|
Client#: 25320 KIMLHORN
<br />ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DDNYYY)
<br />._ ,.. __. 6/18/2019
<br />THIS CERTIFICATE IS -ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFERSNO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE HOLDER,
<br />POLICTHIS
<br />ES
<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 la an ADDITIONAL INSURED, the poi cy(ies) must have ADDITION AL INSURED provisions or be endorsed If SUBROGATION IS WAIVED, subject to the terms end conditions of the policy, cerfain policies may require an endorsement. A statement on
<br />this certificate does not confer any rights to the certificate holder in lieu ofsuch endGrsement(s).
<br />PRODUCER _. C... EACT JerY�r..NayaIFA ..
<br />Greyling Ins. Brokerage/EPIC PRE ; . 770.552 4225
<br />3780 Mansell Road, Suite 370 e 866.550.4082
<br />Alpharetta, GA 30022 A4PRE§6• jarry.nayal greyHIT Com
<br />Kimley-Horn and Associates, Inc. L1',N.$
<br />SURER a -spun American msurai
<br />421 Fayetteville Street, Suite 800 URER D New,Hampahire Ins. co.Raleigh, NC 27601 uRER D Lloyds of London "
<br />..• .� =�..vv nnYc ootry lsautu IV IHE INSURED NAMEDABCVE FOR THEPOLICY
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 POLIC/ES. LIMITS RHnWre MAY uevc oven, o��,,..�,..... ..., ......._
<br />A I 2t COMMERCIAL GENERAL LIABILITY
<br />Ej� s2ss1
<br />,mg e. CLAIMS MADE I JLI OCCUR
<br />UHEGATE LIMIT APPLIES PER:
<br />PRO ��yy�
<br />CY JE O '`.
<br />-
<br />GENERALAGGREGATE 9
<br />-L.__ LOC
<br />PRODUCTS,. Cc Pi P AGO .
<br />ER:.
<br />n.. _$
<br />31LE LIAEILITY
<br />4489663
<br />4/OU2019
<br />1
<br />04101/202
<br />r8t�jSINkGet 10 ELI
<br />AUTO
<br />- SCHEDULED
<br />BODILY INJURY (Par person)NON-OWN
<br />)S
<br />)90NLV .AUTOS
<br />AUTOS
<br />BODILY INJURY (Per accident) $
<br />)S ONLY it"- AUTOS ONLY
<br />OKRTYD AGE
<br />$
<br />xELLA uae X- OCCUR -
<br />CX005FT19
<br />4/01/2019
<br />04/01/202
<br />EACH 2CQURRENCE $
<br />.SS LIAR n einnc n.uw
<br />_
<br />C wUKKERS COMPENSATION -- `"— .... --
<br />AND EMPLOm.RsVLIABILITY 015893685(ADS) "- 4/01/201
<br />A ANYPROPIRErOWPARTNEWEXECUTIVEIY—hN 1 .615693666 (CA) 4/D1/291
<br />OFFIOERIMEMBER EXCLUDED? AI u I e
<br />1
<br />Per Claim $2,000,000
<br />Aggregate $2,000,000
<br />---- •• ••—•• ��• _�.., ..,vo r wenl Ur a r vtnlCLdv (ACORD 101, Additional Remarks Schedule, maybe attached if more apace la required)
<br />Re: On -Call Agreements A-2015.171, A-2017.108, A-2016.344, A-2017.273, A-2017.025, A-2009.212, A-2018-159
<br />01 & A-2018.160.01. The City of Santa Ana, Its officers, employees, agents & representatives are named as
<br />Additional Insureds with respects to General Liability where required by written contract. The above
<br />referenced liability policies with the exception of workers compensation & professional liability are
<br />primary & non-contributory where required by written contract. Separation of Insureds applies to the
<br />(See Attached Descriptions)
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RAFORE
<br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />9 ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
<br />©19UB-ZU15 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#S1641449/M1513917 JNOY1
<br />
|