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Tori Pierson Digitally signed by To ri Pierson
<br />Date: 2021.08.25 09:42:11-07'00'
<br />ACCORD® CERTIFICATE OF LIABILITY INSURANCE
<br />'Ill
<br />DATE(MM/DD/YYYY)
<br />8/16/2021
<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 endorsement(s).
<br />PRODUCER
<br />AssuredPartners Design Professionals Insurance Services, LLC
<br />3697 Mt. Diablo Blvd Suite 230
<br />CA 94549
<br />CONTACT
<br />NAME: Marie Swaney
<br />PHONE FAX
<br />A/c No Ext : A/C, No):
<br />E-MLafayette
<br />ADDRESS: DesignProCerts@AssuredPartners.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Travelers Casualty and Surety Co of America
<br />31194
<br />License#: 6003745
<br />INSURED TRANENG-09
<br />Transtech Engineers, Inc.
<br />909-595-8599
<br />INSURER B: Travelers Property Casualty Company of America
<br />25674
<br />INSURERC: The Travelers Indemnity Company of Connecticut
<br />25682
<br />INSURERD: Trumbull Insurance Company
<br />27120
<br />13367 Benson Ave
<br />Chino CA 91710-3009
<br />INSURER E7
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1179609705 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 />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />6805H737478
<br />12/31/2020
<br />12/31/2021
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />Contractual Liab
<br />X
<br />XCU Included
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRO -
<br />POLICY � ECT1:1 LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />BA3R067451
<br />12/31/2020
<br />12/31/2021
<br />(CEO MaBINEDidentSINGLELIMIT
<br />cc
<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
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />$
<br />NoOwnedAutos
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP41`17434A
<br />12/31/2020
<br />12/31/2021
<br />EACH OCCURRENCE
<br />$5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ n
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />Y
<br />72WEGAA508A
<br />9/1/2021
<br />9/1/2022
<br />X PER OTH-
<br />STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />ProfessionalLiability
<br />107328311
<br />12/31/2020
<br />12/31/2021
<br />Per Claim
<br />2,000,000
<br />Aggregate Limit
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Insured owns no company vehicles; therefore, hired/non-owned 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 E&O Liability.
<br />Re: RFP 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 />I.tKI frit A I t rIVLUtK LANtr_LLAI WIV bU uay Ivouce will De sent io nomer
<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 , t p„�Dmalm
<br />ReAeam & APPR svED Br.
<br />@ 1988-2015 ACORD C(
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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