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<br />^ik � CERTIFICATE OF LIABILITY INSURANCE DATE(MM'°° ""1
<br />1/3012020
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
<br />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),
<br />AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be
<br />If
<br />endorsed.
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
<br />A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Wood Gutmann & Bogart
<br />CONTACT
<br />NAME: Kell Minton
<br />PHONE
<br />UUG. big. ExG.714-505-700o uc No:714573-1770
<br />15901 Red Hill Ave., Suite 100
<br />Tustin CA 92780
<br />ao i IL s: kminton@wgbib.com
<br />INSURLERIPJ AFFORDING COVERAGE
<br />NAICS
<br />INSURER A : CIIIZeO Insurance Of America
<br />INSURED PARXCQ
<br />Park Consulting Group, Inc.
<br />200 Spectrum Center Dr Ste 300
<br />INSURERB:
<br />INSURERC:
<br />--
<br />Irvine CA 92618
<br />INSURERD:
<br />INSURER E:
<br />COVERAGES r.FITTIarrera all manee..,...,�.,,,.-.
<br />INSURER F:
<br />• •---- t<cvlawry ryUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO
<br />POLICY PERIOD
<br />THE INSURED NAMED ABOVE;9i
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
<br />WITHTO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
<br />DESCRIBED HEREIN IS SUBLL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED
<br />BY PAID CLAIMS.
<br />INSR ADDL SUBRLTR TYPE OF INSURANCE POLICYNUMBER MMI�OYlrnY
<br />MMUOYEYrr A X COMMERCIAL GENERAL LIABILITY OB3D808332 1/18/2020 1/18/2021EACH
<br />OCCURRENC,000,000CLAIMS-MADE FRIOCCUR MA
<br />PR MISE Ea ur,000,000MED
<br />EXP (My one persan,000
<br />PERSONAL S ADV INJURY E1;000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />X POLICY 0 jQCT LOC 2,000,000
<br />PROOUCT9-COMP/OP AGG 2,000,000
<br />$
<br />OTHER:
<br />S
<br />AWOMu6IEDLIABILnr><er,'
<br />EOMBIItlmISINGLE LIMn
<br />ANY AUTO
<br />E
<br />BODILY INJURY (Per person)
<br />E
<br />OWNED SCHEDULED
<br />AUTOS ONLY I
<br />N NOS
<br />HIRED OWNED
<br />-
<br />�..
<br />BODILY INJURY(Puaccidenl)
<br />S
<br />AUTOS ONLY AUTOS ONLY
<br />-PROPERTYDAMAGE
<br />E
<br />Per a,cidem
<br />S
<br />UMBRE LA
<br />OCCUR
<br />EXCESS LIAO
<br />EXCESS
<br />CLAIMS -MADE
<br />EACH OCCURRENCE
<br />S
<br />AGGREGATE
<br />g
<br />DED RETENTIONS
<br />—
<br />ORSCOMP-ENSA•T1p[$-,-
<br />.PER
<br />S
<br />AND EMPLOYERS'LIABILITY YIN
<br />-,STATUTE ER -
<br />ANYPROPRIETOR/PARTNERJFXECUTIVE
<br />f
<br />OFFICERIMEMBERE%CLUDEDP
<br />NIA
<br />- �
<br />E.L. EACH ACCIDENT
<br />$
<br />(Mandatory in NH)
<br />E.L. DISEASE - EA EMPLOYE
<br />E
<br />Il yyedRIWdbe under
<br />OESCRIPrION OF OPERATIONS below
<br />��
<br />E.L. DISEASE - POLICY LIMIT
<br />E
<br />A
<br />Ertars80missions
<br />0830808332
<br />1/18/2020
<br />'.1/18/2021
<br />Each Limit
<br />s1.00g000
<br />Aggragels
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD IN, Additional Remarks Schedule, may be attached If more Bruce Is required)
<br />The City of Santa Ana, it's officers, employees, agents, and representatives are named as additional ir�q�re'�yP�Pg' r I �'II anached 3971006
<br />0816 as required by written contract subject to the terms and conditions of the policy. Primary and Non-Ca,J!ir`ut ry, plieoheal Liability
<br />attached 39110030816, y
<br />r�Y 41Wr Ile'-MFYT !Nht•.-i per
<br />30 Day Notice of Cancellation applies per the attached 401-1236 72 14
<br />I�AI c:
<br />- D BRIE Sff1TT-LEir-r
<br />CERTIFICATE HOLDER r,..,.,.-, , .r.....
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, MIT Floor
<br />Santa Ana CA 92701
<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 />AUTH/ORRIIMO REPRESENTATIVE
<br />©1988-2015 ACORD
<br />I ne AL UKu name and logo are registered marks of ACORD
<br />
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