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N - 2-D(5. 13-7
<br />ENVISCI-05 MCGRAWM
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATUM/2019ATE I
<br />04112/2019
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER License # OE67766 CONMTA CT All Smith
<br />_ NAE:
<br />IDA Insurance Services PHONE FAX
<br />4370 La Jolla Village Drive INC. No, ExO: (619) 788.5795 50206 (MC, Np):(619) 574.6288
<br />Suite 600 E-MAIL gli.Smith loausa.com
<br />ADDRESS: @i
<br />San Diego, CA 92122 T
<br />— —_ _ INSURER/$ AFFORDING COVERAGE NAICB
<br />_ INSURER A:RLIInsurance Company 113056
<br />_
<br />INSURED INSURER .B:Mt Hawley Insurance Company 'i37974
<br />Environmental Science Associates __INSURER C_: Greenwich Insurance Company 122322
<br />5309 Shilshole Ave. NW #200 INSURER D
<br />Seattle, WA 98107 - -
<br />_ INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER- REVISION 1,11 IMOiER•
<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
<br />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 />_
<br />INSR AODLSUBR POLICY EFF POLICY EXP
<br />LTR TYPE OF INSURANCE INSO D POLICY NUMBER MMIO MMIDDIYYYY LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
<br />2,000,000
<br />CLAIMS -MADE X OCCUR PSB0007416 12/01/2018 12/01/2019 DAMAGE TO RENTED
<br />X PREMISES $
<br />1,000 ogg
<br />(Enna, roncr)
<br />)( Cont Liab/Sev of Int
<br />10,000
<br />MEO EXP An ane person) $
<br />PERSONAL B ADV INJURY $
<br />2,000,000
<br />_ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
<br />4,000,000
<br />_POLICY X JEC7 LOC PRODUCTS - COMP/OP AGG S
<br />4,666,000
<br />OTHERDeductible $
<br />0
<br />A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br />0g 1g000
<br />X ANY AUTO _ _ PSA0002468 12/01/2018 1210112019 �Ea �_$
<br />BODILY INJURY (Per person) $
<br />_
<br />OWNED SCHEDULED
<br />_—
<br />AUTOS ONLY BODILY INJURY IPer accident) $
<br />_
<br />_AUTOS
<br />HIRED NON -OWNED PROPERTY DAMAGE
<br />AUTOS ONLY AUTOS ONLY (Per accidenU $
<br />X Comp.: $1,000 X Coll.: $1,000 -
<br />$
<br />B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $
<br />3,000,000
<br />EXCESS LIAR CLAIMS -MADE PSE0003196 12/01/2018 12/01/2019
<br />3,000,006
<br />AGGREGATE $
<br />DED X RETENTION$ 10,000 $
<br />A WORKERS COMPENSATION X PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN STATUTE ER
<br />ANY PRIETORIPARTNERIEXEGUTIVE PSW0004135 12/01/2018 12101I2019 EL. EACH ACCIDENT $
<br />1,000,000
<br />OFFICE
<br />OFFICE" EXCLUDED? _ NIA --
<br />EL. DISEASE - EA EMPLOYEE $
<br />rybe
<br />1,000,000
<br />and
<br />Nunder -
<br />DIf ESCRIPTION
<br />DESCRIPTION OF OPERATIONS below EL. DISEASE -POLICY LIMIT $
<br />1,000,000
<br />C Prof Liab/Ded. $50K PECO01336816 12/0112018 12/01/2019 Per Claim/Aggregate
<br />5,000,000
<br />C Poll Liab/Ded. $50K PECO01336816 12/01/2018 12/01/2019 Occurrence/Aggregate
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: All Operations
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insure p� r[b e 1111bb' ity
<br />attached endorsement as required by written contract. Insurance is Primary and Non -Contributory.
<br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the poli4&A# -
<br />/y 9
<br />PAGE If OF
<br />2—
<br />City of Santa Ana
<br />Attn: Water Resources (M85)
<br />220 S. Daisy Ave.
<br />Santa Ana, CA 92703
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />—T" Aakut j, d W&uQ-
<br />V/
<br />V
<br />ACUKU 25 (206111 ©1988.2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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