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Insurance - Pacific Architecture & Engineering 2018-03-28�►� � CERTIFICATE OF LIABILITY INSURANCE 03/28//1818 DATE(MY) 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 have ADDITIONAL INSURED provisions or 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 RENE WILLIAMS AGENCY 22837 Pacific Coast Hwy Ste D Malibu, CA 90265-5841 OE57763 CONTACT NAME PHONE 310 317-4434 FAX .(310) 317-4436 E-MAIL rwi lams a_..rsagent.com INSURER(SI AFFORDING COVERAGE NAIC# INSIIRPRA.Farmers Insurance Exchange INSURED Pacific Architecture & Engineering 25307 Malibu Road Malibu, CA 90265 INSURERS: FARMERS INSURANCE EXCHANGE/' INRIIPERr INSURERD: INSURER F COVERAGES CERTIFICATE NUMBERRFVIGInN NHMRFR 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. sPOLI LTR TYPE OF INSURANCE 290 Paularino Avenue Costa Mesa, CA 92626 Y EFF LWWaJQaL=LIMITS POLICY EXP X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2,000 000 250 000 CLAIMS -MADE D OCCUR PSF02222273 11/19/1711/19/18 MED EXP Anyone Person)S 5,000 A Y PERSONAL B ADV/NJURV $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY O PRO - ECT [:]LOC PRODUCTS-COMPIOP AGO s 2 000 000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO BOOILV INJURY (Per person) $ OWNED SCHEDULED PSF02222273 11/19/1711/19/18 A AUTOS ONLY AUTOS Y BODILY INJURY (PeracdtlenQ $ HIRED NON -OWNED X X PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY 3 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS UAB CLAIMS -MADE WORKERS COMPENSATION][ PTEATHTE I I OTH- ER AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE A09478670 4/7/19 4/7/19 EL EACH ACCIDENT $ 1,000,000 A OFFICERMEMBER EXCLUDED' Y NIA E.L. DISEASE- EA EMPLOYEE $ 1000 (Mandatory in NH) If yes, dS,&be Ueder DES 1,000,000 CLAIMS MADE $1,000,000 A professional PSF02222273 11/19/1711/19/18 liability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Scredulpmay he anachedif more space is required) CERTICATE HOLDER NAMED AS ADDITIONAL INSURED UNDER POLICY PSF02222273. SHOULD ANY OF DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER. IN THE EVENT OF NON-PAYMENT OF PREMIUM, 10 DAYS NOTICE. LLOYDS OF LONDON INSURANCE IS AM BEST RATED A XV. nFRTIFIr.ATF Hnl TPP r AKIr Pi I ATlnnl Costa Mesa Sanitary District & appointed officials , employe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE es, agents or volunteers g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 290 Paularino Avenue Costa Mesa, CA 92626 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED ENDORSEMENT ATTACHING TO POLICY NUMBER: PSG03413388 THE INSURED: Pacific Architecture & Engineering WITH EFFECT FROM: 19 Nov 2017 It is understood and agreed that the following amendments are made to this Policy: 1. The following DEFINITION is added: 'Additional insured' means: The Costa Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers and employees (Effective From: 15 Feb 2018) 290 Paularino Ave Costa Mesa, CA 92626 US 2. Where an "Additional insureds' CONDITION exists in this Policy, additional insureds are included as a third party. 3. Where an 'Additional insureds" CONDITION does not exist in this Policy, the following CONDITION is added: Additional Insureds Additional insureds are indemnified under this Policy as if they were you, but only in respect of sums which they become legally obliged to pay (including liability for claimants' costs and expenses) as a result of any claim arising solely out of an act, error or omission committed by you or on your behalf, provided that had the claim been made against you, then you would be entitled to indemnity under this Policy. Before we indemnify any additional insured, they must prove to us that the claim arose solely out of an act, error or omission committed by you or on your behalf and fully comply with CONDITION 1 as if they were you. When this CONDITION applies, it will be primary and non-contributory to the additional insured's own insurance but only if you and the additional insured have entered into a contract that contains a provision requiring this. Whilst additional insureds are indemnified under this Policy, any claim made by additional insureds against you will be treated by us as if they were a third party and not as a named insured. 4. The following CONDITION is added: Notice of cancellation to additional insureds If we give you notice of cancellation in accordance with the 'Cancellation" CONDITION, we will endeavour to provide the same notice of cancellation to additional insureds; however, not doing so will not place any additional liability upon us. SUBJECT OTHERWISE TO THE TERMS AND CONDITIONS OF THE POLICY Authorized Authorized Signatory dSSignatory ,�. CFC Underwriting Ltd CFC Underwriting Ltd