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Client#:2�
<br />Francine R, Dlgltally signed byFrancine a
<br />Villareal
<br />,CCOMPA Villareal r:natc:on.wJSls:zaas
<br />AGGRDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/ODIYVVY)
<br />5121/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(les) 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 />CONTACT
<br />NAME: Jerry NOyOIa
<br />Greyling Ins. Brokerage/EPIC
<br />piONE
<br />arc
<br />3780 Mansell Road, Suite 370
<br />Ez1:770-220.7699 No:
<br />E-MAILer no re IIn
<br />ADDRESS: Jry yola @9 Y • g.com
<br />Alpharetta, GA 30022
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: National Union Fire Ins. Co.
<br />19445
<br />INSURED
<br />TRC Engineers, Inc.; TRC Solutions, Inc.
<br />INSURER B: Allied World Assurance Company (U.S.)
<br />19489
<br />INSURERC; Evanston Insurance Company
<br />35378
<br />TRC Companies, Inc., 17911 Von Karman
<br />INSURER D: New Hampshire Ins. Co.
<br />23841
<br />Avenue, Suite 400
<br />1 INSURER E: AIU Insurance Company
<br />19399
<br />Irvine, CA 92614
<br />INSURER F: Steadfast Insurance Company
<br />26387
<br />COVERAGES CERTIFICATE NUMBER: 21-22 RFVI.SIr)N NIIMRFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD
<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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SR
<br />SUB
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDIYYYY
<br />POLICYy EXP
<br />MMODIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />GL5341999
<br />04/01/2021
<br />-
<br />04101/2022
<br />EAAIC�IHHOEC'CrURRE14CE
<br />$1,000000
<br />PREMISES EaoNccurrence
<br />$500OOO
<br />X
<br />MEDEXP.(Any one person)
<br />$25000
<br />Contractual Liab.
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECOT LOG
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />PRODUCTS-COMP/OPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />A
<br />AUTOMOBILE
<br />X
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />AUTOS ONLY X NON -OWNED
<br />AUTOS ONLY
<br />CA4773667 (AOS)
<br />CA4773668 (MA)
<br />64/01/2021
<br />04/01/2021
<br />04/01/202 '
<br />04101/202
<br />E....Id.ntSINGLE LIMIT
<br />$5,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />BODILY INJURY (Per acoll
<br />$
<br />PROPERTYDAMAGE
<br />Par exidenl
<br />$
<br />B
<br />C
<br />X;EXCESSMBRELLA
<br />j(LIABCLAIMS-MADE
<br />LIAB
<br />X
<br />OCCUR
<br />03127873
<br />MKLV2EFX100659
<br />04/01/2021
<br />04/01/2021
<br />04101/202
<br />04101/202
<br />EACH OCCURRENCE
<br />$9,00 0000
<br />AGGREGATE
<br />$9000000
<br />ED X RE TINTION$10000
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />Y/NE OFFIPERIMEMBER/EXCLUORI ECUTIVE
<br />N/A
<br />WCO22298274 AOS
<br />( )
<br />WCO22298275(CA)
<br />04/01/2021
<br />04/01/2021
<br />04/0112022
<br />04/01/202
<br />OTH-
<br />X PER U ER
<br />E. L. EACH ACCIDENT
<br />$1,000000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />F
<br />Prof. Liab.incl.
<br />PECO19684305
<br />04/01/2021
<br />04/01/2022
<br />Per Claim $5,000,000
<br />Poll. Liab.
<br />F1
<br />Aggregate $5,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORO 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 Sr 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 />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Risk Management Division
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />BE DELIVERED IN
<br />20 Civic Center Plaza
<br />4th Floor
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />'654%/,,��//
<br />"-
<br />RiskWhagcmrenmerieton
<br />REVIEWED&APPROVED BY:
<br />p-(d-'�-
<br />x` II
<br />8 X L i
<br />f4reF t, W&IWI!
<br />©1988-2015 ACORD
<br />ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />RBk MZNagemem Analyst
<br />#S2737036/M2634114
<br />..
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