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<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE
<br />[E EDAT'DYYYY,
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />31225120/2018
<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 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 any rights to the certificate holder in lieu of such endorsoment(s).
<br />PRODUCER CONACNAME: T Jerry Noyola
<br />Greyling Ins, BrokeragelEPIC aO" o E„„ 770.552.4225 ac Ne, 866-550-4082
<br />3780 Mansell Road, Suite 370 EMAIL er no ola re iln com
<br />ADDRESS: l,_ry.noyo@9 Y g•
<br />�—
<br />Alpharetta, GA 30022
<br />INSURER($) AFFORDING COVERAGE li#
<br />INSURER A: WermM Uwt nFire Ins. Ca 19445
<br />INSURED INSURERS; Aapoe Amedcan inaumrca Company 43460
<br />Kimley-Horn and Associates, Inc. '— 23841
<br />INSURER C :Naw Hampehiro ins. Co.
<br />421 Fayetteville Street, Suite 600 �.........._.... 085202
<br />U
<br />Raleigh, NC 27601 INSURER D; oda of ondon
<br />INSURER E m�
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 18.19 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 CONTRACTOR 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 PLAID CLAIMS.
<br />LTR
<br />ADDLSUBR
<br />TYPE OF INSURANCE NSR
<br />yy D
<br />_ POLICY NUMBER
<br />MM@C7)YYYY
<br />MNB'A YYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />5268169
<br />D410112018
<br />041011201S
<br />EACH OCCURRENCE
<br />$1,000,000
<br />F-vi�AMET
<br />CLAIMS -MADE OCCUR
<br />RENTED
<br />RE I E Ea o�YAltta,go
<br />600000
<br />NED EXP (Any one person)$25000
<br />X CiontractualLiab.
<br />PERSONAL&ADV INJURY
<br />$1,000000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$2000,000
<br />POLICY 51 PF T ® LOC
<br />PRODUCTS - COMP/OP AGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />4469663
<br />141111211104101120
<br />_
<br />1
<br />EO BINEDtSINGLELIMII
<br />.rcidX
<br />_
<br />$1 000000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />BODILY INJURY (Par accident)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X AUTOS ONLY X NONOWNEDPROPERTYDAMAGE
<br />AUTOS ONLY
<br />Per accident
<br />$
<br />B
<br />X UMBRELLA UAB X OCCUR
<br />CX005FTIB
<br />4101/2018
<br />04/0112OU
<br />EACH OCCURRENCE
<br />$5000,000
<br />AGGREO TE
<br />s5,000,000
<br />EXCESS LIAR CLAIMS -MADE
<br />DED X RETENTION $0
<br />$
<br />C
<br />A
<br />C
<br />WORKERS COMPENSATION
<br />ANO EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PAR 'rNERIEXECUTIVEYIN
<br />OFFICERIMEMBF.R EXCLUDED? ® NIA
<br />(Mandatory In NH)
<br />015893685(AOS}
<br />015893686(CA)
<br />039326820 (ME)
<br />041011201804/011201
<br />04/0112018
<br />0410112018
<br />04/011201
<br />04/01/201E
<br />X STATUTE OTH-
<br />E. L. EACH ACCIDENT
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />$1 000,000
<br />If yes, describe under
<br />1) SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1000,000
<br />D
<br />Professional Lisp
<br />P070831800
<br />04/0112018
<br />04/01/201E
<br />Per Claim $2,000,000
<br />Aggregate $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: City of Santa Ana On -Call Environmental Projects. The City of Santa Ana, its officers, employees, n , -
<br />agents, volunteers & representatives are named as Additional Insureds with respects to General Liability �`1
<br />where required by written contract. The above referenced liability policies with the exception of
<br />professional liability are primary & non-contributory where required by written contract. Should any of the 11
<br />above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days'
<br />(See Attached Descriptions) 99
<br />Cit of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701-0000
<br />AUTHORIZED REPRESENTATIVE
<br />�!.
<br />M 19BU-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#S1019543/M1017400 JNOY1
<br />
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