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<br />ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />10/26/2020
<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 endorsemenl
<br />PRODUCER
<br />Risk Strategies Company
<br />p y
<br />CONTACT
<br />NAME: Risk Strategies Company
<br />2040 Main Street, Suite 450
<br />Irvine, CA 92614
<br />PHONEAX
<br />Ext : 949-242-9240 , No
<br />E-MAIL
<br />ADDRESS: syoung@risk-strategies.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Citizens Insurance Co. of America
<br />31534
<br />www.risk-strategies.com CA DOI License No. OF06675
<br />INSURED
<br />Wallace & Associates Consulting, Inc.
<br />1203 Angus Ct.
<br />Park City UT 84098
<br />INSURERB: Allmerica Financial Benefit Insurance Co.
<br />41840
<br />INSURERC: Hanover American Insurance Co.
<br />36064
<br />INSURERD: U.S. Specialty Insurance Company
<br />29599
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 58978A67 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 />A
<br />�/
<br />COMMERCIAL GENERAL LIABILITY
<br />✓
<br />OB39866077
<br />3/1/2020
<br />3/1/2021
<br />EACH OCCURRENCE
<br />$$2,000,000
<br />CLAIMS -MADE EVI OCCUR
<br />A AGE To RENTED
<br />PREMIS ES(E.occurrence)
<br />$$1,000,000
<br />MED EXP (Any one person)
<br />$ $5,000
<br />PERSONAL & ADV INJURY
<br />$$2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$$4,000,000
<br />PRO -
<br />POLICY ✓� ECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ $4,000,000
<br />1�
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />AW39866062
<br />3/1/2020
<br />3/1/2021
<br />(CEO, acccidentSINGLE LIMIT
<br />$$1,000,000
<br />✓
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />✓
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY ✓ AUTOS ONLY
<br />UMBRELLA LAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑
<br />WZ39866030
<br />3/1/2020
<br />3/1/2021
<br />�/ STATUTE OERH
<br />E.L. EACH ACCIDENT
<br />$$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 />D
<br />Professional Liability
<br />USS2030607
<br />3/1/2020
<br />3/1/2021
<br />Per Claim: $2,000,000
<br />Aggregate: $2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Projects as on file with the insured including but not limited to On -Call Water Resources Construction Management and Inspection Services.
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insureds and
<br />primary/non-contributory clause applies to the general liability policy -see attached endorsement.
<br />The above policies contain a 30-day notice provision for non -renewal and cancellation, 10-day notice for non-payment of premium.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />of
<br />THE EXPIRATION DATE THEREOF,
<br />NOTICE WILL
<br />BE DELIVERED IN
<br />Risk Management Division
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />}
<br />Ii;AManagemertLD sign
<br />Michael Christian
<br />REVIEWED &APPROVED BY.-
<br />© 1988-2015 ACORD C
<br />z
<br />ACORD 25 (2016103)
<br />The ACORD name and logo are registered marks of ACORD
<br />'
<br />Risk Management Analyst
<br />58278967 120-21 GL-AL-WC-PL Sherry Young
<br />10/26/2020 8:05:46 AM (PDT) I Page 1 of 3
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