Laserfiche WebLink
Client#: 2 <br />Francine R. <br />.CCOMPA <br />Villareal <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MYY) <br />9/23/20202020 <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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CAEACTGreyJerry Noyola <br />Ins. <br />Pa"c°Nri Es :770-552-4225 F 866-550-4082 <br />A/C No: <br />3780 a <br />3780 Mansell Road, Suite 370 <br />Road,BrokeSuite 3 0 <br />E-MAIL <br />ADDRESS: jerry.noyola@greyling.com <br />Alpharetta, GA 30022 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: National Union Fire Ins. Co. <br />19445 <br />INSURED <br />TRC Engineers, Inc.; TRC Solutions, Inc. <br />INSURERS: XL Specialty Insurance Co. <br />37885 <br />INSURER C : Lexington Insurance Company <br />19437 <br />TRC Companies, Inc., 17911 Von Kerman <br />INSURER D: New Hampshire Ins. CO. <br />23841 <br />Avenue, Suite 4OO <br />INSURER E: AIU Insurance Company <br />19399 <br />Irvine, CA 92614 <br />INSURER F: Steadfast Insurance Company <br />26387 <br />COVERAGES CERTIFICATE NIIMRFR• 9n-71 <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 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 />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMR10 <br />POLICYEXP <br />Mil <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIM&MADE N OCCUR <br />5341999 <br />4/01/2020 <br />04/01/2021 <br />EACH OCCURRENCE <br />$1 000 000 <br />PREMISES EaEONcounence <br />_ <br />$500 000 <br />X <br />MED EXP(Any oneperson) <br />$25000 <br />Contractual Llab. <br />PERSONAL &ADV INJURY <br />$1,000 000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY N JEt° [X] LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMPIOP AGG <br />$2,000,000 <br />OTHER: <br />A <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULE" <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY TOS ONLY <br />4773667(AOS) <br />4773668 (MA) <br />4/01/20200410112021 <br />4/01/2020 <br />04/01/2021 <br />COMBINEDSING_ <br />EaaccidentLIMIT <br />2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY(P., accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Peraaitlent <br />$ <br />B <br />C <br />XK <br />XLIACLAIMS-MADE <br />LA ;RETE$NTION$10,000 <br />OCCUR <br />US00075712LI20A <br />080877671 <br />4/01/2020 <br />4/01/2020 <br />04/01/2021 <br />04/01/2021 <br />EACH OCCURRENCE <br />$9000000 <br />AGGREGATE <br />$9000000 <br />X <br />$ <br />D <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECVYIN <br />OFFICERIMEMBER EXCLUDED? <br />( lory NH) <br />In under <br />yes,detlescnbe Ifom, <br />DESCRIPTION OF OPERATIONS be. <br />NIA <br />022298274 (AOS) <br />gj22gB2]5 /CA <br />( ) <br />4/01/2020 <br />4/01/2020 <br />04/01/2021 <br />04/01/2021 <br />PER OTH- <br />X <br />E.L. EACH ACCIDENT <br />$1 000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1 000 000 <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />F <br />Prof. Liab. incl. <br />Poll. Liab. <br />PECO19684304 <br />4/01/2020 <br />04/01/2021 <br />Per Claim $5,000,000 <br />Aggregate $5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />The City of Santa Ana, officers, agents, employees & volunteers are named as Additional Insureds on the <br />above referenced liability policies with the exception of workers compensation & professional liability <br />where required by written contract. The above referenced liability policies with the exception of workers <br />compensation and professional liability are primary & non-contributory where required by written contract. <br />Should any of the above described policies be cancelled by the issuing insurer before the expiration date <br />(See Attached Descriptions) <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />4th Floor <br />Santa Ana, CA 92701 <br />ACORD 25 (2016103) 1 of 2 <br />#S2386113/M2063667 <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 REPRESENTATIVE <br />4?lil "'� <br />©1988.2015 ACORD ( <br />The ACORD name and logo are registered marks of ACORD <br />c-�_° Rhk MnuganodDtvinicn <br />REVIEWED&APPROVEDBr. <br />IIIIIIIIIIIIIEM <br />�_ <br />v Risk Management Analyst <br />-. <br />