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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) ? 10/8/2012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED INSURERA:ACE American Insurance Company PSOMAS INSURER B: Travelers Property Casualty Cc of Ameri 555 South Flower Street, Suite 4400 LOS An eles CA 90071 INSURER C: g INSURER D: INSURER E: COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFEDIDIYYI CTIVE POLICY EXPIRATION LIMITS B GENERAL LIABILITY 630265M676A 10/15/2012 10/15/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY _ FIRE DAMAGE (Any one fire) $1,000,000 CLAIMS MADE Fx 1OCCUR MED EXP (Any one person) $10,000 X Contractual PERSONAL & ADV INJURY $1,000,000 X BFPD, XCU GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY }{ PjFCT RO- LOC ] E7 B AUT OMOBILE LIABILITY 810 2 6 5M6 7 6A 10/15/2012 10/15/2013 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS U FORM (Per person) $ X HIRED AUTOS ? BODILY INJURY $ X NON-OWNED AUTOS (Per accident) ` - -" . .. .... a ?( Sh e y PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY • - ' ? I .V At Orney AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ B EXCESS LIABILITY EX265M676A 10/15/2012 10/15/2013 EACH OCCURRENCE $1,000,000 X OCCUR F] CLAIMS MADE AGGREGATE $1,000,000 Professional $ DEDUCTIBLE Liability is $ RETENTION $ EX 1 $ B WORKERS COMPENSATION AND UB 6A5 2 6 6 4 3 10/15/2012 10/15/2013 STATU- LIMIT OTH- I TORY WC X EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 A OTHER G23638381004 10/15/2012 10/15/2013 Per Claim $1,000,000 Professional Liability Annual Aggregate $1,000,000 Claims Made DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability 2SOU410108 2SAN410107 RE: ON-CALL ENGINEERING DESIGN SERVICES FOR WATER & SEWER MAIN REPLACEMENT PROJECTS, DBEI JOB #S34-101-00. CITY OF SANTA ANA ITS OFFICERS EMPLOYEES AGENTS VOLUNTEERS & REPRESENTA'T'IVES ARE NAMED AS ADDL INSDS & PRIMARY CLAUSE APPLIES ON GEN LIAB POLICY-SEE ATTACHED ENDORSEMENT a -I Irl6r rc nvLUGR I I AUDI I IUNAL INSURED; INSURER LETTER: I.AF4k rLLAI IUNl n nnir nnYi ra tnr NTnn - T).-f- of Drcm CITY OF SANTA ANA;PUBLIC WORKS AGENCY, WATER RESOURCES DIV CESAR E BARRERA;220 S DAISY AVE (M-85) Santa Ana CA 92703 OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED FORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER LL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE RTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED C., AI-UKU ZO-, [nail o ACORD CORPORATION 1988 Al J