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Francine R. Villareal D'glrally signed by Francine R Vill... A
<br />Do ee.202p D62015.26:1 8-07'au'
<br />ACORO® CERTIFICATE OF LIABILITY INSURANCE
<br />11si"
<br />DATE (MMIDDIVVVV)
<br />8/12/2020
<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(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 endersement(s).
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />790 E Colorado Blvd., #460
<br />Pasadena CA 91101
<br />CONTACT
<br />NAME: Marie Swaney
<br />PHONE FAX
<br />A/C No Ent: AIC, No :
<br />ADDORESS: mswaney@dealeyrenton.com
<br />INSUREl AFFORDING COVERAGE
<br />NAIC It
<br />INSURERA: Travelers Casualty and Surety Co of America
<br />31194
<br />License#: 0020739
<br />INSURED TRANENG-09
<br />Transtech Engineers, Inc.
<br />13367 Benson Ave
<br />INSURER B: Travelers Property Casualty Company of America
<br />25674
<br />INSURER C : The Travelers Indemnity Company of Connecticut
<br />25682
<br />INSURER D: Twin City Fire Insurance Company
<br />29459
<br />Chino CA 91710-3009
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1224005528 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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 />R
<br />OF INSURANCE
<br />ADDITYPE
<br />INSD
<br />WVDSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDYVVV
<br />POLICY EXP
<br />MMIDDYVVV
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />V
<br />Y
<br />6805H737478
<br />12/31/2019
<br />12/31/2020
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE 1XI OCCUR
<br />DAMAGE To REM E
<br />(Ed occurrrance)
<br />$1,000,000
<br />X
<br />-PREMISES
<br />MED EXP (Any one person)
<br />$ 10,000
<br />Contraotuel Lleb
<br />X
<br />XCU Included
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEH'L
<br />AGGREGATE LIMIT APPLIES PER.
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />� PRO -
<br />POLICY LOG
<br />PRODUCTS-OOMP/OPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE LIABILITY
<br />Y
<br />Y
<br />BA41`174049
<br />12/31/2019
<br />12/31/2020
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X HIRED X NON-0VJNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident)
<br />$
<br />$
<br />X NOOwnedAutos
<br />B
<br />X
<br />UMBRELLA LIAS
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP4F17434A
<br />12/31/2019
<br />12/31/2020
<br />EACH OCCURRENCE
<br />$5,000,000
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$ n
<br />1
<br />$
<br />1
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNER/EXECUTIVE
<br />Y
<br />72VVEGAA508A
<br />9/l/2020
<br />9/l/2021
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />OFFICERIMENBER EXCLUDED?
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,D00, 000
<br />( Mandatory in NH)
<br />Ifyes describe under
<br />DESCRIPTION OF OPERATIONS bile.
<br />EL DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />Prefesslonal Lability
<br />107188836
<br />12/31/2019
<br />12/31/2020
<br />Per Cider
<br />2p00, 000
<br />Annual Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Insured owns no company vehicles: therefore, hired/nonowned auto is the maximum coverage that applies. Umbrella policy is follow -form to its underlying
<br />Policies: General Liability/Auto Liability/Employers Liability. Professional Liability is E80 Liability.
<br />Re: REP No. 19-045, Engineering, Technical and Administrative Support Services -- City of Santa Ana, its officers, agents, employees, agents and
<br />representatives are named as an additional insured as respects general and auto liability as required per written contract or agreement. General Liability is
<br />Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s).
<br />CANCELLATION/CHANGE: 30 day notice will be sent to the certificate holder
<br />CERTIFICATE HOLDER CANCELLATION 30 Dav Notice will be sent to holder
<br />City of Santa Ana
<br />Risk Management Div, 4th Floor
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<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 />© 1988-2015 ACORD C
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />Risk Management D ipf sbn
<br />��REVIEWED Is APPROVED BYE:
<br />' F4siw.�n.e P.. V�.etknaAz.
<br />Risk Management Analyst
<br />
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