA D2701 <br />AUTHORIZED REPRESENTATIVE <br />(i'Eon',p�idk�'eavlete, Rtia.o <br />,�toai4(ri <br />O 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and ID90 are registered marks of ACOR13 <br />