Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMMYYYY) <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 endorsementfsl. <br />PRODUCER <br />Dealey, Renton & Associates <br />Lic. #0020739 <br />600 Anton Blvd., Suite 100 <br />Costa Mesa CA 92626 <br />INsuaeo <br />VCA Consultants, Inc. <br />(See Desc. of Operations for Full Named Insured) <br />1845 W, Orangewood Ave, Suite 200 <br />Orange CA 92868 <br />— — <br />' INC, Net 714-427.6818 <br />COVERAGES CERTIFICATE NUMBER- 12474B77R0 - Rc1NCI0M 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 />ILTR�— TYPE OF INSURANCE ADOL SUBR' POLICY EFF POLICYEXP - <br />INS lilwol POLICYNUMBER tMWDD1YYYY I (MMIDDIVY"n I LIMITS <br />A <br />rX <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMUSID OCCUR <br />CoOVaduel Lkb <br />Y I Y <br />6802,1614026 <br />7/112019 7/1/2020 <br />EACH OCCURRENCE <br />S1,000,000 <br />PREMISES Ea occvrtm� <br />31,000,D00 <br />X <br />'I MED EXP IAn one person) <br />$10,000 <br />PERSONAL&ADVINJURY <br />S1,00g000 <br />AGGREGATE LIMIT APPLIES PER <br />x.PERT LOD <br />GENERALAGGREGATE <br />_ <br />S2,000,000 <br />G EIN'L <br />j <br />PRODUCTS-COMPIOPAGG <br />_ <br />52,ODO,000 <br />_. <br />& <br />I�POLICY <br />OTHER: <br />A AUTOMOBILEUASIUTY <br />X ANY AUTO <br />Y Y BA6E503102 <br />7/1/2019 V1/2020 <br />COMBINED SINGLE LIMIT <br />Ea accitlent <br />51,DOO,000 <br />BODILY INJURY (Per person) <br />S <br />OWNED 'SCHEDULED <br />AUTOS ONLY I I AUTOS <br />- <br />BODILY INJURY (Per accident) <br />S <br />X HIRED AU rOS ONLY ILf AUTOS ONLNON-CIVNEY <br />AU <br />PROPERTYEe DAMAGE <br />- <br />$ <br />A <br />X <br />UMSRELLALIAB X OCCUR I T CUPSE569601 <br />7112019 7/112020 <br />EACHOCCURRENCE <br />$5,000,000 <br />Excess UA6 �i I CLAIMS-MAOE <br />-gGGREGATE <br />$s,DDD.DOD <br />BED X ;RETENTIONS <br />g <br />A <br />WORKERS COMPENSATION Y US71<022575 <br />AND EMPLOYERS' UABILT Y YIN <br />ANYPROPRIETOWPARTNER/EXECOTIVE NIA <br />OFFICERIMEMBER EXCLUDED? <br />7/112019 7H2O20 <br />X_ STATUTE _ OEPI+_ <br />- <br />_— <br />E.L. EACH ACCIDENT <br />51,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />_. <br />S1,000,000 <br />(Mandatory In NH) <br />Il unOF <br />DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCyea,daRIPTIONsulbe OderPERATIONS pan.EL <br />B Prolessi0nel Oebiliry MKLV7PL0003741 <br />Claims Made <br />7/112019 7/1/2020 Per Claim <br />Annual Aggregate <br />S2,000,000 <br />$4,000,000 <br />DESCMPTIONOFOPERATIONSILOCATIONSIVEHICLES (ACORD/01, Additional Reserve schedule. may be attached if more apace le required) <br />Named Insured Includes: BOB VCA Structural. dba VCA Consultants; Van Dorpe Chou Associates. Inc.: The Code Group, Inc.; <br />dba VCA Green; dba VCA Code; dba VCA Code Group. <br />Umbrella policy Is a follow -form to underlying General Liability/Auto Liability/Employers Liability <br />Re: Contract Staling, Plan Check, and Sustainability Services <br />City of Santa Ana, officers, agents, employees, and volunteers are named as Additional Insured as respects General & Auto Liability as required per written <br />contract or agreement. General Liability is Primary/Non-Contributory per policy form warding. Insurance coverage Includes waiver of subrogation per the <br />attached endorsements. <br />See Attached... <br />City of Santa Ana <br />Risk Management Di' <br />20 Civic Center PlazE <br />Santa Ana CA 92702 <br />25 2019 <br />M. LAMBERT <br />i-rem <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 />01988.2015 ACORD <br />reserved. <br />ACORO 25 (2016103) <br />fhe ACORD name and logo are registered marks of ACORD <br />