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CERTIFICATE OF LIABILITY INSURANCE
<br />FDAT (WDDa Y)
<br />1 511/201
<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 policy(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 #0829370
<br />PO Box 13847
<br />CONTACT
<br />NAME: Rebecca Foster
<br />PHONE FAX
<br />916-576-1524 (AJC. Na : 916-583-7613
<br />ADDRESS: Rebecca.Faster@epicbrokers.com
<br />Sacramento CA 95853
<br />INSURERS AFFORDING COVERAGE NAICR
<br />INSURER A: Hartford Insurance of Midwest 37478
<br />57UUNVJ5164
<br />INSURED DKSASSOC
<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 />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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADOL
<br />INSO
<br />SUER
<br />MD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MWDD
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />57UUNVJ5164
<br />5/1/2018
<br />5/1/2019
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE I ORE TED
<br />PREMISES KeNr$300,000
<br />MED EXP (Any one person) $10,000
<br />X Ded $5,000
<br />PERSONAL& ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $2,000,000
<br />POLICY JECT F LOC
<br />PRODUCTS-COMP/OP AGG $2,000,000
<br />$
<br />OTHER:
<br />E
<br />AUTOMOBILE
<br />LIABILITY
<br />57UUNVJ5164
<br />5/1/2018
<br />5/12019
<br />COMBINED SINGLE LIMIT $1000000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Par accident) $
<br />XIANYAUTO
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE $
<br />Peraccidenl
<br />$
<br />No OwnedAula
<br />e
<br />X
<br />UMSRELLALIAB
<br />X
<br />OCCUR
<br />57MUVJ3516
<br />5/1/2018
<br />5/12019
<br />EACH OCCURRENCE $2,000,000
<br />AGGREGATE $2,000,000
<br />E1(CESS UAB
<br />CLAIMS -MADE
<br />DED I X I RETENTION$
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />57WEGE0049
<br />5/12018
<br />5/12019
<br />X STATUTE 10
<br />ERH
<br />E.L. EACH ACCIDENT $1,000,000
<br />ANYPROPRIETOR/PARTNEWEXECUTIVE ❑
<br />OFFICERIMEMBER EXCLUDED'/
<br />NIA
<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 $1,000,000
<br />C
<br />Errors&Omissions
<br />Claims Made
<br />131,1300650
<br />5/12018
<br />5/12019
<br />Per Claim $1,000,000
<br />Aggregate $3,000,000
<br />Retro Dale: 05/17/79
<br />Deductible $50,000
<br />DESCRIPTION OF OPERATIONS / 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 />R-2o1� -►�3 ) PCIA.
<br />CERTIFICATE HOLDER CANCELLATION
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) 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 />�--
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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