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Client#: 25326
<br />KPFFINCO
<br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE
<br />F.ATE(MM/DD/YYYY)
<br />9/21/2018
<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 endorsement(s).
<br />PRODUCER
<br />Greyling Ins. Brokerage/EPIC
<br />3780 Mansell Road, Suite 370
<br />Alpharetta, GA 30022
<br />CONTACT NAME: Katie Kresner
<br />a�"r o El): 770.552.4225 ac No): 866.550.4082
<br />E-MAIL Katie.Kresner@ re Iln
<br />ADDRESS: g Y gcom
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: National Union Fire Ins. Co. :19445
<br />INSURED KPFF, Inc.
<br />1601 5th Ave
<br />INSURER B: The Continental Insurance Company 135289
<br />i
<br />INSURER C: Lloyds of London
<br />EACH$1,000,000
<br />Suite 1600
<br />INSURER D:
<br />Seattle, WA 98101
<br />INSURER E:
<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 PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X, COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE _ OCCUR
<br />GL5268336
<br />4/01/2018
<br />04/01/2019
<br />EACH$1,000,000
<br />�OECCURRENCE
<br />PREMISES EsEoccccu ence $5001 000
<br />MED EXP (Any one person) s25,000
<br />PERSONAL & ADV INJURY $1 9000t000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY X JECOT LOC
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />$
<br />OTHER:
<br />I
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA9775930
<br />4/01/2018
<br />04/01/201
<br />EO MBINEDa.,d.n,)S LE LIMIT 1,000,000
<br />BODILY INJURY (Per person) $
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />B
<br />X
<br />UMBRELLA LIAB
<br />NX
<br />OCCUR
<br />6050399824
<br />10/10/2017
<br />04/01/201
<br />EACH OCCURRENCE $10,000,000
<br />AGGREGATE $10,000000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I X; RETENTION$O
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />EMPLOYERS' LIABILITYSTATUTE
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
<br />OFFICER/MEMBER EXCLUDED?
<br />N / A
<br />WCO22298245(AOS)
<br />WCO22298244 (CA)
<br />34/01/2018
<br />4/01/2018
<br />4/01/2018
<br />04/01/201
<br />04/01/201
<br />X PER OH-
<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 $1,000,000
<br />C
<br />Professional/
<br />B0146LDUSA1804384
<br />0/10/2018
<br />10/10/201
<br />Per Claim $10,000,000
<br />Pollution Liab
<br />Aggregate $10,000,000
<br />SIR $250,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Re: Contract #s A-2015-175 & A-2016-135 - Engineering Consultant Agreement; KPFF Job #1600031. The City of
<br />Santa Ana, its officers, employees, agents & representatives are named as Additional Insureds with respects
<br />to General Liability where required by written contract. Should any of the above described policies be
<br />cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days
<br />for nonpayment of premium) will be provided to the Certificate Holder.
<br />REVIEWED BY: EUNICE HEREDIA (PG 'O )
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Clerk of the City Council ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (M-30)
<br />P.O. BOX 1988 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702-1988
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S1218426/M1214603 KKRE1
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