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,A>R" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDONYYY)
<br />09111/2018
<br />THIS CERTIFICATE IS ISSUED ASA 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(les) 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 andorsoment(s).
<br />PRODUCER
<br />CONTACTAimee Guesno
<br />Specialty Insurance Services. Inc.
<br />-NAMECornerstone
<br />ache , (714)731-7700 uc, No: (714)73L7750
<br />I.MAILss: a imee@oornerstonespecialty.com
<br />ADDREINSURER(S)AFFORDING
<br />14252 Culver Drive, A299
<br />COVERAGE
<br />NAICp
<br />_
<br />INSURER A: Valley For Insurance Company
<br />20508
<br />Irvine CA 92604
<br />INSURED
<br />INSURERS: Continental Casualty Company
<br />20443
<br />PROACTIVE CONSULTING GROUP, LLC
<br />INSURERC:
<br />INSURER D 1
<br />MED EXP (Any one Parson) S 10,000
<br />15235 Springdale SL
<br />INSURER E:
<br />INSURER F:
<br />Huntington Beach CA 92649
<br />COVERAGES CERTIFICATE NUMBER: 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AMC) CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SO
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDNYYYI
<br />POUCYEXP
<br />MMIDDNYYY
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 2,000,000
<br />�/
<br />CLAIMS MADE OCCUR
<br />o tiff9RTE 300,000
<br />PREMISES Ea scsl nonce $
<br />MED EXP (Any one Parson) S 10,000
<br />X ADDT'L INSURED [PRIMARY
<br />NKT N/VR OF SUBR
<br />PERSONAL a ADV INJURY 5 2,000000
<br />A
<br />Y
<br />Y
<br />2084330890
<br />06/01/2018
<br />06/01/2019-
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE $ 4.000,000
<br />POLICY ® JEC 1:1 JOE
<br />PRODUCTS - COMPlOP AGO 4,000,000
<br />S
<br />$
<br />OTHER'.
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,600,000
<br />Es accident)
<br />BODILY INJURY (Per person) s
<br />ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />Y
<br />2084336690
<br />06/01/2018
<br />,06/01/2019
<br />BODILY INJURY (Per uormPnO S
<br />PROPERTY DAMAGE S
<br />P.,iiyadant
<br />x HIREDNOWOWNED
<br />AUTOS ONLY x AUTOS ONLY
<br />UMBRELLA LAB
<br />OCCUR
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />EXCESS UAB
<br />CLAIMSrMADE
<br />DED RETENTION $
<br />_
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PRCPRIMBER XGLUC)EXECUTIVE
<br />oandatoyin NHr Excwoaoa El
<br />in NH)
<br />NIA
<br />Y
<br />4024152345
<br />06/01/2018
<br />06/01/2019
<br />.:
<br />i/ PER 0TH
<br />X STATUTE ER
<br />EL EACH ACCIDENT $ 1,000,000
<br />E L DISEASE - EA EMPLOYEE S 1'000'000
<br />I , r' desire
<br />II yp6, dfl6Cr1e81111der
<br />DESCRIPTION OF OPERATIONS below
<br />EL. DISEASE POLICY LIMIT $ 1,606.666
<br />PROFESSIONAL LIABILITY
<br />EACH CLAIM $1,000,000
<br />M
<br />D
<br />Claims Made
<br />EEH288366962
<br />07/28/2018
<br />0712.8/2019
<br />ANNUALAGGREGATE $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedu(e, may be attached if mars.pose le o,calrad)
<br />RE; Environmental Compliance Consulting Services
<br />City of Santa Ana, Its officers, employees, agents, volunteers and representatives are Additional Insured for General Liability but only if required by written
<br />Contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. "30 days
<br />notice of cancellation, except for 10 days notice for non-payment of premium, For Professional Liability coverage, the aggregate limit is the total insurance
<br />available for ell covered claims reported within the policy period.
<br />pie.90
<br />City of Santa Ana
<br />220 S. Daisy Avenue
<br />Santa Ana
<br />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 />IV 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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