DAVID VOLZ DESIGN LANDSCAPE ARCHITECTURE, INC.

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Ole Ity Sined by Tod Phnom Tori Pierson.R72Pd191211595J36 DBW ACORN® CERTIFICATE OF LIABILITY INSURANCE `/ DAM(MMMDNYYY) 1 11/15/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Tina Cowie NAME: Cornerstone Specialty Insurance Services, Inc. PHONE (714) 731-7700 AX (714) 731-7750 AIC No Ext: A/C No: 14252 Culver Drive, A299 EAD-MAILORESgna@comerstonespecialtycom $: INSURER(S)AFFORDING COVERAGE NAIC # Irvine CA 92604 INSURERA: RLI Insurance Company 13056 INSURED INSURER B: Great American Insurance 16691 DAVID VOLZ DESIGN LANDSCAPE ARCHITECTURE, INC. INSURER C: 151 Kalmus Drive, Ste. M-8 INSURER 0: INSURER E Costa Mesa CA 92626 INSURER F: COVERAGES CERTIFICATE NUMBER: 21122 COVERAGES REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL6UBR INSR MD POLICY NUMBER POLICYEFF MMIDDIYYYY) P L YE%P (MMIODNYYYJ LIMITS x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 2,000.000 PREMISES Ea Wcurrrnce $ 11000,000 x MED EXP (An onePerson) $ 10,000 ADDTL INSURED / PRIMARY X1 BLANKET WVR OF SURRO PERSONAL B ADV INJURY $ INCLUDED A Y Y PSB0001408 03/14/2021 03/14/2022 GEN-LAGGREGATE LIMITAPPLIES PER: POLICY [g JECPROT- ❑ LOC GENERA -AGGREGATE $ 4,000,000 PRODUCTS - COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Par person) $ ANYAITIO A OWNED SCHEDULED AUTOS ONLY AUTOS PSB0001408 03/14/2021 03/14/2022 BODILY INJURY (Per accident) $ x HIRED NON -OWNED AUTOS ONLY !� AUTOS ONLY PROPERTY DAMAGE Par accitlenl $ It UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECIJIIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y PSW0001346 03/14/2021 03/14/2022 PER OTH- %� STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 EL.DISEASE - POLICY LIMIT $ 1,000,000 B Professional Liability Claims Made DPP4204131 03/14/2021 03/14/2022 Each Claim Annual re ate 99 9 $2,000,000 $2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Santa Ana Dog Park, City of Santa Ana The City, its officers, officials, employees, and volunteers are named as Additional Insured for General Liability but only If required by written Contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. `30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available for all covered claims reported within the policy period. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-2015 ACORD KKKmanase^r""�11°` ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD