Incurance - R2H - 2007-04-05 •
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID Ax DATE(MM DD YYY)
RODUCER R2HEN-1 04/05/07
S Levine Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
e S Le Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
0505 Sorrento Valley Rd. #200
an Diego CA 92121 an THE COVERAGE AFFORDED BY THE POLICIES BELOW.
'none 858-981-8692 Fax 858-481-7953 1
SUITED INSURERS AFFORDING COVERAGE 1 NAIC#
I INSr UREA A One Beacon Amer/ea , a- Co. I 20621
INSURER B. Fa delity and Cuara t- sn co
R2H Engineering ering #320
I INSURER C — I Las Vegas NV 89119 IINSURER p — I
)VERAGES IINSURER E'
THE POLICIES OE INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA VIED ABOVE FOR THE POLICY PERIOD INDICATED NOT\VITHSTANDING
WY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE WV BE ISSUED OR
<AY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
'OLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS.
Tit uu
1INSRD TYPE OF INSURANCE I POLICY NUMBER IPO (1/1 MA INE I POET HAPIRAIIUN
I I GENERAL LIABILITY I PATE(MM100/Y1') I DATE(MM/DOTt Y) I LIMITS
I I
EACH OCCURRENCE (S 2,000,000
IX I COMMERCIAL GENERAL LIABILITY I BK02212825 �,,W.1?g'E-TQRENIEu
I -j cLAIMSMwE (�OCCUR 02/01/07 02/01/08 I aRErnlsesreaaaoenre, I s 300,000
I I I —I I I I IMED ExP(Pnyo Pe AO I$10,000
I
PERSONAL&AOV INJURY
1 I Is2,000,000
GENERAL AGGREGATE 154 ,000
,000
i 1 GENT AGGREGATE LIMIT APPLIES PER
I I I Posit Y`X IIiTe I ILOC ! PRODUCTS COMP/OP AGG IS4,000,000
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I`I OMBINED SINGLE LIM
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i 02/01/07 I 02/01/08 I aa.ae 0
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it OCCUR I-1 CLAIMS MADE I I EACH OCCURRENCE 5 —
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MY PROP0.IETOR/PARiNER/'cXECUTIVE 40615906 I Q2/01/O7 02/01/09 EL EACH ACCIDENT
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'yes E 1NE lv.der I I EL DISEASE EA EMPLOYEE'S 1000000
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RTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
•f of Insurance
AGREEMENT FOR STRUCTURAL ENGINEERING CONSULTANT SERVICES
PROJECT#168 IRVINE PUMPING STATION RELOCATION
EXHIBIT •B'
rICATE HOLDER
CANCELLATION
FORYOUR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
FOR YOUR INFORMATION ONLY' NOTICE TO THE CERTFlCATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
A ORG:ED REP ENTATIVE
25(2001/08)
0 ACORD CORPORATION 1988
3 CERTIFICATE OF LIABILITY INSURANCE OP ID SA
I DATE IMWDDtt Y)
R2HEN-1 I 02/01/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Inc Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
-ento Valley Rd. #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CA 92121
-481-8692 Fax 858-981-7953 INSURERS AFFORDING COVERAGE i NAIC It
INSURER ACE American Ins. Co. .
INSURER B
:H Engineering Inc I INSURER C.
0 Grier Drive #320 rWSURERD
is Vegas NV 89119 __._--___—___
j INSURER E i
INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
NT,TER/ OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
IE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITION„OF SUCH
-GATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TYPE OF INSURANCE I POLICY NUMBER -KATEyIMM!DDinorcPEMIDFATUl7-
I DATE IMMIDOM') DATE(MMIDORY) I LIMITS
LL LIABILITY I EACH OCCURRENCE I$
dERGAI GENERAL LIABILITY (tNd0LE7ORENILU I -"'--------
PREMISES(Ea oz-eence) 5
CLAIMS MADE ' OCCUR I I MED EXP(Any one per ) 5
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AUTO I COMBINED SINGLE LIMIT 15
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OWNED AUTOS — — --
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;IONS below
IEL DISEASE-POLCY LIMIT i S
onal EONN04081171002 I 02/01/07 02/01/08 ' Claim $1 000 000
Y IDED. - $25,000 Agg $2,000,000•RATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
'su ranee AGREEMENT FOR STRUCTURAL ENGINEERING CONSULTANT SERVICES
PROJECT#168 IRVINE PUMPING STATION RELOCATION
EXHIBIT 'B'
_DER CANCELLATION
FORYOUR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
YOUR INFORMATION ONLY' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
A OPoZED REP ENTATNE •
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0 ACORD CORPORATION 1988