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G <br />a �� <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />ENGINEERING SERVICES <br />RFP NO. 14.069 <br />APPENDIX <br />ATTACHMENT E <br />SAMPLE INSURANCE CERTIFICATE AND ADDITIONAL INSUREDS <br />CERTIFICATE OF LIABILITY INSURANCE <br />°oiai <br />am' <br />rBGppELr1 "� -" <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />WeuXm _•_ -- <br />IN61AiENnv�_v ��- <br />IxauHRN: <br />IN6U %Efl C: �e�.. <br />re%E. <br />COVERAGES <br />THE P01.088 OF INSURANCE LISTED BELOW HAVE BE EN ISSUED TO THE INSURED NAM ED MOVE FOR THE POLICY PERIOD I N DICATED. NOi WITHSTAN DING <br />ANY REQUIREMENT, TERM OR CONDITION OP ANY FACT OR OTHER DGCUMENT WITH gE6PECT TO WHICH THIS CERTIFICATE MAY BE IS6UE0 D0. <br />MAY FERRARI THE INSURANCE AFFORLO DSYWE POLICIES OESCRMEDIIEREIN I5 SUBJECT NEWT TO WHIS. THIS CE NFICAZ MAY BE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED RY PAID CLAIMS. <br />�- <br />iimE <br />IYP.°PINCURAN°E <br />T- '"'"'°�" <br />-� �PoQCYNBMBEB <br />P011CY EFFECTOR <br />011012001 <br />pp °MpI0Al1UX <br />0110112002 <br />' -�v <br />IJ_Mlie <br />tlaERnLLLVennY <br />x1nI1II1i <br />EncxG�c a %nervGE <br />s 1.RaR,RW <br />x COFWCACVLGfiNFV1.01, LV.tlilRY <br />@OAM.NIE A- <br />MFD F%r IMVUturFrrinl <br />S BDOOR <br />b D.WR <br />p AAA LL_eAWINI°PY <br />s 1AriRARO <br />OEN_Q-- OINOANI <br />L___1000,000 <br />4EN440GREDGELMRAPPLIESNO1 <br />_ CL1w. P,to. Lam.. <br />P <br />PHO..1tl <br />S 2,,9C0 <br />__ ....OW <br />..�..— <br />OYtIXAO01LELU°I(ItY <br />X pNYAUfG <br />X222222222 011011`2RD1 Gil0101W2 <br />MAt61N5°SINOLf. U41R <br />IBnna, <br />9 1,O00.0 OR <br />u.LOV.wmurtae <br />6EFIINNII.F,OAVECB <br />Nvw�mn. —_ <br />IFMParw 1 <br />_ - - -__ <br />6 <br />HI%6NAIIiOJ <br />xnx.munEpnvruv <br />GBCILY MUM, �- <br />IPnraarrN <br />6 <br />I�e�un:IlAMnaE <br />b <br />` —.� <br />SEE ATTACHED ADDITIONAL <br />INSURED ENDORSEMENT <br />COVERAGES DEPEND ON TYPE <br />�nxYAU^G <br />A1Q.-EL.LIeNN <br />6 <br />AIA'09HI.Y. <br />�- <br />E%CEpOtIPe11M <br />E'AEY {OCUINIxkxCE <br />4 <br />GO TBLE <br />OF AGREEMENT /CONTRACT <br />; -- <br />WipE.ECPLNIL.IN 1NNALU OYEIRSLIW <br />, <br />1N20I Ri(tl12002 <br />E1. ancxuc lEx,�,a <br />—� <br />Y,(1000010 <br />fiL. CI6EA6EEM1EYPLOYIi' <br />b �,CWI W,IiW <br />EA .°.i L.PoLIEY111111 <br />I I,WRADO <br />,TIRO <br />MAdMAM1 <br />WO12WIi OIfUV2R02 <br />ENCXOmSralap 1.090.000 <br />PrpfaasIW. LLaMliry <br />pEeENTpNOF ORE° Af10X8M1° CATMNeryENIC46& H% CLU6ICNBABNBBBYEXCCN9EGE lrtI6tECULPIWN01p119 .s.�_� <br />G0N(ICAIO HOMEr16 Af1t1ION9MUr0tI P0r II1f11CfIR11. <br />PGI.t Nu. _ <br />CERTIFICA'rEHOLDEft ADDrtmxnuxvve6D; IUapflER LEnER: CANCELLATION �- <br />WIOULDMYWI) IEABQVSDt BRIDEOYUUClFOCCANCELLEDNSPCPE TIIERPIRn ON <br />City of Santa Ana <br />30 CAYe NAMF.X <br />20 Civic Center Plaza - Ross Annex (M- ) <br />N6YIEETOYIIE DEPl1E1EAle IIa.D6rtNAMEDmnre LEEO <br />Santa Flna, CA °J2701 <br />110111 10111IVE <br />(YISD OACORO CORPORATION 1988 <br />