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<br />AE"R � CERTIFICATE OF LIABII.NTl(INSUI2ANCE
<br />1ATEIMMr ° °NYYY)
<br />11/18/2 1,
<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 pGloy(las) 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 endomemen s .
<br />PRODUCER
<br />Deal%y Renton ti Associates
<br />P.O. Box 10550
<br />Santa Ana CA 92711.0650
<br />ACT
<br />NAME
<br />PHONE
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<br />GENERAL LIABILITY
<br />INSURERIS,)AFFOROING COVERAGE III #
<br />INS RERA �rflVelP.i:.j?fonerty t"- aSUHItV Co 0
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<br />INSURER B,,;,(�(jjn in SUfanCa CGm DanV IRC
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<br />Willdan Homeland Solutions
<br />N$DRaaD;
<br />2401 E. Kataila Avenue, Ste. 220
<br />Anaheim CA 92808
<br />tN$uRaR
<br />INSURER Fi
<br />COVERAGES CERTIFICATE NUMBER: 2017110655 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLIE199 OF INSURANCE LISTE BLOW HAVE 6 EN S UED 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 SEEN REDUCED BY PAID CLAIMS,
<br />MflR
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<br />TYPE Or Mau
<br />Attn: Clark of the City Council
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<br />FOLI Y BER
<br />��PWCYEFF
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<br />POLI VEXP
<br />lO, I,
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />30115aP020
<br />119/2013
<br />1/9/2014
<br />EACH OCCURRENCE
<br />E1,0ptl,000
<br />R MISES E
<br />bI000R00
<br />x (:MERCIALGENERALLIABILiTY
<br />MED EXP (An atajrersuT
<br />bT0000
<br />CLAIMS -MADE �OCCUft
<br />PERSONAL &AOV INJl1RY
<br />51;000.000
<br />K CO_nlYaclual
<br />GENERAL AGGREGATE
<br />X BFPD, XCU
<br />flEN'LAGGREGATELIM11' API' +LIESPER:
<br />PNCDUOTS - COMP /OIP AGG
<br />$2.000,000_�-
<br />$
<br />ROLICY X WiO. LOG
<br />A
<br />AUTOMOBILE LIABILITY
<br />8101156PD20
<br />1!012013
<br />119/201-0
<br />to accitlenn
<br />_g &D0,000
<br />BODILY INJURY(Faf ASN01)
<br />$
<br />X ANY AUTO
<br />BODILY INJURY (PaC aCGltlanQ
<br />PROPERTY DA4IADE
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<br />UMSRELLAUAS
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<br />EXCESS LIAR
<br />CLAIMS-MADE
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<br />AGGREGATE
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<br />DED RE = N
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<br />WORKERS COMPENSATION
<br />AND EMMOYERS'LIABLITY N
<br />ANY PROPRIETORIPAR'rNeICKXECUTNE YIN
<br />OFFtCERNEMBER EXCLUDED?
<br />(Mands"hINH)
<br />BTD417816 -
<br />119P2013
<br />11012014
<br />X WCSTATU• TH-
<br />E.L. EACH ACCIDENT
<br />'-
<br />51,000,000
<br />E.L.DISEASE- EAyEMPLOYEE
<br />S1D00,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000000
<br />tt es tlssuiba under
<br />D �RIPTtON CFOP A IONSbeiaw
<br />B
<br />Protaenlonai Liability
<br />Claims Made
<br />EO977441114
<br />iJBJ2Di3
<br />1t9t241A
<br />Per Claim $1,000,000
<br />Annual AggregRTa $2000,000
<br />DESCRIPTION OM OPERATIONS! LOCATIONS I VEHICLES (Alta <h ACORD 101, Addlttangl RAmarks $modulo, if more apace la required)
<br />General Liability policy excludes claims arising out of the performance of professional Services.
<br />Independent Contractors are included as respects to General Liability.
<br />30 Cray NOC110 Day for NonPay of Prom
<br />Re: Multi -year training and exercise plan (MTEP) City of Santa Ana, its officers, employees, agents, Volunteers and representatives are
<br />additional Insured as respects to General Liability as required by written contract, Primary and Non- Contributing coverage, Cross Liability
<br />coverage applies to GL as required by written contract. (WHS)
<br />CERTIFICATE HOLDER CANCELLATION
<br />i 61968.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Attn: Clark of the City Council
<br />20 Civic Center Plaza(M -30) / PO Box 1988
<br />Santa Ana CA 92702
<br />AU NORIZED REPRESENTATIVE
<br />s
<br />d.AA N,— i1TITlrx
<br />i 61968.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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