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A-2017-265-04
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<br />A`ORI�® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE/(MMIDD NYYY
<br />0 )
<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 />P. O. Box 12675
<br />Oakland CA 94604-2675
<br />CONTACT
<br />Nan Ferrick
<br />PHONE Fax
<br />c No 510-065-3090 ac Not
<br />ADDRESS: nferrick deale renton.com
<br />INSURERS AFFORDING COVERAGE
<br />RAIC#
<br />INSURERA: XL Speciality Insurance Company
<br />37885
<br />Licensei 0020739
<br />INSURED ARCHRES-04
<br />Architectural Resources Group, Inc.
<br />Pier 9, The Embarcadero, Suite 107
<br />INSURERS: HARTFORD INSURANCE COMPANY
<br />38288
<br />INSURERC: The Travelers Indemnity Company of Connecticut
<br />25682
<br />INSURER D:
<br />San Francisco CA 94111
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 1427099032 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 />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY E%P
<br />MM/DD/YYYY
<br />LIMITS
<br />C
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />Y
<br />Y
<br />6802H186591
<br />9/1/2020
<br />9/1/2021
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Ea oPcunence
<br />$1, 000,000
<br />X
<br />MED EXP Any one person)
<br />$10,000
<br />ConbacWal List,
<br />X
<br />XCU Included
<br />PERSONAL &ADV INJURY
<br />$1,000.000,
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY PEA D LOC
<br />GENERAL AGGREGATE
<br />$2,000.000
<br />DEVIL
<br />PRODUCTS - COMP/OP AGO
<br />$2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILELIABILITY
<br />Y
<br />Y
<br />BA6H649360
<br />9/1/2020
<br />9/112021
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />g1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />Ix
<br />OWNED SCHEA
<br />AUTOS ONLYOS
<br />UTOS
<br />BODILY INJURY accident )
<br />$
<br />HIRED N-OWNED
<br />AUTOS ONLYOS ONLY
<br />PROPEident) AGE
<br />Per accident
<br />$
<br />UMBRELLA LIABCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIABCLAIMS-
<br />MADE
<br />DED I I RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANVPROPRIETORIPARTNERIEXECUTIVE FWJ
<br />OFFICER/MEMBEREXCLUDED?
<br />NIA
<br />Y
<br />57WEGLP7625
<br />9/1/2020
<br />9/1/2021
<br />X STATUTE 10
<br />ERH
<br />E.L. EACH ACCIDENT
<br />$1,000.000
<br />E.L. DISEASE- EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Professional Liability
<br />& Contract
<br />a's Pollution Legal
<br />Liability
<br />DPR9965154
<br />8/20/2020
<br />8/20/2021
<br />Per Claim
<br />Annual Aggregate
<br />$2,000,000
<br />$2.000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD ID1, Additional Remarks Schedule, maybe attached if more space is required)
<br />Re: ARG Project #17161, Santa Ana Environmental and Planning Services. The City of Santa Ana, it's officers, employees, agents and representatives are
<br />named as Additional Insured for General and Auto Liability. Insurance is primary and non-contributory and a severability of interest clause applies per policy
<br />form. A Waiver of Subrogation applies to Workers' Compensation. Certificate of Insurance shall provide thirty (30) day prior written notice of Cancellation
<br />30 Days Notice of
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor AUTHORIENTATIVE
<br />Santa Ana CA 92701
<br />or� WdrMvuganrnfUlMsion
<br />a REmEwED & APPROVED 8r.
<br />© 1988-2015 ACORD C f,1,14..;i,r tQ. V:.&nul
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD '�` Risk Management Analyst
<br />
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