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Dlgitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />FEHR&PE-01 Dace: 20111,1 ,1Z599'
<br />,4`oRo CERTIFICATE OF LIABILITY INSURANCE
<br />DATE21112021 Y)
<br />1112
<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 endorsements).
<br />PRODUCER License # OE67768
<br />CONTACT Gigi Yuen
<br />IOA Insurance Services
<br />3875 Hopyard Road
<br />Suite 200
<br />PHONE FA%
<br />AIC, No, Bell: (925) 660-3514 50008 AIc, Ng1:(925) 416-7869
<br />E- AILSS: Gigi.Yuen@ioausa.com
<br />Pleasanton, CA 94588
<br />INSURERS AFFORDING COVERAGE
<br />NAIC R
<br />INSURER A: RLI Insurance Company
<br />13056
<br />INSURED
<br />Fehr &Peers
<br />101 Pacifica
<br />INSURER B:TrumbullInsurance Company
<br />27120
<br />INSURER C: Liberty Insurance Underwriters Inc
<br />19917
<br />Suite 300
<br />INSURER D:
<br />_
<br />INSURERE:
<br />Irvine, CA 92618
<br />INSURER F:
<br />COVFRAr.FR r:FRTIFir ATF NIIMRFR- RanclnM 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 LTR
<br />TYPE OF INSURANCE
<br />AD LSUBNSD
<br />WVNR
<br />pOLICV NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />121612021
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />CLAIMS -MADE N OCCUR
<br />X
<br />X
<br />PSB0006683
<br />12I6/2020
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAME
<br />AG
<br />TPREISES Ea EWER
<br />$ 11000,000
<br />MED EXP An ane arson
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />EN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY [x-11 Yp(?T El LOG
<br />GENERALAGGREGATE
<br />$ 4,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />A
<br />LIABILITY
<br />EOMBINED SINGLE LIMIT
<br />$ 1,000ggg
<br />BODILY INJURY Per person)$
<br />POMOBILE
<br />ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY ACU�TH�OppS
<br />X
<br />X
<br />PSA0002276
<br />121612020
<br />12/612021
<br />BODILY INJURY Per accident
<br />$
<br />PeOPcE.RTT.Y ` MAGE
<br />$
<br />AUTOS ONLY X 00S 040
<br />A
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />5,000,000
<br />[I
<br />AGGREGATE
<br />$ 5,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />PSE0002889
<br />121612020
<br />121612021
<br />DED RETENTION$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIEFORIPARTNERIEXECUTIVE YIN
<br />F dEWMEMBW�qR EXCLUDED?
<br />story in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />57WEGZJ1989
<br />511/2020
<br />5NI2029
<br />X PER OTH-
<br />STATUTE
<br />EL EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000000
<br />C
<br />Professional Liab.
<br />AEXNYABEFJ2005
<br />121612020
<br />121612021
<br />Per Claim
<br />5,000,000
<br />C
<br />Professional Liab.
<br />AEXNYABEFJ2005
<br />121612020
<br />12/6/2021
<br />Aggregate
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS/ VEHICLES `ACORD 101, Additional Remarks Schedule, may he attached If more space is required)
<br />Project Number / Name: OC19-STAN.00 Santa Ana On -Call & P21-1844 Santa Ana Parking Management
<br />All Operations of the Named Insured, including the aforementioned project, If any.
<br />General Liability: Please see blanket Additional Insured endorsement attached; such coverage is Primary and Non -Contributory with Waiver of Subrogation
<br />Included, as required per written contract.
<br />Auto Liability: No company owned vehicles. Please see blanket Additional Insured endorsement with Waiver of Subrogation Included, as required per written
<br />contract.
<br />Workers' Compensation: Waiver of Subrogation is included as per attached blanket Waiver of Subrogation endorsement, as required per written contract.
<br />SEE ATTACHED ACORD 101
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />ACORD 25 (2016103)
<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 />G�•2"I��pa - - yi' iiEVIEWm&APPROVED BY:
<br />@ 1988-2015 ACORD C aOMM-M,.
<br />The ACORD name and logo are registered marks of ACORD
<br />Risk Managemenl Analyst
<br />
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