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ENVIPLA-02 FRANCISCON
<br />,4641 CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 02/04/201 YY)
<br />02/0412019
<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 endorsements .
<br />PRODUCER License # OE67768
<br />IOA Insurance Services
<br />3875Hopyard Road
<br />Suite 200
<br />Pleasanton, CA 94588
<br />CONTACT David Sifuentes
<br />NAME:
<br />PHONE FAX
<br />ac,No,Ex:50027 Ac,No:(925 416-7869
<br />E-DmA[Ess, David.Sifuentes@loausa.com
<br />INSURER S AFFORDING COVERAGE
<br />NAIC a
<br />INSURER A: RLI Insurance Company
<br />13056
<br />INSURED
<br />INSURER B: Hartford CasualtyInsurance Company
<br />29424
<br />Environment Planning Development Solutions Inc dba EPD
<br />Solutions Inc
<br />INSURER C: Continental Casualty Company
<br />20443
<br />2030 Main Street, Suite 1200
<br />INSURER D:
<br />INSURER E :
<br />Irvine, CA 92614
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: RFVISION 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTOWHICH 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 />TYPE OF INSURANCE
<br />ADDLSUBR NED
<br />POLICY NUMBER
<br />POLICYEFF
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />PSB0006142
<br />09/30/2018
<br />09/30/2019
<br />EACH OCCURRENCE
<br />21000,000
<br />DAMAGE TO RENTED e
<br />PREMISES We
<br />$ 1,000,000
<br />MED UP LAny onePerson)
<br />$ 10,000
<br />PERSONAL S ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMITAPPLIES PER:
<br />POLICY"j LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />PRODUCTS -COMPIOP AGG
<br />1 41000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLELIMIT
<br />Ea amiden
<br />2,000,000
<br />BODILY INJURY Per erson
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />SSWN
<br />X
<br />X
<br />PSB0006142
<br />09/30/2018
<br />09/30/2019
<br />IAUTOSS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTYDAMAGE
<br />ONLY N Al1TOS N&DY
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />4,000,000
<br />X
<br />I
<br />AGGREGATE
<br />$ 4,000,000
<br />EXCESS LIAB
<br />I CLAIMS -MADE
<br />X
<br />X
<br />PSE0003502
<br />09/30/2018
<br />09130/2019
<br />DIED I I RETENTION$
<br />B
<br />WORKERS AND EMPLOYERS' LIABILIITY ATION
<br />ANV PROPRIETOILPARTNERIEXECUTIVE YIN
<br />OFFICERIMEM�W EXCLUDED?
<br />( endatoryin )
<br />If yyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />57 WEG AC20BW
<br />09/30/2018
<br />0913012019
<br />X PER
<br />STATUTE OTH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />1,000,000
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />C
<br />Professional Liab.
<br />X
<br />EEH591923312
<br />09/30/2018
<br />09130/2019
<br />Per Claim
<br />2,000,000
<br />C
<br />Professional Liab.
<br />X
<br />EEH591923312
<br />09/30/2018
<br />0913012019
<br />Aggregate
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />RE: EPD PN 19.007 - Warner and Redhill Residential
<br />City of Santa Ana is included as additional insured on Commercial General Liability and Hired and Non -Owned Auto Liability, as required by written contract.
<br />Waiver of Subrogation and Primary and Non -Contributory Provision included on Commercial General Liability Policy, as required by written contract. Waiver
<br />of Subrogation Provision included on Workers Compensation policy, as required by written contract -Commercial Excess Liability policy follows form with the
<br />Commercial General Liability, Hired and Non -Owned Auto Liability and Employers Liability Policies. and Employers Liability Policies. Should any of the above
<br />described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. Professional Liability is a
<br />claims made policy and includes Waiver of Subrogation Provision as requi d by writ co tract. q
<br />1 l
<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
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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