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CERTIFICATE OF LIABILITY INSURANCE
<br />F DATE(MMIDDIYYYY)
<br />5/14/2020
<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 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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endomement(s).
<br />PRODUCER
<br />NAMEAC carts®pciaonline.com
<br />Professional Concepts Insurance Agency, Inc.
<br />(PAHICONNe. If (800) 969-4041 AIC NO: IB00)969-4083
<br />1127 South Old US Highway 23
<br />ADDREss: certa®pciaonlins. corn
<br />INSURERS AFFORDING COVERAGE
<br />NAIC it
<br />Brighton MI 48114-9861
<br />INSURER A: Travelers Indem. Cc of America
<br />25666
<br />INSURED
<br />INSURER B: Travelers Indemnit Co, of CT
<br />36170
<br />Walker Parking Consultants Engineers, Inc.
<br />INSURER C: Travelers Indemnit Cc
<br />25658
<br />Walker Consultants
<br />INSURERD:XL Sp ecialt ins. Co.
<br />37885
<br />606 S. Olive St, Suite 1100
<br />INSURER E:
<br />Los Angeles CA 90014
<br />INSURER F:
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />IN8R
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDO YYY)
<br />POLICY EXP
<br />(MMIDDIYYY)R
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 11000,000
<br />RENTED
<br />PREMISESS
<br />PREMISES DAMAGE (Ea occurrence
<br />$ 300,000
<br />A
<br />CLAIMS -MADE �
<br />X
<br />MED EKP (Any one person)
<br />$ 5,000
<br />Contractual Liability
<br />X
<br />6801JI254172047
<br />5/23/2020
<br />5/23/2021
<br />X, C,U
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />B
<br />X
<br />660514988754- FL
<br />GENLAGGREGATE
<br />LIMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />6801J1669102047- CA
<br />POLICY a] PECO- LOC
<br />PRODUCTS-COMPIOPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea aalde
<br />$ 1,000,000
<br />C
<br />ANYAUTO
<br />BODILY INJURY (Per peson)
<br />$
<br />AOSCHEDULEDAUU
<br />R
<br />BODILY INJURY (Per awiden0
<br />$
<br />TOSS AUTOSXDA4887NS6420ORP
<br />5/23/2020
<br />5/23/2021
<br />HIREDAUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accld.nl
<br />$
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />C
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DIED X RETENTION $ 10,000
<br />$
<br />CUPID3197442047
<br />5/23/2020
<br />5/23/2021
<br />WORKERS COMPENSATION
<br />X PTNT OETH _
<br />AND EMPLOYERS' LIABILITY YIN
<br />E.L, EACH ACCIDENT
<br />$ 11000,000
<br />ANV PROPRIETORIPARTNERIE%ECUTIVE
<br />OFFICERIMEMBER EXCLUDED? N
<br />NIA
<br />C
<br />(Mandatory In NH)
<br />If yes, describe finer
<br />Os5K3205582047
<br />5/23/2020
<br />5/23/2021
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 11000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 11000,000
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Professional Liability
<br />DPR9959266
<br />5/23/2020
<br />5/23/2021
<br />Per Claim 2,000,000
<br />AOBregele 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remads Schedule, maybe attached if more space is required)
<br />Project: 37-8605.02 City of Santa Ana, Parking Consultant Services. City of Santa Ana, its officers,
<br />employeess, agents, volunteers and representatives are considered additional insured's with respects to
<br />general and auto liability coverage as long as required within a written contract. Waiver of subrogation
<br />in favor of certificate holder and additional insured's as long as required within a written contract.
<br />Coverage is primary and non-contributory as it applies to general liability, auto liability and umbrella.
<br />30 day written notice provided to certificate holder and additional insured's for cancellation of
<br />coverages listed. 10 day notice for nonpayment of listed policies.
<br />aroar:Lguezwsanta-ana.org
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ATTN: Arturo Rodriguez ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Public Works Agency
<br />N-85, 215 S. Daisy Ave. AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92703 n�I
<br />Mike Cosgrove/JP Viay.aw,�
<br />©1988-2014 ACORD CORPORATION. All riahts reserved.
<br />AUVKU ZO (ZV141V1) The ACORD name and logo are registered marks of ACORD
<br />INS026 (201401)
<br />
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