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<br />CERTIFICATE OF LIABILITY INSURANCE DATE 06/2
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<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 poiicy(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 />xi054A&E)
<br />a, 004
<br />INSURED Stetson Engineers, Inc.
<br />2171 E. Francisco Blvd, Ste. K
<br />San Rafael, CA 94901
<br />r e: rnrlc,rme ul Nkmoco. OG1/I@lnm MI HUNRIVD.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 />INSR TYPE OF INSURANCE
<br />AOOL
<br />a FOUCY NUMBER P{RIGY EFF -awn
<br />LIMITS
<br />A X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACh10CCU ENCE
<br />$____, 1,ODO,000
<br />—__
<br />CtA1MS=MADE �X occuR
<br />U2099943204 fl7101i2018 OT10112019
<br />OHMAGE TC RENTED I
<br />PtaF.M!sEs.ieea «s
<br />a 300,000
<br />Ep€xP (Any, a rean
<br />10,000
<br />I
<br />_.
<br />I
<br />PE ;?CNAk�AQY ft�JIIRY
<br />GENERAL ACC q.4.kGATE
<br />_—
<br />t 1000,000
<br />._ — 2 000,000
<br />._..._.
<br />2000,000
<br />_ _
<br />ATE RWT APPyir;,5 PER:
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<br />POLICY j LOG
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<br />OTHER
<br />PROD CTS-C MPIOPArrfr-
<br />`m ..
<br />B AUTOMOBILRLIABIUTY
<br />ROMSINED SINGLE LIMIT
<br />44_lEa.aauidoW�._—.,._
<br />1,000,000
<br />X ANYAUTO
<br />IB2099943210 07/01/2018 0710112019(Bo
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<br />3_ i
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<br />E`CCCC BOQi.Y INJORV IPer accident)_
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<br />X. AUTOS ONLY F AUTOS'ONLYDP,ER
<br />[AGE
<br />C UMBRELLAUA9 x I OCCUR
<br />E HQpCUBF9NCE __
<br />3,000,000
<br />EXCESS UAs CLNMSMAOE
<br />4--;--Fx=-T-NrON
<br />B2099445088 0710112018' 0710112019000,000
<br />$ D'
<br />D _ M%RoogsTEN8AT0N11
<br />ANO EMPLO E S'UABIUTY
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<br />'STWECZX9384 (07101/201810710112019
<br />k�.`EA4'H AC t ENT
<br />1,000,000
<br />ANY PROPRFTaq~,NERIE%ECVTIVE
<br />FM0FFMFn EE tMEMMg@REXCLUDEDi �_�
<br />iMAndAtoey In NN)
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<br />1,000,0tl0
<br />v oe,aesdlbeunder
<br />F PIONS �ola
<br />E L OISEASE -.FAA EMP P�EI
<br />_
<br />1,000,000
<br />E Pro essicnai Vab.
<br />USS1828826 0710112018 0710112019
<br />I
<br />ea. Clahn
<br />2,000,000
<br />deductible $75,000
<br />aggregate
<br />2,0tl0,000
<br />DESCRIPTION OF OPERATIONS I LOCATION8 J VEHICLES (ACORD 101, Additional Rsma SPIedule, my b st(sc lod If man speoe Is requima)
<br />City of Santa Ana its officers, employees, agents and representatives are
<br />Insured by contract with respect to
<br />additional as required written § 1
<br />of the named insured por form SB300176D and CA20481013 attached. ( c
<br />9orations
<br />Waiver of subrogation per attached WC9903038.
<br />�2-1) elj Pa
<br />City of Santa Ana
<br />Aftn; Purchasing Dept.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORn 25 i7ninitum
<br />CITY-18
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE NTH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />Q 1911&.2019 ACORD CORPORATION. All riehts mmarvad_
<br />V
<br />The ACORD name and logo are registered marks of ACORD
<br />
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