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AC�ORbr CERTIFICATE OF LIABILITY INSURANCE <br />4 /DATE(M 5D/YYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Wood Gutmann & Bogart <br />License Number 0679263 <br />15901 Red Hill Ave., Suite 100 <br />NAME: Robin Holloway <br />PNONE 714- 505 -7000 FAX 714- 573 -1770 <br />E- MA IL , robin @wgbib.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />Tustin CA 92780 <br />INSURER A:LIO ds of London <br />INSURED APAEN -1 <br />INSURER B <br />$ <br />APA Engineering, Inc. <br />9880 Irvine Center Drive <br />INSURER C <br />Irvine CA 92618 <br />INSURER D <br />INSURER E: <br />INSURER F: <br />$ <br />rOVFRAGFS CFRTIFICATF NIIMRFR• 441830969 r 9:%1IQ nlu tunneQCO• <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 REQUIREMENT, 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 />ILTR <br />TYPE OF INSURANCE <br />NSD <br />WVD <br />POLICY NUMBER <br />MM/DID�YY <br />MM DDY� <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />1:1 <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />JECT POLICY 0 PRO ❑ LOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP /OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COM BINEDSINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />AUTOWNED SCHEDULED <br />AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />J <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />1 <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY y / N <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYE.. <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT I <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />Errors & Omissions <br />Claims Made Form <br />ANE1141557.15 <br />/19/2015 <br />3/19/2016 <br />Per Claim $2,000,000 <br />Aggregate $2,000,000 <br />Deductible $50,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />APA ENGINEERING, INC. A -2014 -042 REVIEWED BY: 11A_ - EUNICE HEREDIA (PG 1 OF 1) <br />%,r—r% i irn m t r- nvt_umrc <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />