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ACORi CERTIFICATE OF LIABILITY INSURANCE
<br />DAM(MMIDONYYY)
<br />ll..i
<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 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 polky(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 endomement(s).
<br />PRODUCER
<br />CONTACT NAME: certs®pciaonline.com
<br />Professional Concepts Insurance Agency, Inc.
<br />1127 South Old OS Highway 23
<br />PRONE Erin (800)969-4041 AIC No). 180019fi9-4nB1
<br />ADDRESS: certs®pciaonline.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC X
<br />Brighton NI 48114-9861
<br />INSURERA: Travelers Indeed. Cc of America
<br />25666
<br />INSURED
<br />INSURER B: Travelers indemnity CO. of CT
<br />36170
<br />INSURER C: Travelers Indemnity CO
<br />25658
<br />Walker Parking Consultants Engineers, Inc.
<br />INSURERD:XL Specialty Ins. Co.
<br />37885
<br />Walker Consultants
<br />INSURER E:
<br />606 S. Olive St, Suite 1100
<br />Los Angeles CA 90014
<br />INSURER F:
<br />COVERAGES UCKLIFICAIC NUMr11:11:2U-21 837 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 />SUBR
<br />POLICYNUMBER
<br />POLICYEFF
<br />IMMInDlyyyy
<br />POUCYEXP
<br />(MMIDDYYYy)LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑g OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGETO RENTED
<br />PREMISES Ea occerrence
<br />$ 300,000
<br />X
<br />MED EXP(AmI one person)
<br />S 5,000
<br />Contractual Liability
<br />X
<br />6901.71254172047
<br />5/23/2020
<br />5/23/2021
<br />8
<br />I X,C,D
<br />PERSONAL BADV INJURY
<br />$ 11000,000
<br />B
<br />6605H918754- FL
<br />GEN'LAGGREGATELIMITAPPLIES
<br />PER -
<br />POLICY � JECT LOC
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />6801a16691D2047- G
<br />PRODUCTS-COMPIOPAGG
<br />$ 2,000,000
<br />S
<br />OTHER
<br />1
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$
<br />11000,000
<br />BODILY INJURY (Per person)
<br />S
<br />C
<br />ANYAUTD
<br />AU OS SCHEDULED.4887N56420GRe
<br />AUTOS AUTOS
<br />X
<br />5 23/2020
<br />/
<br />5/23/2021
<br />JX
<br />BODILY INJURY (Pe,accid int
<br />)HIREDAUTOS
<br />S
<br />NON -OWNED
<br />X AUTOS
<br />PROPERTY
<br />Per aaitlenl DAMAGE
<br />$
<br />$
<br />X
<br />UMBRELLALIAS
<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 />DED X RETENTION $ 10,000
<br />$
<br />=lD3197442047
<br />5/23/2020
<br />5/23/2021
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? �
<br />(Mandatory in NH)
<br />If yes, demeaned under
<br />NIA
<br />UBSR3205582047
<br />5/23/2020
<br />5/23/2021
<br />pER OTH-
<br />X STAT T ER
<br />EL EACH ACCIDENT
<br />$ 1, 000, 000
<br />E.L DISEASE-E4 EMPLOYEE
<br />$ 1, 0001000
<br />EL DISEASE -POLUY LIMIT
<br />$ 11000,000
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Pro£easional Liability
<br />D.9959266
<br />3/23/2020
<br />5/23/2021
<br />Per Claim 2,000,000
<br />Aggmgale 2,000,000
<br />DESCMPTON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe embedded 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 CANCFI I ATIrTN
<br />arodriguez@Santa-ana.org
<br />SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ATTN: Arturo Rodriguez
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Public Worke Agency
<br />AUTHORIZED REPRESENTATNE
<br />N-85, 215 S. Daisy Ave.
<br />Santa Ana, CA 92703
<br />—y�
<br />Mike Cosgrove/JP lrllil4✓ 0d,
<br />ACORD 25 (2014101)
<br />INS025 (201401)
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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