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CERTIFICATIONS <br />eeeeeeeaeeseaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br />ac( a CERTIFICATE OF LIABILITY INSURANCE <br />�.-� <br />DATE /1612021 I <br />03/ifi/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 INSURERS),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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Tina COWIB <br />NAME: <br />Cornerstone Specialty Insurance Services, Inc. <br />HONE <br />oo Ext: (714) 731-7700 prc No: (714) 731-7750 <br />14252 Culver Drive, A299 <br />-MAa tina@cornerstonespeclalty.com <br />ADDRESS: <br />INSURERRH AFFORDING COVERAGE <br />NAICp <br />Was CA 92604 <br />INSURERA: RLI Insurance Company <br />13056 <br />INSURED <br />INSURER B: GfeatArnerican Insurance <br />16691 <br />DAVID VOLZ DESIGN LANDSCAPE ARCHITECTURE, INC. <br />INSURERC: <br />161 Kalmus Drive, Ste. M-8 <br />INSURERD: <br />NSURERE: <br />Costa Mesa CA 92626 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 21/22 COVERAGES REVISION 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 <br />LTR <br />TYPEOFINSURANCE <br />INSO <br />Me <br />POLICYNUMBER <br />POLICYEFF <br />ismam IYY <br />F X)DPIYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FXI OCCUR <br />EACH OCCURRENCE <br />$ 2,000,00D <br />PREMISES En accurmnce <br />$ 1,000,000 <br />X <br />MED E%P n Ona man) <br />§ 10,000 <br />At)INSURED/PRIMARY <br />X <br />BLANKET WVR OF SUBRO <br />PERSON4L6ADVINJURY <br />$ INCLUDED <br />A <br />PSBOD01408 <br />03/14/2021 <br />03/14/2022 <br />GEN'LAGGREGATE <br />LIMITAPPLIES PER: <br />POLICY [9 PRO[—IJECT- LOG <br />GENERALAGOREGATE <br />$ 4,000,000 <br />PRODUCTS -COMPIOPAGO <br />$ 4,000,00D <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINNdEEDI51NGLELIMIT <br />(Ea acANYAUTO <br />$ 2,D00,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />PSBOD01408 <br />03/14/2021 <br />03/14/2022 <br />BODILY INJURY Per accident) <br />$ <br />X <br />HIRED X NONUWTIED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Peraedden <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />CLAIMSMAOE <br />DED I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE Y� <br />OFFICERIMEMBER EXCLUDED? <br />IMandaton•In HU <br />f yea, deealhe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PSW0001346 <br />03/14/2021 <br />03/142022 <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />§ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1-000,000 <br />E.L. DISEASE - POLICY LIMIT <br />E 1.000,000 <br />B <br />Professional Liability <br />Claims Made <br />DPP4204131 <br />03/1412021 <br />03/14/2022 <br />Each Claim <br />Annual Aggregate <br />$2,000,000 <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (ACORD 101,Addltlonal Remade Schedule, maybe anachad it mom space is required) <br />Evidence of coverage In force. Contractual insurance requirements will be addressed at the time the contract is awarded. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />FOR PROPOSAL PURPOSES ONLY PLEASE CONTACT <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />CORNERSTONE SPECIALTY <br />AUTHORIZED REPRESENTATIVE <br />TO VERIFY COVERAGE IN FORCE <br />//�� <br />er ;`ol <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeeeeeee <br />