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Francine R. Deably mend byFrznnfnea <br />illafeal <br />v Inc. cci <br />wa. mn.ss.n n33e3 nrw <br />ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />lla.� 3/1/2022 <br />DATE(MM/DDNYYY) <br />8/26/2021 <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 INSURERS), 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 Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816)960-9000 <br />CONTACT <br />ONTCT <br />PHONE Ext: FAX <br />No: <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIL0 <br />INSURER A: Zurich American Insurance Company 16535 <br />INSURED GENSLER <br />1047450 500 SOUTH FIGUEROA STREET <br />INSURER B: Travelers Property Casualty CO of America 25674 <br />INSURER C: Lloyds of London <br />INSURER D: American Guarantee and Liab. Ins. Co. 26247 <br />LOS ANGELES CA 90071 <br />NEWPORT BEACH <br />INSURER E: Allied World Surplus Lines Insurance Company 24319 <br />INSURER F: Aspen Specialty Insurance Com an 10717 <br />COVERAGES GENSCOI CERTIFICATE NUMBER: 15595159 REVISION NUMBER: j{}{xxxxx <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />D <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMILDI& YY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />N <br />GL00081063 <br />3/1/2021 <br />3/I/2022 <br />EACH OCCURRENCE <br />$ ] 000000 <br />NTED <br />PREM SES EaGE IQ Ecccu once <br />$ 1,000,000 <br />MED EXP Any one person) <br />$ 10,000 <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OPAGG <br />$ 2000000 <br />$ <br />OTHER: <br />D <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />BAP3707221 <br />3/1/2021 <br />3/1/2022 <br />EO BINEDISINGLELIMIT <br />$ 1000000 <br />X <br />BODILY I NJURY (Per person) <br />$ }{7{]{7()= <br />ANY AUTO <br />X <br />OWNED SCHEDULED <br />AUTOS ONLYMAUTOS <br />BODILY INJURY (Per accident) <br />( ) <br />$ �' {J{ <br />X <br />HIRED NONWNED <br />AUTOS ONLYAUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ X) xxxxx <br />S }i}{xC{xxx <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />ZUP51M96337 <br />3/1/2021 <br />3/1/2022 <br />EACH OCCURRENCE <br />$ ] 00000Q <br />AGGREGATE <br />$ 1,000,000 <br />X EXCESSLMB <br />CLAIMS -MADE <br />DIED I I RETENTION$ <br />$ i{i{max {xxx <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />N <br />W00081062 <br />3/1/2021 <br />3/1/2022 <br />R <br />X STPEATUTE EROTN- <br />E.L. EACH ACCIDENT <br />$ 1000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMITI$ <br />1000000 <br />C <br />PROFESSIONAL <br />N <br />N <br />LDUSA2100176 <br />4/1/2021 <br />4/1/2022 <br />$2,000,000 PER CLAIM/ $2,000,000 <br />E <br />LIABILITY <br />0312-2693 <br />4/1/2021 <br />4/1/2022 <br />AGGREGATE <br />F <br />LROOFYE21 <br />4/1/2021 <br />4/1/2022 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FORTIES HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. <br />RE: GENSLER PROJECT NO: AGREEMENT A-2020-230-03 - MISC. SPACEPLANNING AND ARCHITECTURAL CONSULTING SERVICES. CITY OF <br />SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS. VOLUNTEERS, AND REPRESENTATIVES ARE ADDITIONAL INSUREDS AS RESPECTS <br />GENERAL LIABILITl AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, AS REQUIRED BY WRITTEN CONTRACT. <br />15595159 <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701 <br />AUTHORIZED REPRESENTA <br />y� RWe MarMganmt DNietDK <br />"/ q:��n;9v�� �' REVIEWEC&APPRWB76Y: <br />19884015 ACORD C ?twa,tl-rir-�'i j5 W&4"l <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ®' Risk Management Analyst <br />