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AC"R®® CERTIFICATE OF LIABILITY INSURANCE
<br />F DATE
<br />(MM 018 I
<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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />ACT
<br />NAME, certs@pciaonline.com
<br />Professional Concepts Insurance Agency, Inc.
<br />1127 South Old US Highway 23
<br />gHONE (600)969-4041IN AI�No: (800)969-4081
<br />E-MAIL SS, Certs@pciaonline.com
<br />ADDRE
<br />INSURERS AFFORDING COVERAG E NAICC
<br />COMMERCIAL GENERAL LIABILITY
<br />CIUNMS-MAOE ❑X OCCUR
<br />Brighton MI 48114-9861
<br />INSURER A:Travel ars Indem. Cc of America 25666
<br />INSURED
<br />INSURER B:Travel era Indemnity Cc 25656
<br />INSURERC:XL Specialty Ins. Co. 37885
<br />Walker Parking Consultants Engineers, Inc.
<br />Walker Consultants
<br />INSURER O:
<br />606 S. Olive St.
<br />INSURER E:
<br />Los Angeles CA 90014
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER:18-19 #37 $1PL $2UMB 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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SU R
<br />POLICYNUMBER
<br />POLICY EFF
<br />fMMl
<br />POLICY EXP
<br />MM OD VYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CIUNMS-MAOE ❑X OCCUR
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic
<br />Center Plaza M-16
<br />AUTHORIZED REPRESENTATIVE
<br />EACH OCCURRENCE $ 11000,000
<br />Santa
<br />DAMAG R NTED 300,000
<br />PREMISES Ea occurrence $
<br />X
<br />MED EXP (Any one person) $ 5,000
<br />Contractural Liability
<br />X
<br />680151254171847
<br />5/23/2018
<br />5/23/2019
<br />X,C,U
<br />PERSONAL B ADV INJURY $ 1,000,000
<br />X
<br />680151243411847- FL
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT 7 LOC
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN,
<br />680151669101847- CA
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT $
<br />Ea accident) 11000,000
<br />BOD I LY INJ URV(Per person) $
<br />IS
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X
<br />DA4887N56418
<br />5/23/2018
<br />5/23/2019
<br />BODILY INJURYP$
<br />er accident) )
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE $
<br />Per accident
<br />$
<br />X
<br />UMBRELLA LIAR X
<br />OCCUR
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION 10,000
<br />$
<br />CUPID3197441847
<br />5/23/2018
<br />5/23/2019
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABI LITY YIN
<br />ANY PRO PRIETO WPARTNERIEXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? N
<br />(Mandatory in NH)
<br />fyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />UBSK320558
<br />5/23/2018
<br />5/23/2019
<br />X PER OTH-
<br />STATUTE ER
<br />E. L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE EA EMPLOYE $ 1,000,000
<br />E. L. DISEASE -POLICY LIMIT 1 $ 11000,000
<br />C
<br />Professional Liability
<br />OPR9925295
<br />5/23/2018
<br />5/23/2019
<br />Per Claim 11000,000
<br />Aggregate 11000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedu Is, may be attached If more space Is required)
<br />Project: City of Santa Ana Operator RFP Walker Project No. 37-8605.00.
<br />City of Santa Ana, California 92710; its officers, employees, agents and representative are considered
<br />additional insured's with respects to general and auto liability coverage as long as required within a
<br />written contract. Waiver of subrogation in favor of certificate holder and additional insured's as long
<br />as required within a written contract. Coverage is primary and non-contributory as it applies to general
<br />liability, auto liability and umbrella. 30 day written notice provided to certificate holder and
<br />additional insured's for cancellation of coverages listed. 10 day notice for nonpayment of listed
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2014/01)
<br />INS025 (201401)
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />ARodriguez@santa-ana.org
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City
<br />Of Santa
<br />Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn:
<br />Finance
<br />& Management Services Agenc
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic
<br />Center Plaza M-16
<br />AUTHORIZED REPRESENTATIVE
<br />P.O. BOX 1988
<br />Santa
<br />Ana, CA
<br />92701
<br />Mike Cosgrove/KELLY
<br />ACORD 25 (2014/01)
<br />INS025 (201401)
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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