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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />natP- )n? i Or, ?R 1 F ? s-�R -nrnn'
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE/DD
<br />5/20/202121
<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 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 endorsement(s).
<br />PRODUCER
<br />Professional Concepts Insurance Agency, Inc.
<br />1127 South Old US Highway 23
<br />Brighton MI 48114-9861
<br />NAME: certs@pciaonline.com
<br />a/CNE. Ext: (800) 969-4041 FAX(800)969-4081
<br />E-MAIL
<br />DD Rless:certs@pciaonline.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA:Travelers Indem. Co of America
<br />25666
<br />INSURED
<br />Walker Parking Consultants Engineers, Inc.
<br />Walker Consultants
<br />707 Wilshire Blvd., Suite 3650
<br />Los Angeles CA 90017
<br />INSURER B: Travelers Indemnity Co. of CT
<br />36170
<br />INSURER C: Travelers Indemnity Co
<br />25658
<br />INSURERD:XL Specialty Ins. Co.
<br />37885
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER:21-22 #37 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 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE ❑X OCCUR
<br />DAMAA
<br />PREMISES (E. occurrence) RENTED
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />X
<br />MED EXP (Any one person)
<br />$ 5,000
<br />Contractual Liability
<br />X
<br />Y
<br />6801J1254172147
<br />5/23/2021
<br />5/23/2022
<br />X
<br />X,C,U
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />B
<br />6605N988754- FL
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />6801J1669102147- CA
<br />❑XPRO
<br />JECT LOC
<br />PRODUCTS-COMP/OPAGG
<br />$POLICY 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />C
<br />ANYAUTO
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X
<br />RA8R0091OA21GRP
<br />5/23/2021
<br />5/23/2022
<br />X
<br />PROPERTY DAMAGE
<br />Per accident)$
<br />NON -OWNED
<br />HIRED AUTOS M AUTOS
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />C
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ 10,000
<br />$
<br />CUP1D3197442147
<br />5/23/2021
<br />5/23/2022
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />X PER OTH-
<br />STATUTE ER
<br />C
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N /A
<br />UB5K3205582147
<br />5/23/2021
<br />5/23/2022
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<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 />DPR9976004
<br />5/23/2021
<br />5/23/2022
<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 />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 />CERTIFICATE HOLDER
<br />AGutierrez@santa-ana.org
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DE:
<br />City of Santa Ana THE EXPIRATION DATE THEREOF,
<br />Risk Management Division ACCORDANCE WITH THE POLICY
<br />20 Civic Center Plaza, 4th FL
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />Mike Cosgrove/SUNNY
<br />© 1988-2014 ACC
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />INS025 (201401)
<br />Risk Managmwid Division
<br />of 5, o -pN Y'�'G REVIEWED & APPROVED BY:
<br />3� t
<br />i P,. V
<br />' Risk Management Analyst
<br />
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