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Client#: 25320 KIMLHORN DATE(MMIDDIYYYY) AUUKUIM CERTIFICATE OF LIABILITY INSURANCE 10/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER I NAMIA E: Jerry Noyola Greyling Ins. Brokerage/EPIC PHONE Eat, 770-552.4225 868350-4082 3780 Mansell Road, Suite 370 ^� "O Alpharetta, GA 30022 noosess: Jerry. noyola@greyling.com INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: National Union Fire Ins. C.O. 19445 INSURED INSURER B: ASpen AmBriCan lmNJ DOe Company Kimley-Horn and Associates, Inc. 43460 23841 New He 421 Fayetteville Street, Suite 600 INsuRERc: pahlrein'.Co. 085202 Raleigh, NC 27601 INSURER D: Lloyds of London INSURER E: INSURER F: RC V oIUIN INUML$H: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTRR TYPE OF INSURANCE ADOL SUER POUCYEFF POLICYyEXP INSR D POUCYNUMBER MMMD MWDD/YYYY UMITS A X COMMERCIAL GENERAL LIABILITY MA CLAIMS -OE L9 OCCUR Contractual Llab. 5268169 4/01/2019 04/01/202 $1 000000 �E�AAqcN�1mp CO�EECTCTURRENCE PREMISES EaERrw�ra r. s500 000 X MEDEXP(AnywePerson) $25000 PERSONAL &ADV INJURY $1,000000 A 448966g 4/01/2019 04/01/202 GEN'L AGGREGATE LIMIT APPLIES PER: PRC POLICY ELOC OTHER: AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY HIRED AUTOS X AUTOS ONLY X NON -OWNED AUTOS ONLY GENERAL AGGREGATE s2,000,000 PRODUCTS-COMPIOPAGG $2r000 OOQ Be dBINED SINGLE LIMIT $ 11,000,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per acddent) $ PROPERTY DAMAGE Per acddanl $ EACH OCCURRENCE SS QQQ QQQ B C A D UMBRELLA Lim X OCCUR X EXCESS LAB CLAIMS -MADE NIA CX005FT19 015893685 (ADS) 015893686(CA) B0146LDUSA1904949 4101/201904/01/202 4/01/2019 4/01/201904/01/202 4/01/2019 04/01/2020 04/01/202 AGGREGATE $5 00Q 000 DED X RETENTION SO WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERPEIMBEREXCLUDED>ECUTIVEFR (Mandatory in NH) Ir yes, describe under DESCRIPTION OF OPERATIONS be. Professional Liab X PER OTH- $ EL EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1000000 E.L. DISEASE -POLICY LIMIT Per Claim $2,000,000 $1,000 QQQ I Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be adached if mare space is required) 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 01, A-2018-160-01 & A-2018-025. The City of Santa Ana, its officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies with the exception of workers compensation & professional liability are primary & non-contributory where required by written contract. Separation of Insureds applies (See Attached Descriptions) CERTIFICATE Hnl nPO City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th I Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN & APPn t/PiCCORDANCE WITH THE POLICY PROVISIONS. 1019 REPRESENTATIVE ACORD 25 (2016103) 1 of 2 The #S1815091/M1513917 ©1988-2015 ACORD CORPORATION. All rights reserved. of ACORD JNOY1