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ACORO®DATE CERTIFICATE OF LIABILITY INSURANCE (MM/DDNYYY) F8/14/2018 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 San Diego CA 92101 CONTACT NAME: Certificate Department PHONE FAX A/C No Ext : 619-744-0574(AIC,No): 619-234-8601 ADDRESS: certificates@cavignac.com INSURERS AFFORDING COVERAGE NAIC # Y INSURER A: Travelers Pro ert& Casualty Company of America j 25674 6806HO46886 INSURED RICKENG-01 Rick Engineering Company 5620 Friars Road INSURERS: XL Specialty Company 37885 INSURER C: INSURER D: San Diego, CA 92110 INSURER E: X Separation of In INSURER F: COVERAGES CERTIFICATE NUMBER: 1696074946 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. NR ILPOLICY TR TYPE OF INSURANCE 1= SUB POLICY NUMBER POLICY EFF EXP MM/DDIYYYY LIMITS A !:�71AERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y 6806HO46886 1/1/2018 1/1/2019 EACH OCCURRENCE $1,000,000__ A E R N E 15- PREMISES Ea 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 POLICY � PRO- � 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) $ AUTO JXXANY ALL OWNED SCHEDULEDBODILY AUTOS AUTOS INJURY (Per accident) $ X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Paraccidenl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED 1 1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN UB6H924546 1/1/2018 1/1/2019X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED9 N / A E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 B Professional Liability DPR9930428 8/1512018 8/15/2019 Each Claim $3,000,000 Aggregate $8,000,000 DESCRIPTION OF OPERATIONS / 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 Ii 't. If the insurance company elects to cancel or non -renew coverage for any reason other than nonpayment of premium Cavignac & Associates will provide 30 ays notice of such cancellation or nonrenewal. REVIEWED BY: EUNICE HEREDIA (PG OF ) City of Santa Ana 20 Civic Center Plaza M-36 PO Box 1988 Santa Ana CA 92702-1988 I IUN 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