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Digitally signed
<br />A� �® CERTIFICATE OF LIABILITY by A _pA(MMDDYYYY,
<br />3/31/2022
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS MON THE CERTIF rC8 PS
<br />L
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER� HrE COVER�AsGyEt
<br />�AFF/OIa�.'y.cD2 �B
<br />/��}evn2.04.01
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT e/1�
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. V �. v Q L
<br />V C <.I V
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSLI proviSl,�,67�- rQ7�rs�l. O
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require P.I endorsemenC statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACTAimee Guesno
<br />NAME:
<br />Cornerstone Specialty Insurance Services, Inc,
<br />14252 Culver Drive, A299
<br />HONF Eat: (714) 731-7700 n/c, No : (714) 731-7750
<br />ADDRESS: amee@cornemtonespecialty.com
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIC k
<br />Irvine CA 92604
<br />INSURERA: Continental Casualty Company
<br />20443
<br />INSURED
<br />INSURER B. American Cas.Co. of Reading PA
<br />20427
<br />PROACTIVE CONSULTING GROUP, LLC
<br />INSURER C :
<br />15235 Springdale St.
<br />INSURER D
<br />INSURER E:
<br />Huntington Beach CA 92649
<br />1INSURERF:
<br />COVERAGES CERTIFICATE NUMBER: 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 RESPECTTO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 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 />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICYEFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />19
<br />PREMISES F. occunence
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />MED EXP(Any one Parson)
<br />$ 10,000
<br />ADDTL INSURED /P&NC
<br />X
<br />BLNKTWVROFSUBRO
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />A
<br />Y
<br />Y
<br />2084330890
<br />07/28/2021
<br />07/28/2022
<br />DEVIL AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,00D
<br />POLICY ® JECT PRO ❑
<br />LOC
<br />PRODUCTS - COMAGG
<br />PIOP
<br />$ 4,000.000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000.000
<br />BODILY INJURY (Per person)
<br />$
<br />ANVAUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />Y
<br />2084330890
<br />07/28/2021
<br />07/28/2022
<br />90DILVINJURY(Per acddmt)
<br />$
<br />HIRED H NON -OWNED
<br />PROPERIY DAMAGE
<br />Per accident
<br />$
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />U MSRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DEO
<br />I I RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />%�
<br />ANDEMPLOYERSUABILITY YIN
<br />STAT UTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />B
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? El
<br />NIA
<br />V
<br />4024152345
<br />07/28/2021
<br />07/28/2022
<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 LIMIT
<br />$ 1,000,000
<br />EACH CLAIM
<br />$2,000,000
<br />PROFESSIONAL LIABILITY
<br />A
<br />Claims Made
<br />EEH288355962
<br />07/28/2021
<br />07/28/2022
<br />ANNUALAGGREGATE
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Environmental Compliance Consulting Services
<br />City of Santa Ana, its officers, officials, employees, and volunteers are Additional Insured for General & Auto Liability but only 8 required by written contract
<br />with the Named Insured prior to an occurrence and as per attached endorsement. Such insurance as is afforded by this policy shall be primary, and any
<br />insurance carried by City shall be excess and noncontributory. Coverage is subject to all policy terms and conditions. *30 days notice of cancellation, except
<br />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
<br />reported within the policy period.
<br />City of Santa Ana
<br />20 Civic Center Plaza M-30
<br />P.O. BOX 1988
<br />Santa Ana
<br />CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />@ 1988-2015 ACOF
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />RWeMRrMgaladDbivan
<br />REVIEWm& APPROVED By
<br />1, A.H&cr Auv44
<br />Risk Management Sper akst
<br />of
<br />
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