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• %-01016h CERTIFICATE OF LIABILITY INSURANCE OP ID GL DA05 MW19 it 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: M the certificate hokler Is an ADBTWNAL INSURED, the po Nes must be endorsed. If SUBROGATION 15 WAIVED; subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorserne s). PRODUCER Wooditch Company Insurance Services, Inc. 1 Park Plaza, Suite 400 Irvine CA 92614 Phone:949-553-9800 Fax:949-553-0670 NAME: PHONE AfC No Eats: AlC No ADDRESS: CUISTOMERIOM PAULU-1 INSURER(S)AFFORDINGCOVERAGE NAIC9 INSURED Paulus Enginaerinq,'IInc . 2871 E. Coron Seet Anaheim, CA M56 INSURER A: Old Republic General Ina. Corp 24139 INSURER B : INSURER C : INSURER D : M9URERE: I INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE WSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 CLAMS. IN5RLTR TYPE OF INSURANCE IIISR POLICY NUMBER MWD MMIDOPNM LaaTS A GENERAL L ABILJTI/ X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I_ 1 7 OCCUR X AICG94841102 05/01/11 05/01/12 EACH OCCURRENCE $ 1 000 1000 PREMISES EsodaKreras 3100,000 MEDEXP(Any one person) s5,000 PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 8 I E O- LOC PRODUCTS - compioP AGG s2,000,000 s A AUTOMOBILE LIABILITY ANY auto ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS AlCA94841102 05/01/21 05/D1/12 COMBINED SINGLE LIMIT (Ea accident) $1, 000 , 000 X BODILY INJURY (Per person) ; BODILY INJURY (Per acddsnt) s PROPERTY DAMAGE (Per aodderd) $ $ s UMBRELLA LIAR EXCESS LIAR OCCUR EACH OCCURRENCE s HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORICBRS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERIEXECUTIV OFFICER��R EXCLUDED? (Myyae0nggdsWcy in NH) It under IDESCRIPTION OF OPERATIONS below NIA AlCW94841102 05/02/21 05/01/12 TORY LUTE ER E.L. EACH ACGDEN7 _ ; 1 OOO OOO E.L. DISEASE - EA EMPLOYEE$ 1 , 000 000 E.L. DISEASE - POLICY LIMB s 1 000 000 DESCRWTION OF OPERATIONS! LOCATIONS I VEHICLES (Atlaeh ACORD 101, AddWonal Ramwks Schedule, N more space Is required) *Except 10 Days Notice of Cancellation for Non -Payment of Premium. City Of Santa Ana, its officers employees, agents, volunteers and representatives are Named as Additional Insureds as respects General Liability per Attached Endorsement.*8 NOTES** RE*.: Santa Ana Emergency Work.lai g P CERTIFICATE HOLDER reMr_FI I ATInM ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SANTIMI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN / ACCORDANCE rirRl THE POLICY PROVISIONS. Lau sti(� siICed City Of Santa Ana',Slst?w City AUTHOROO REPRESENTATIVE 220 S. Daisv Ave., M-85 All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD