HUNT DESIGN ASSOCIATES, INC. 1 - 2012

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Policy Number: Date Entered: 1911419019 ACORO® CERTIFICATE OF LIABILITY INSURANCE 1,41 P12/14/2012 ATE(MMIDlYYYY) 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: If the certificate holder is an ADDITIONAL INSURED, the polityie must_ endor;Vd.! 1f SUBROGATION IS 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 endorsement(s). PRODUCER Migliore Insurance Agency 46545 Devonshire St #108 Mission Hills, CA 91345 C T' NA Alc o Est : ` ( ) — ` Fax _ (AlC, No): ( ) A DRESS: INSURER S) AFFORDING COVERAGE NAIC t (818 )830 -3442 FAX (818)830 -3602 INSURER A: FARMERS INSURANCE EXCHANGE INSURED HUNT DESIGN ASSOCIATES, INC INSURERS: TRUCK INSURANCE EXCHANGE $2,000,000 INSURER C: COMMERCIAL GENERAL LIABILITY INSURER D: 60028 10 13 25 NORTH MENTOR AVENUE INSURER E: DAMAGE TO PREMISES Ea ccuDnce PASADENA, CA 91106 � / INSURER F: $ 5,000 /Y o O v COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY E (MM(ODIWYY) PO (MMID DlWW) LIMITS GENERAL LIABILITY EACH OCCURRENCE $2,000,000 A COMMERCIAL GENERAL LIABILITY 60028 10 13 1/28/2012 1/28/2013 DAMAGE TO PREMISES Ea ccuDnce $ 100,000 MED EXP (Anyone person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $1,00 0, 000 GENERAL AGGREGATE s2,000,000 GEN -L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOPAGG $2,000,000 POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ A ANY AUTO - 60028 10 13 11/28/2012 1/28/2013 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accdent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- B AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER /EXECUTIVE OFFICER /MEMBEREXCLUDED7 � (Mandatory In NH) NIA B1809 49 89 11/28/2012 1/28/2013 TORYLIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1, 000, 000 f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) * 30 DAY NOTICE OF CANCELLATION AND 10 DAY FOR NON —PAY APPROVED AS TO FORM THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED JOB SITE /NAME : SANTA ANA WAYFINDING Laura titt Sheedy Assistant City Attorne CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA PUBLIC WORKS AGENCY M -36 /DESIGN ENGINEERING 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2010 ACORD CORPORATION. All rights reserves The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com; Impressive Publishing 800 - 208 -1977