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DI [tally signed by Francine F.
<br />Francine R. Villareal Villareal
<br />A41cl CERTIFICATE OF LIABILITY INSURANCE
<br />1/
<br />DATE(MMIDDNYYY)
<br />8/12/2020
<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 endorsement(s).
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />790 E Colorado Blvd., #460
<br />Pasadena CA 91101
<br />CONTACT
<br />NAME: Marie Swaney
<br />PHONE FAX
<br />AIC No Ext: LAICNo:
<br />ADDRESS' mswaney@dealeyrenton.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC4
<br />INSURERA: Travelers Casualty and Surety Co of America
<br />31194
<br />License#: 0020739
<br />INSURED TIRANENG-oe
<br />Transtech Engineers, Inc.
<br />13367 Benson Ave
<br />INSURER B: Travelers Property Casualty Company of America
<br />25674
<br />INSURER c: The Travelers Indemnity Company of Connecticut
<br />25682
<br />INSURER D: Twin City Fire Insurance Company
<br />29459
<br />Chino CA 91710-3009
<br />INSURER E
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 1224005528 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 />OF INSURANCE
<br />ADDLSUBRTYPE
<br />INSD
<br />WID
<br />POLICYNUMBER
<br />MMIDDIYYYY POLICY EFF
<br />POLICYEXP
<br />MMIDDYYYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />y
<br />y
<br />68051-1737478
<br />12/31/2019
<br />12/31/2020
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CI -AIMS -MADE 1XI OCCUR
<br />DAMAGE PREMISES Eccu a orrOence
<br />$1,000,000
<br />X
<br />MED EXP (Any y one peieon)
<br />$10,000
<br />Contractual Lob
<br />X
<br />XCU Included
<br />PERSONAL& ADV INJURY
<br />$1,000,000
<br />GEN'LAGGREGATE
<br />LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />Favl POLICY PEP LOC
<br />PRODUCTS-COMP/OP AGO
<br />$2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />y
<br />y
<br />BA41=174049
<br />12/31/2019
<br />12/31/2020
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$1,000,000
<br />BODI LY I NJURY(Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODI LY I NJURY(Per accident)
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTO$ ONLY AUTO$ ONLY
<br />PROPERTYDAMAGE
<br />Per accident)
<br />$
<br />X
<br />$
<br />No OwnedAutos
<br />B
<br />X
<br />UMBRELLALIAB
<br />OCCUR
<br />y
<br />y
<br />CUP4F17434A
<br />12/31/2019
<br />12/31/2020
<br />EACH OCCURRENCE
<br />$5,000,000
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />DED X RETENTION$IT
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOMPARTNERIEXECUTIVE
<br />V
<br />72VVEGAA508A
<br />9/1/2020
<br />9/1/2021
<br />X STATUTE ERH
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />OFFICERIMEMBEREXCLUDED9 ❑
<br />N/A
<br />E. L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If as, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />A
<br />Professional Liability
<br />107188836
<br />12/31/2019
<br />12/31/2020
<br />Pel-Claim
<br />2,000,600
<br />Annual Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more spade Is required)
<br />Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. Umbrella policy is follow -form to its underlying
<br />Policies: General Liability/Auto Liability/Employers Liability. Professional Liability is E&O Liability.
<br />Re: RFP No. 19-045, Engineering, Technical and Administrative Support Services -- City of Santa Ana, its officers, agents, employees, agents and
<br />representatives are named as an additional insured as respects general and auto liability as required per written contract or agreement. General Liability is
<br />Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s).
<br />CANCELLATION/CHANGE: 30 day notice will be sent to the certificate holder
<br />CERTIFICATE HOLDER CANCELLATION 30 Dav Notice will be sent to holder
<br />City of Santa Ana
<br />Risk Management Div, 4th Floor
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<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 />AUTHORIZED REPRESENTATNE
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />Risk Mansganent Diuisian
<br />rb6HlM�e ram. UsRRE/t¢bl.REVIEWED &{APPR�O�V�m By.,
<br />olllli111.1� /-z' r
<br />® Risk Management Analyst
<br />
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