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RINCCON-01 P
<br />CERTIFICATE CIF LIABILITY INSURANCE DATE 01128/20/ YY)
<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 />PRODUCER
<br />Le
<br />ggends Environmental Ins. Services
<br />130 Vardis
<br />Suite 250
<br />Aliso Viejo, CA 92656
<br />INSURED
<br />Rlncon Consultants, Inc.
<br />210 N Ashwood Ave
<br />Ventura, CA 93033
<br />r-nVNRAnFc CFRTIVICILTI= NtIMRPR• REVISION NIIMRFR:
<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 VVI41CH 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 TYPE 4PINSURANCE A0043UaR INSO mePOLICY NUMBER POLICY EPF POM4ICY EXP LIMITS
<br />A
<br />X I COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 3,000,000
<br />CLAIMS -MADE FXJ OCCUR EPK126280
<br />_._... ...__ C._l X X
<br />12/1712018 12/17/2020
<br />_
<br />DAMAGE TO RENTED 661600
<br />10,000
<br />31000,660
<br />GEN'L AGGREGATE LIMIT APPLIES PER: -
<br />GENFRALAGGRFGATE$ 4®D9,999
<br />POLICY CX JECT (.�,,,.� Lt3C
<br />PRODUCTS-COMFfO(!ACr-G $ — 4006r069
<br />OTHER:
<br />Deductible $ 50,000
<br />B
<br />AUTOMOBILE LIABILO'y
<br />COMBINED SINGLE LIMIT' 1,000,000
<br />X, ANY AUTO X X 72UUNPT4318
<br />12/17/,2018 12/17/2019
<br />BODILY $
<br />OWNED _ S'CHEDULED
<br />AUTOS ONLY AUUTNOOSWN
<br />_,.
<br />BODILY INJURY tPerAC_ dent
<br />_i
<br />p
<br />_ I A�R7'GS ONLY kt1TOS ONLY
<br />I-xi
<br />PA80a ERTY�pIMAGE
<br />cede i
<br />1
<br />A
<br />UMIIRELLALIAO X OCCUR
<br />EACH OCCURRENCE $ 6,000,000
<br />X
<br />EXCESS LIAR CLAIMS -MADE EFX111982
<br />12/1712018 12/17/2019
<br />AGGREGATE $ 6,000,000
<br />_ �._.-._......—__._._.__...._
<br />BED X RETENTION$ 10,009
<br />C.
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS? LIABILITY
<br />: X SEiRATUTL ,FO.fjTH_
<br />.___._._.1000,000
<br />E.L. EACH ACCI6CNT$ _
<br />ANY PRpppPRIETORIPARTNERtEXECtMVE YIN X 10190329.
<br />NIA
<br />0210112019 02t01/2020
<br />FICER/M MBER EXCLUDED?
<br />( andam } ...._._
<br />N n N
<br />1efj06,990
<br />U as, daaclbo under
<br />D SCR,IPI'IONOFOPERATIONSbeow
<br />E.4. DISEASE - EA EMPLOYE $
<br />._.__.__.,--__..._._.—
<br />ELL DISEASE-POLIC LIMIT S 1,000,000
<br />A
<br />Professional Liab EPKI262 00
<br />12/1712018 12117/2020
<br />Per Claim 3,000,000
<br />A
<br />Professional Liab EPK126280
<br />12/1712018 12117/2020
<br />Aggregate 4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES jACORD lei, AtltiKtonal ftamarka Sdreduie, map ae.aeoneu Umwe apace Is re nbal}
<br />"Professional Liability Is written on a Claims Made basis. When required by written contract, the General Liability and Pollution Liability Limits are on a Per
<br />Project basis while dedicated; the Professional Liability is on a Per Policy basis. Professional Liability Deductible $60,000 Each Claim,
<br />The City of Santa Ana and Community Development Agency, 20 Civic Center Plaza, M-26 Santa Ana, CA 92702, their officers, employees, agents and
<br />voluntoom are Included as additional Insureds for General Liability and Auto Liability with respect to work performed for them by the Named insured as
<br />required by written contract, per Blanket Additional Insured endorsement EN0147.1111, EN0320-0211, EN0321-0211 & HA99160311 Liability Coverage IS
<br />Primary and Non -Contributory as required by written contract, per endorsement EN0147-1111 & HA99160312. Blanket Waiver of Subrogation applies to
<br />SEE ATTACHED ACORD 101
<br />CERTIFICATE HOLDER CANCELLATION
<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 />City of Santa Ana
<br />20 Civic Center Plaza, M-26
<br />ante Ana,_CA 927 V w I
<br />ACORD 25 (2016/03) C 1988-2016 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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