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<br />. %. O CERTIFICATE OF LIABILITY INSURANCE
<br />��
<br />10/29ATE /20YYY)
<br />10/29/2010
<br />THIS CERTIFICATE IS ISSUED AS A M TTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIV(*6#IVMI", EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NO O S TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AN CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder iADDITIONAL INSUR policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, 9 pgiicies may regiilge eln endorsement. A statement on this certificate does not confer rights to the
<br />-
<br />certificate holder in lieu of such endorsements . t
<br />PRODUCER
<br />Tutton Insurance ServicesPHONE
<br />CONTANAME: Sylvan Strohm
<br />(949) 261-5335 FAX
<br />No: (949)261-1911
<br />2913 S. Pullman St.
<br />E-MAIL
<br />ADDRESS: sylvan@tutton.com
<br />PRODUCER ,000282•%
<br />INSURERS AFFORDING COVERAGE NAIC N
<br />Santa Ana CA 92705
<br />INSURED
<br />INSURERA:Starr Indemnity & Liability Co. 38318
<br />INSURERB:Peerleas Insurance Company 24198
<br />EACH OCCURRENCE $ 5,000,000
<br />Environmental Engineering & Contracting, Inc.
<br />INSURERC:Golden Eagle Insurance Corp.10836
<br />501 Parkcenter Drive
<br />INSURERD:Granite State Insurance Company 23809
<br />INSURER E
<br />Santa Ana CA 92706
<br />INSURERF:
<br />COVFRArFB CFRTICICATF MI IMRCI2.1 A /11 T,i ahi 1 i tv I0C%1ICIAIJ kill IRAIZCC-
<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 REOUIREMENT, 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />S R
<br />W
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 5,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />SISlEIL70065110
<br />10/31/201010/31/2011
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $ 50,000
<br />MED EXP (Any one person) $ 5,000
<br />PERSONAL 8 ADV INJURY $ 5,000,000
<br />GENERAL AGGREGATE $ 5,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGG $ 5,000,000
<br />X POLICY PRO- LOC
<br />$
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />COMBINED SINGLE LIMIT
<br />(Ea accident) $ 1,000,000
<br />OILY INJURY (Per person) $
<br />B
<br />ALL OWNED AUTOS
<br />BP9589097
<br />/30/2010
<br />4/30/2011
<br />BODILY INJURY (Per accident) $
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />Uninsured motorist combined $ 11000,000
<br />NON -OWNED AUTOS
<br />Medical payments $ 51000
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />Excess Liability applies
<br />EACH OCCURRENCE $ 1,000,000
<br />AGGREGATE $ 1,000,000
<br />][
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />to Auto Liability only
<br />HDEDUCTIBLE
<br />$
<br />C
<br />X
<br />RETENTION $ 0
<br />U8555589
<br />/30/2010
<br />/30/2011
<br />$.
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />ANY PROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes, describe under
<br />N I A
<br />C7064808
<br />/24/2010
<br />5/24/2011
<br />X WC STATU- OTH-
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT $ -1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Professional Liability
<br />SISIBIL70065110
<br />10/31/201010/31/2011
<br />General Aggregate $5,000,000
<br />Deductible: $5,000
<br />Each Occurence $5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required)
<br />RE: All Operations City of Santa Ana, its officers, agents & employees are named as additional insured per attached
<br />OG -023 01/09 including primary/non-contributory wording & GL waiver when required by contract.
<br />APPROVED AS TO FORM
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />i ---" ,1 61 10 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />t au , t;t Sheedy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />EN,,iiilllot City Attorne; ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Stanley Tutton/SYLVAN
<br />ra�.�rcu za tcvvyrvyt _ _ _ __ ©1988-2009 ACORD CORPORATION. All rights reserved.
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