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aco V CERTIFICATE OF LIABILITY INSURANCE
<br />bAT10/4/2DIYYYY)
<br />4U/4/2018
<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($), 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 statementon
<br />this certificate does not confer rights to the certificate holder In lieu of such endorsements.
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />R 0. Box 12675
<br />Attn: Mand Gua
<br />Y
<br />Oakland CA: 94604-2675
<br />CNAME:ONTACT
<br />DOrisAChambers
<br />PRqONE
<br />�IALO
<br />FAX
<br />• 510-465-3090 ac N- : 510-452-2193
<br />E-MAIL
<br />Doaass:
<br />dchamb.,S@dealoyrenton.com
<br />INSURER(S) AFFORDING COVERAGE NAICN
<br />INSURER A: Travelers Property Casually Cc of Amen 25674
<br />10/32019
<br />INSURED NINYOMOORt
<br />Ni Moore Geotechnical &
<br />Environmental Sciences Consultants
<br />INSURERS: American AUtOmoba Ins. Co. 21649
<br />INsuRER c: Evanston Insurance CoorDany 35378
<br />INSURER D:
<br />475 Goddard, Suite 200
<br />Irvine CA 92618
<br />_
<br />INSURERE:
<br />INSURER F:
<br />OCP
<br />COVERAGES CERTIFICATE NUMBER: 895533942 REVISION NHIMRER•
<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 SY 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 />LT
<br />TYPE OF INSURANCE
<br />UBR
<br />pOLICVNUMBER
<br />PO pICY YYF
<br />POYI Lp VIYYVY
<br />LIMITS
<br />A
<br />tXOOMMERIIAI GENER�ALL�IABILITYY
<br />CLAIMS -MADE " I OCCUR
<br />tractual U.1,
<br />Y
<br />8308RBGR247
<br />101312018
<br />10/32019
<br />EACH OCCURRENCE
<br />$1,000,000
<br />_TTA ET R T DR ADiE�Eeomurrencal.
<br />$1,000,000
<br />MED.EXP tAny one arson
<br />$10,000
<br />OCP
<br />-PERSONAL &ADV INJURY
<br />$1,00%000
<br />X
<br />LIMIT APPLIES PER:
<br />PEC-
<br />GENERAL AGGREGATE
<br />.$2,000,000
<br />GENLAGGREGATE
<br />PRODUCTS-COMPIOPAGG
<br />$2,000,000
<br />LICYQ LOC
<br />POTHER
<br />S
<br />*
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANYAUTO
<br />Y
<br />Y
<br />81089BOR247
<br />10IN2018
<br />10/312019
<br />COMBINED SINGLE LIMIT
<br />(Eo aoaidentl_ __ _
<br />$1,000,000
<br />BODILY INJURY(Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BObILY INJURY (Perareldanp
<br />�$
<br />$
<br />X
<br />HIREDX NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPPER YDAMAGE
<br />fifer awl�enl _-
<br />$
<br />_
<br />A
<br />X
<br />EXCESS LAD
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP9J428527
<br />1013ooia
<br />101312019
<br />EACHOCCURRENCE
<br />$9,OD0,000
<br />EXCE�,SS.LITAD
<br />CLAIMS -MADE
<br />AGGREGATE
<br />_
<br />$9,000,00_0
<br />DEC gEfENTION $
<br />$
<br />H
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITY VIN
<br />ANYPROPRIETOWPARTNERIEXECUTIVE �'N/A
<br />OFFICERIMEMBEREXGLUDED?
<br />tMandatory In NH)
<br />Ifyes, describe under
<br />Y
<br />SCW0021231801
<br />51112018
<br />5/1/2019
<br />X STATU E OR
<br />E.L. EACH ACCIDENT
<br />$1,000,000,
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000.000
<br />E.., DISEASE, POLICY LIMIT
<br />$iSomo0
<br />0 SCRIPTION OF OPERATIONS balm
<br />C
<br />Profeasferal [Jab
<br />&Gauen ab.
<br />Pollullon Gab.
<br />Y
<br />MKLV7PL0003340
<br />101312018
<br />41312020
<br />$5,000000 per Claim
<br />$5,000000 Anrl AG9r
<br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD 101, Additional Reldarks Schadule, maybe attached Vmom space is required)
<br />REF: Project #051RV03.00713 / A-2016-1131 RFP #18-043 / NIT I City of Santa Ana I On -Call Various Environmental Services,
<br />GENERAL LIABILITY/AUTOMOBILE LIABILITY ADDITIONAL INSURED: City of Santa Ana Its officers, employees, agents and representatives, General
<br />Liabilityy is Primary/Non-Comrlbutory and sevemblllty of interests applicable per policy form wording.
<br />Canoeliatibn: 30 Day/10 Day for Non -Payment of Premium.
<br />i A
<br />[ylEWEDBYEl1NICE.HEREUTA{FG� 4F�U7-
<br />City of Santa Ana
<br />ATTN: Leticia: Lopez
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED JN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />rights
<br />HVvmw LO tL0'I81113) Ina ACDRO name and logo are registered marks of ACORD
<br />
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