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ACCRHCERTIFICATE OF LIABILITY INSURANCE <br />iit..%" <br />DATE(MMIDDIYYYY) <br />1 01 /24/2020 <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(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 endorsement(s). <br />PRODUCER <br />CONTACT NAME: Aimee Guesno <br />Cornerstone Specialty Insurance Services, Inc. <br />PAHONE (714) 731-7700 FiC No : (774) 731-7750 <br />14252 Culver Drive, A299 <br />E-MAIL aimee(poomerstones ecial .corn <br />ADDRESS: P tY <br />INSURERS) AFFORDING COVERAGE <br />NAIC0 <br />Irvine CA 92604 <br />INSURERA: Continental Casualty Company <br />20443 <br />INSURED <br />INSURER B: Valley Forge Insurance Company <br />20508 <br />PROACTIVE CONSULTING GROUP, LLC <br />INSURER C: <br />15235 Springdale St. <br />INSURER D: <br />NSURER E <br />Huntington Beach CA 92649 <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <br />THIS IS TO CERTIFY THAT HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />W <br />POLICY NUMBER <br />MMIDDII'YYY <br />MMMD EXP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CIAIMSMADE Fx] OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />PREMISES E.occurrence) <br />$ 300,000 <br />MED EXP An one ersun <br />$ 10,000 <br />ADDT'L INSURED / PRIMARY <br />BLNKTWVR OF SUBRO <br />PERSONAL 4ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />2084330890 <br />06/01/2019 <br />06/01/2020 <br />GEN'LAGGREGATE UMITAPPLIES PER: <br />POLICY ® PRO. <br />ECT LOD <br />GENERALAGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OPAGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Es accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Y <br />Y <br />2084330890 <br />05/01/2019 <br />06/01/2020 <br />BODILY INJURY Per accident) <br />a <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOSONLY <br />X <br />PROPERTY DAMAGE <br />Per amident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DELI <br />I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />MIA <br />Y <br />4024152345 <br />06/01/2019 <br />06/01/2020 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />It yes, desoiiba under <br />DESCRIPTION OF OPERATIONS below <br />EA_ DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />PROFESSIONAL LIABILITY <br />EACH CLAIM <br />$1,000,000 <br />A <br />Claims Made <br />EEH288355962 <br />07/28/2019 <br />07/28/2020 <br />ANNUAL AGGREGATE <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLEB (ACORD ID1, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Environmental Compliance Consulting Services <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured for General &Auto Liability but only if required by <br />written Contract with the Named Insured prior to an occurrence and as per attached endorsement. Such insurance as is afforded by this policy shall be <br />primary, and any insurance Carried by City shall be excess and noncontributory. Coverage is subject to all policy terms and conditions. -30 days notice of <br />cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insuance available <br />for all covered claims reported within the policy period. " <br />CERTIFICATE HOLDER nCVlt-WFU CL fir ` — rnur-EI I ATInN <br />By Risk <br />ANAGE"to <br />-----...._.. <br />SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />r] ^ <br />THE EXPIRATION THEREOF, NOTICE BE DELIVERED IN <br />ACCORDANCE <br />City ofSanaAnaRisk <br />WIITTHTE <br />HE POLICY PROVISIONSL <br />Mgmt. Division, 4--�20 <br />AUTHORIZED REPRESENTATIVE <br />Civic Center Plaza <br />AIV4;� <br />SantaAna <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 2512016103) The ACORD name and logo are registered marks of ACORD <br />