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PROOF OF INSURANCE (2015) CLOSED
CERTIFICATE OF LIABILITY INSURANCE I �) UAATEMnIADD/YYYY) 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 Wood Gutmann & Bogart License Number 0679263 15901 Red Hill Ave., Suite 100 Tustin CA 92780 INSURED APAEN -1 APA Engineering, Inc. 9880 Irvine Center Drive Irvine CA 92618 COVERAGES CERTIFICATE NUMBER: 1722508287 E ArL c In Holloway i rAX [AFC, No ., 1 5 1770. „. ......., INSUR R(S) AFFORDING COVERAGE NAIC # INSURER A :oyLds .o.,f . ------ -..._„ . ............. ...-�..-- -- ------ — .._..._._. INSURER B INSURER C_: INSURER D INSURER E INSURER F: 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" ILTR - ,ee. .... ........... TYPE OF INSURANCE IN SR WVD POLICY NUMBER MM 4DIYYYY (MY pDd'YYYY'_.. LIMITS GENERAL LIABILITY EACH OCCURRENCE $ [7AMAdE t0 kENTED COMMERCIAL GENERAL LIABILITY PREMISE$ (Ea occurrencet $...._. CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE ............. _...... $ C'dEN'L AGGREGKI"E LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ P'Roi, $ POLICY LOC AUTOMOBILE LIABILITY $ ................... ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED PRO Pi^ F Y DAMAGE $ HIRED AUTOS AUTOS (PUr of Ienp) ............. . $ UMBRELLA LIAB OCCUR m, I EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION S "EAT I- OTH- AND EMPLOYERS' LIABILITY 'YIN TWO Tf1.RY�.lM.I.:C.$ ..... ........TJ3_. . , .,.,,..,. .,..,........ ANY PROPRIETOR /PARTNER /EXECUTIVE E L EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? N/A -- °°°... (Mandatory in NH) EL DISEASE - EA EMPLOYEE $ If yes, describe under ......... ...... ....... .,. .._..,.--- .,... . DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT ''. $ A Professional Liability NE1141557.14 /19/2014 /19/2015 Per Claim $2,000,000 Errors & Omissions Aggregate $2,000,000 Claims Made Form Deductible $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Dir of Pub Wrks: Stephanie Katsouleas, P.E. 359 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 � fir° ✓,is" ,� E ©1988 -2010 ACORD CORPORATION. All rights reserved„ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD