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Insurance - Tunnelworks Services Inc.- Auto - 2017-12-12California Automobile Insurance Company P.O. Box 10730 MERCURY Santa Ana, CA 92711-0730 Al INSURANCE Customer Service: (800) 503-3724 BUSINESS AUTO POLICY ADDITIONAL INSURED Renewal Declarations Effective Date: 12/12/2017 NAMED INSURED: SCHEDULE AGENT: TUNNELWORKS SERVICES, INC. Policy Number: MOMENTOUS INS BRKG INC 13502H WHITTIER BLVD STE 165 From: 12/12/2017 to 12/12/2018 at 12:01 AM Standard Time at your mailing 5990 SEPULVEDA BLVD #550 WHITTIER, CA 90605-1934 Additional Insured: VAN NUYS, CA 91411 Address: 628 W 19th St, Costa Mesa CA 92627 (818)933-2700 AUTOMOBILE LIABILITY PROVIDED SCHEDULE Insurance Company: California Automobile Insurance Company Policy Number: BA040000019527 Policy Period: From: 12/12/2017 to 12/12/2018 at 12:01 AM Standard Time at your mailing address Additional Insured: COSTA MESA SANITARY DISTRICT Address: 628 W 19th St, Costa Mesa CA 92627 Endorsements Attached: CA 20 48 10 13 - Designated Insured AUTOMOBILE LIABILITY PROVIDED Covered Autos: Symbol 1- Any "Auto" Limits of Insurance: $1,000,000 CSL MCADS910711 Page 1 of 1