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r-rancine R. Villareal Yntarem
<br />AC� �® CERTIFICATE OF LIABILITY INSURANCE
<br />Date: 2021.06.28162538 -07'0(
<br />DA ig 1 (MMID Y)
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Professional Concepts Insurance Agency, Inc.
<br />1127 South Old US Highway 23
<br />Brighton MI 48114-9861
<br />CONTACT NAME: carts@pciaonline.com
<br />MNMN (800) 969-4041 FAXUVCNu: teoal969-40e1
<br />E-MAIL carts@pciaonline.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC 9
<br />INSURERA: Travelers Incises. Co of America
<br />25666
<br />INSURED
<br />Walker Parking Consultants Engineers, Inc.
<br />Walker Consultants
<br />707 Wilshire Blvd., Suite 3650
<br />Los Angeles CA 90017
<br />INWRERB:TraVelers Indemnity Co. of CT
<br />36170
<br />INSURER C: Travelers Indemnity Cc
<br />25658
<br />INSURERD:XL Specialty Ins. Co.
<br />37885
<br />INSURERE:
<br />INSURERF:
<br />GUVCKNl9t5 GGKIItRWAIL INUM5CK:Z1-ZZ NJ/ HEVINION 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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WTH 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
<br />TR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY
<br />NDDIYYYY
<br />MMIDDNWY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABIUTY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />CLAIMS -MADE XO OCCUR
<br />ENTED
<br />PREMISES Ea occurtence
<br />$ 300,000
<br />X
<br />MED UP (Any one parson)
<br />$ 5,000
<br />Contractual Liability
<br />X
<br />Y
<br />680IM254172147
<br />5/23/2021
<br />5/23/2022
<br />X
<br />X,C,U
<br />PERSONAL SADV INJURY
<br />$ 1,000,000
<br />B
<br />6605N988754- FL
<br />GEN'LAGGREGATE UMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />S 2,000,000
<br />6801J1669102147- cA
<br />POLICY [K] PEP LOC
<br />PRODUCTS -COMP/OPAGG
<br />S 2,000,000
<br />S
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLEUMIT
<br />Ea accltleM
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />C
<br />ANYAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X
<br />RABR0091GA21GRP
<br />5/23/2021
<br />5/23/2022
<br />BODILY INJURY (Per accident)
<br />S
<br />X
<br />NON-0WNED
<br />HIREDAUTOS N AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />S 2,000 000
<br />C
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />DED X RETENTION S 10,000
<br />$
<br />CUP1D3197442147
<br />5/23/2021
<br />5/23/2022
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />C
<br />ANY PROPRIETORIPARTNERIUECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />NIA
<br />Ua5LC3205582147
<br />5/23/2021
<br />5/23/2022
<br />E.L. DISEASE -FA EMPLOYEE
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability
<br />DPa9976004
<br />5/23/2021
<br />5/23/2022
<br />Per Claim 2,000,000
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD f01, Additlonal Remarks Schedule, may be attached N more apace Is required)
<br />Project: 37-8605.02 City of Santa Ana, Parking Consultant Services. City of Santa Ana, its officers,
<br />employeess, agents, volunteers and representatives are considered additional insured's with respects to
<br />general and auto liability coverage as long as required within a written contract. Waiver of subrogation
<br />in favor of certificate holder and additional insured's as long as required within a written contract.
<br />Coverage is primary and non-contributory as it applies to general liability, auto liability and umbrella.
<br />30 day written notice provided to certificate holder and additional insured's for cancellation of
<br />coverages listed. 10 day notice for nonpayment of listed policies.
<br />CERTIFICATE HOLDER CANCELLATION
<br />AGut3errez@santa-aura. org RI&I Monarwrit Dhislen
<br />SHOULD ANY OF THE ABOVE DESCRIBI REVIEWED & APPROVED BY:
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTI '1
<br />Risk Management Division ACCORDANCE WITH THE POLICY PROF'1/NYhk1. V:PhE
<br />20 Civic Center Plaza, 4th FL Risk Management Analyst
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 00,
<br />q
<br />(D 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS0251201401)
<br />
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