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ACOR�'� CERTIFICATE OF LIABILITY INSURANCE <br />siidiso NM <br />THIS CERTIFICATE 18 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(los) 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 />Commercial Management insurance Services Inc. <br />CA License 0085858 <br />22875 Savi Ranch Pkwy, Shite K <br />Yorba Linda CA 92887 <br />CONTACT Phyllis Wilcox <br />far. " (714) 414-1167 � v n� I, ��3al aia-rias <br />U'M LADDRESS,pwilcox@curie-3ns.com <br />INDUS ERIS) AFFORDING COVERAGE NAIC4 <br />INSURER A. -National Fire Insurance of 20478 <br />INSURED <br />Lidgard & Associates Inc. <br />2592.N Santiago Blvd <br />Orange CA 826671!2:1.8.!: <br />INsgREReICOntinental CasualV COmpany� 0443 <br />INSURER CAmerican Cas. Co of Reading PA 20427 <br />INSURER of <br />SUREE_W - <br />[KHTLR:7tCMR-�*i4AII;I 1q;Nt;1WU 1J 31 ;4474 mC17JfJIIlIT, IZI:I <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 HATH 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 />IUDL <br />LTR <br />TYPE OF INSURANCE <br />SUSHI <br />POLICYNOMRER <br />I E <br />N OD YV <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE 3 2,000,000 <br />EllFMIlIgS a ur $ 300,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />7 CLAS -MADE ® OCCUR <br />X <br />34022990395 <br />/4/2015 <br />/4/2016 <br />MEDEXP( arew*w) $ 10,000 <br />_ <br />PERSONAL S AOV INJURY S 2,000,000 <br />GENERAL AGGREGATE 3 4,000,000 <br />GEHL AGGREGATE <br />LIMIT APPLIES PER. <br />PRODUCTS-COMPIOP AGO 3 4,000,000 <br />X POLICY <br />PR�'T D LOC <br />$ <br />AUTOMOSLELASILITY <br />a vaqml A- IN INCL U I 1 000 000 <br />BODILY INJURY (Pa Penm) 3 <br />A <br />X ANY AUTO <br />AUTO$aNEO SACUe0EDULED <br />4022998431 <br />/4/2015 <br />/4/2016 <br />eDDRY INJURY (Par a44MeN) $ <br />HIRED AUTOS HANUOTWOOSMEO <br />PROPPEERTY DAMAGE$ <br />UIV18tY0t1111O!01ia1019 In V(In $ <br />X UMBRELLAUAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 3,000,000 <br />AGGREGATE $ 3,000,000 <br />$ <br />EXCESS LIAD 1 <br />CLAJMS-MAGE <br />1,4022998526 <br />BED I X I RETENTION 8 10,00 <br />S <br />/4/2015 <br />/4/2016 <br />C <br />WORKERS COMPENSATIONX <br />AND EMPLOYERT LABILITYYIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE --J <br />OFMCERNEMBER EXCLUDED'+ C <br />IMandatnry in NH) <br />N/A <br />C422998475 <br />/4/2015 <br />/4/2016 <br />4VC STATU DTH. - - -�—' <br />121 EACH ACCIDENT $ 1.000.000 <br />E L DISEASE - EA EMPLOYE 3 1,000 000 <br />If hs. OoScnaq Under <br />DESCRIPTION OF OPERATIONS lxb <br />El DISEASE -POLICY LIMIT I 3 1. LO <br />.. DESCRIPTIONOFOPERATIONSILOCAMO IVEHICLES(AlWhACORD101,AddlEonWRa ft Sohadnb,Ifmom"Ols"uimdl <br />'CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABLITY AS PER THE ATTACHED <br />SB -146935-C (Ed. 06/11). <br />!The City of Santa Ana Public Works Agency <br />i <br />LIDGARD AND ASSOCIATES AGREEMENT A-2009-171 REVIEWED BY:�j' EUNICE HEREDIA (PG 1 OF 5) <br />I <br />sanirani@santa-ana.org <br />CITY OF SANTA ANA PUBLIC WORKS AGENCY <br />(M36) <br />Po BOX 1988 <br />SANTA ANA, CA 92702 <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 />chael Waksly/PHYLL <br />ACORD 26 (2010106} 0 1588.2090 ACORD <br />INS025 (20100401 The ACORD name and logo are registered marks of ACORD <br />