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AC"J? H CERTIFICATE OF LIABILITY INSURANCE
<br />DAT (MMIDD8 W)
<br />1 5/l/201
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Edgewood Partners Ins. Center
<br />License #OB29370
<br />PO Box 13847
<br />CONTACT
<br />NAME: Rebecca Foster
<br />PHONEFAX
<br />a Est), 916-576.1524 CAIC No), 916-583-7613
<br />A1C No.
<br />ADDRESS: Rebecca.Foster@epicbrokers.com
<br />Sacramento CA 95853
<br />INSURERS AFFORDING COVERAGE NAIC#
<br />INSURER A: Hartford Insurance of Midwest 37478
<br />INSURED DK$ASSOC
<br />DKS Associates
<br />1970 Broadway, Suite 740
<br />INSURER B: Hartford Casualty Insurance Company 29424
<br />INSURER C: Lloyds of London 85202
<br />INSURER D: Hartford Accident & Indemnity Company 22357
<br />Oakland CA 94612
<br />INsuRER E: Trumbull Insurance Company 27120
<br />X
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 1120371124 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />INTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />INSO
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />flMMIDDfYYYY1
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />F-1-1
<br />CLAIMS -MADE OCCUR
<br />57UUNVJ5164
<br />5112018
<br />5/1/2019
<br />EACH OCCURRENCE $1,000,000
<br />DAM ETORENTED
<br />PREMISES Ea occurrence $300,000
<br />X
<br />MED EXP (Any oneperson) $10,000
<br />Deal $5,000
<br />PERSONAL & ADVINJURY $1,000,0DO
<br />LIMITAPPLIES PER:
<br />POLICY I PES D LOC
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'LAGGREGATE
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />OTHER:
<br />E
<br />AUTOMOBILE
<br />LIABILITY
<br />57UUNVJ5164
<br />511/2018
<br />5/1/2019
<br />COMBINED SINGLE LIMIT $1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />AUTO
<br />IxANY
<br />OWNED ASCHEDULED
<br />AUTOS ONLY UTOS
<br />BODILY INJURY (Per accident) $
<br />HIREDXNON0WNED
<br />ONLY AUTOSONLY
<br />PROPERTYDAMAGEAUTOS
<br />Per accidentNo
<br />$
<br />OwnedAuto
<br />B
<br />X
<br />UMBRELLA LIABX
<br />OCCUR
<br />57XHUVJ3516
<br />511/2018
<br />5/1/2019
<br />EACH OCCURRENCE $2,000,000
<br />AGGREGATE $2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X I RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />57WEGE0049
<br />5/1/2018
<br />5/112019
<br />X STATUTE RH
<br />ANVPROPRIETOWPARTNER/EXECUTIVE ❑
<br />OFFICEWMEMBEREXCLUDED4
<br />N/A
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,OOD
<br />C
<br />Errors & Omissions
<br />Claims Made
<br />BN300650
<br />5/1/2018
<br />5/1/2019
<br />Per Claim $1,000,000
<br />Aggregate $3,000,000
<br />Retro Dale: 05/1709
<br />Deductible $50,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: Santa Ana Metro East Innovative Parking Strategies. Additional Insured: The City of Santa Ana, its officers, agents, employees and representatives. When
<br />required by written contract, Additional Insured status with primary coverage applies to General Liability and Automobile Liability, Waiver of Subrogation applies
<br />to General Liability, Automobile Liability, and Workers' Compensation and 30 Day Notice of Cancellation applies to General Liability, all per the attached
<br />endorsements.
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Purchasing Dept.
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />�4i✓�
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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