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ACO%ZO0 �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) F1/1/2018 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 policy(ies) must be endorsed. If 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 Cavignac & Associates 450 B Street, Suite 1800 CONTACT NAME: Certificate Department PHONE FAX A/c No Ext): 619 744-0574 Alc No ; 619-234-8601 ADMDARESS: certificates@cavignac.com San Diego CA 92101 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Property & Casualty Company of America 25674 1/1/2018 INSURED RICKENG-01 Rick Engineering Company 5620 Friars Road INSURER B: XL Specialty Company 37885 INSURER C : INSURER D: San Diego, CA 92110 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1656240391 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR LTR TYPE OF INSURANCE ADSL SUER POLICY NUMBER MMIDDPOLICYEFF POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 6806HO46886 1/1/2018 1/1/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE( RENTED PREMISESSEa occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 X Separation of In PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 0 OTHER: A AUTOMOBILE LIABILITY BA72761_522 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT Ea accident) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS Ix AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N U661-1924546 1/1/2018 1/1/2019 X STATUTE ETH E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Professional Liability DPR9916964 8/15/2017 8/15/2018 Each Claim $3,000,000 Aggregate $8,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured coverage applies to General Liability for City of Santa Ana, its officers, employees, agents, volunteers and representatives per policy form. Primary coverage applies to General Liability per policy form. Prof. Liab. - Claims made, defense costs included within limit. If the insurance company elects to cancel or non -renew coverage for any reason other than nonpayment of premium Cavignac & Associates will provide 30 days notice of such cancellation or nonrenewal. REVIEWED BY: EUNICE HEREDIA (PG 10I�j ) LaK 1Ill- I(:A It NULUtK GANGtLLA I IUN City of Santa Ana 20 Civic Center Plaza M-30 PO Box 1988 Santa Ana CA 92702-1988 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD