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/1 BUILNET-01
<br />SMITHKI
<br />DAT5/3/2020
<br />CERTIFICATE OF LIABILITY INSURANCE
<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 endomemen s .
<br />PRODUCER License # OE67768
<br />52AJACT Dana Schwartz
<br />IDA Insurance Services
<br />4370 La Jolla Village Drive
<br />Suite 600
<br />IC.'. E.619 574-6223 50203 No: 619 574$288
<br />MEB.Dana.Sehwartz loausa.com
<br />San Diego, CA 92122
<br />RER AFFORDING
<br />INSURER :RLlInsurance Company
<br />13056
<br />INSURED
<br />INB R R B : Navigators Insurance Company
<br />42307
<br />INSURER C
<br />Building Networks, Inc.
<br />111 West Ocean Blvd.
<br />12th Floor, Suite 1230
<br />INsuRER o:
<br />INSURER E:
<br />Long Beach, CA 90802
<br />INSURER F :
<br />COVFRACES CERTIFICATE NUMBER: 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 SUBJECTTOALLTHETERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IN&t
<br />TYPE OF INSURANCE
<br />I.-
<br />SUER
<br />POLICY NUMBER
<br />POLICYyyi
<br />POLICY
<br />uu1nnr vVYvi EXP
<br />LIMITS t
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />HOCCURRENCE
<br />2,000,000
<br />CLAIMS -MADE �X OCCUR
<br />Cont Liab/Sev of Int
<br />X
<br />SB0003315
<br />41712020
<br />Ylrl26t/1`,
<br />J
<br />DAMAGE TO RENTED
<br />PREMISES IF,
<br />MED EXP IMY me person)_-,-5
<br />11000.00Q
<br />X
<br />10,000
<br />PERSONAL B ADV INJURY
<br />S 2,000,000
<br />GENL AGGft TE LIMIT PER
<br />POLICY JpGLOG
<br />GENERAL AGGREGATE
<br />4,000.00 0'
<br />PR T - MP A
<br />4,000,00OTHER 0
<br />Deductible
<br />0
<br />A
<br />AUTOMOBILE LIABILITY
<br />✓
<br />COMBINED SINGLE LIMIT
<br />2,000,000
<br />ANY AUTO
<br />X
<br />PSB0003315
<br />4/712020
<br />41712021
<br />eoOILy1mAmyiPyp,VsmI
<br />BODILY INJURY r n
<br />AUTOSDONLY�UlEO
<br />WNE pNpWLED
<br />X AUTOS ONLY X AUTOB ONLY
<br />X Z%C. O.W
<br />re�E=,?AMAQE
<br />A
<br />UMBRELLA
<br />X
<br />OCCUR
<br />H E
<br />5.000.000
<br />X
<br />EXCESS LAe
<br />CIAII.IS-MADE
<br />PSE0001954
<br />41712020
<br />Wf712021
<br />AGGREGATE
<br />5,000,000
<br />DED X RETENTIONS D
<br />A
<br />WORKERSCOMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNEFUEXECUTIVE
<br />Wp{�F�FICERAMEMa�q EXCLUDED'!
<br />IFRjEtIXYln NNI
<br />NIA
<br />X
<br />SW0002533
<br />M12020
<br />M12021E.L
<br />X PER TK
<br />EACH ACCIDENT
<br />1,000,000
<br />E. DISEASE -EA EMPLOYE
<br />1,000.00
<br />E.. I E- Y MR
<br />1,000,000
<br />e yes, deernee under
<br />OE RIPT N PE it
<br />g
<br />Prof LIablCims Made
<br />M20DPLO744451V
<br />4712020
<br />41712021
<br />Per Claim
<br />5,000,000
<br />g
<br />Ded.: S51K Per Claim
<br />CM20DPLO744451V
<br />4/712020
<br />4/7/2021
<br />Aggregate
<br />5.000,000
<br />DESCRIPVON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addldonal RemsAs BCM1adule, mry W attached N mwr sprce Is reRulred)
<br />City of Santa Ana, officers, agents, employees, and volunteers are Additional Insureds with respect to General/Hired 8 Non -Owned Auto Liability per the
<br />attached endorsement as required by written contract. Insurance Is Primary and Non -Contributory. Waiver of Subrogation applies to Workers' Compensation.
<br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium In accordance with the policy provisions.
<br />REVIEWED & APPROVED
<br />MFNT QhAsioN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />J t - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ANC{IE ACEVEdO
<br />City of Santa Ana AUTHORIgD REPRESENTATIVE
<br />M
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />ACORD 25 (20161031 01988.2015 ACORD CORPORATION. All rights reserved.
<br />M
<br />,/
<br />The ACORD name and logo are registered marks of ACORD
<br />
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