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ACORD�CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY) <br />PRODUCER <br />Dealey, Renton & Associates <br />P. O. Box 10550 <br />Santa Ana CA 92711-0550 <br />8 3 2 0 0 9 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />THE <br />AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Penco Engineering, Inc. � <br />INSURER A: Travelers Pro ert Casualt Co of Ameri <br />INSURER B:Travelers Indemnity Co. of Connecticut <br />One Technology Park, Building J-725 <br />Irvine CA 92618 <br />INSURERc:Hudson Insurance Company <br />INSURER D: Travelers CasualtV Ins. Co. of America <br />GENERAL LIABILITY <br />INSURER E: <br />COVERAGFR <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />OTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />TERMS, EXCLUSIONS <br />THE <br />AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE <br />INS& BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />POLICY EXPIRATION <br />7/21/2010 <br />LIMITS <br />A <br />GENERAL LIABILITY <br />6803047L261 8/1/2009 <br />EACH OCCURRENCE $1 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (Any one fire) $300 000 <br />CLAIMS MADE OCCUR <br />MED EXP (Any one person) $5 000 <br />X ontractual <br />PERSONAL & ADV INJURY $1 000 000 <br />X BFPD XCU <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2 000 000 <br />POLICY X PRO _ <br />LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />BA3064L859 <br />8/1/2009 <br />7/21/2010 <br />X <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY(Per person) $ <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />T`1v v <br />PROPERTY DAMAGE <br />(Per accident)) $ <br />GARAGE <br />LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: <br />AGG $ <br />EXCESS LIABILITY <br />LaUitl ll <br />L <br />OCCUR CLAIMS MADE <br />A,SS1SLa11C Cl <br />Y' 1'""" ley <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ <br />D WORKERS COMPENSATION AND UB6872YS31 8/1/2009 7 WC STATU- OTH- $ <br />EMPLOYERS' LIABILITY / 2 �- / 2 010 X T <br />E.L. EACH ACCIDENT $1 000,000 <br />E.L. DISEASE - EA EMPLOYE $1,000,000_ <br />OTHER E.L. DISEASE - POLICY LIMIT $1,000,00 0 <br />C <br />AEE7188803 7/21/2009 7 Per Claim <br />Professional Liability /21/2010 $1,000,000 <br />Annl Aggr $2,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />eneral Liability policy excludes claims arising out of the performance of professional services. <br />Independent Contractors Included. <br />e: On Call Engineering Services City Of Santa Ana, its officers, employees, agents, volunteers and representatives <br />are additional insured as respects to General <br />Liability as required by written contract. Primary and Non -Contributing <br />coverage applies to GL as required by written contract. <br />CERTIFICATE HOLDER ADDITIONA RED; INSURER LEITER:,.--.--,,., <br />CANCELLATION10 Day Notice for Non-Paymnt <br />of Prem <br />OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />SHOULD;THE <br />City of Santa Ana <br />20 Civic <br />EFORE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />TO MAIL 30 YITTEN <br />RLEFT, <br />Center Plaza -Ross Annex (M-36) <br />CERTIFILL EOHOLDER NAMED TTOR THE IFAILURE CE TO HTO <br />Santa Ana CA 92701SHALL <br />BUT DO SO <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />HE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIV -- <br />"11 <br />�OACORftCORPCTIOL988� <br />ACORD 25S (7/97) <br />