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ADO br CERTIFICATE OF LIABILITY INSURANCE <br />DATE/(MMJDD Y) <br />8 <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Dealey, Renton & Associates <br />COME; O Made Swaney <br />PHONE 628.844.3070INC,Nol: <br />9 <br />199 S Los Robles Ave Ste 540 <br />n MRess, mswaneyddealeyrenton.eom <br />Pasadena, CA 91101 <br />Lic#0020739 <br />INSURER(S) AFFORDING COVERAGE <br />NAICi <br />INSURER A: Travelers Indemnity Co. of Connecticut <br />25682 <br />INSURED PROJEPART <br />Project Partners <br />INSURER a: Travelers Proper y CaSUaIty CO Of Amad <br />25674 <br />INSURER c: U.S. Specialty Insurance Company <br />29599 <br />23195 LaaCadena Drive, Suite 101 <br />Cad <br />INBURERD_ <br />Laguna Hills, CA 92653 <br />949 852-9300 <br />INSURERE: <br />SURER <br />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 />IN R <br />TYPE OF INSURANCE <br />OL <br />ARM <br />OUSIR <br />me <br />OL YN MBER <br />P IC Y <br />MMID IYYYICY V <br />LIMITS <br />8 <br />X COMMERCIALGENERALLIABILITY <br />Y <br />Y <br />6BOOJ543236 <br />4/10/2016 <br />4/10/2019 <br />EACHOCCURRENCE <br />$2,g00p00 <br />_ <br />PRIM 9E Fs n rgntg) <br />$ 7 000,000 <br />CI,AIMS•MADE � OCCUR <br />X Can.u.1 Deb <br />MED EXP An ane arson) <br />S 10 000 <br />X XCU lncla1w <br />PERSONAL S ADV INJURY <br />$2.000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY E dERCT LOC <br />GENERAL AGGREGATE <br />E4.00%002 <br />PRODUCTS -COMPIOP AGO <br />S4,00D000 <br />$ <br />OTHER: <br />A <br />AUTOMpa1LELIABILITY <br />Y <br />Y <br />BA93SIL464 <br />41IV2018 <br />4111V2019 <br />LaBINED SINGLE <br />I MIT-itan <br />$1000000 <br />ANY AUTO <br />BODILY INJURY(Per person) <br />S <br />I AUTOS ONLY AUTOS <br />BODILY BODILY INJURY (Pa, accident) <br />S <br />X <br />HIRED X NON OWNED <br />AUTOS ONLY AUTOS ONLY <br />ROPER AGE <br />1 er ceHant <br />$ <br />$ <br />X <br />NUOwnedAuta4 <br />B <br />X <br />UMBRELLAU IS <br />X. <br />OCCUR <br />Y <br />Y <br />OUP883WO49 <br />4118@DIO <br />4118MO19 <br />EACH OCCURRENCE <br />Si.,eaa,Wo <br />AGGREGATE <br />$1000,000 <br />EXCESS UA9 <br />CLAIMS -MADE <br />DED . X I RETENTION $ It <br />$ <br />8 <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />OFFCtWMEMBERE%CLUOE07XECUTIVE ❑ <br />Nt <br />UWJB00976 <br />4/1812018 <br />411012019 <br />X P ER <br />E.L. EACH ACCIDENT <br />51,000000 <br />E.L. DISEASE EA EMPLOYEE <br />$i.000A0D <br />(Mandatory In NH) <br />If Vyea, desedbe under <br />E.L. DISEASE. POLICY LIMIT <br />11000.000 <br />DESCRIPTION FOPS ATIONS bolaw <br />C <br />Prafesslonat Liability <br />USS1028838 <br />gp8@018 <br />4/18I2079 <br />$2,000,000 <br />52,000,900 <br />Par Claim <br />Annual Aggregate <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD f09, AtltlRianel Remarhe Schedule, may bs aaaahed If more apace Is requlretl) <br />Insured owns no companyy vehicles; therefore, hired/non-owned auto is the maximum Coverage that appplies. Umbrella policy is a follow -form to underlying <br />Policies: General Liabllity)Auto Liabliity/Employers Liabil€ty. AM Best's Rating for all policies listed sre: J1/Xll or greater. <br />Re: All operations of named insured -- The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are named as additional Insured <br />as respects general and auto liabiilly for claims arising from the operations of the named insured as required per written contract or agreement. General Liability <br />Is Primary/Non-Contributory per policy form wording. Insurance coverage Includes waiver of subrogation per the ahac Ed endorsement(s). <br />REVIEWED SY: EUN€CE HEREDIA (FG OF } <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 />Cityy of Santa Ana <br />120 Civic Center Plaza - M36 <br />Santa Ana CA 92701 <br />ACORD 25 (2010103) The ACORD name and logo are registered marks of ACORD <br />