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ned <br />Tori Pierson Da9fe�20230419101053 -07.07 <br />A� o® CERTIFICATE OF LIABILITY INSURANCE <br />DAM(NIMAI 2D12YYI <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 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 />AssuredPartners Design Professionals Insurance Services, LLC <br />3697 Mt. Diablo Blvd Suite 230 <br />Lafayette CA 94549 <br />CONTACT <br />NAMEMarie SwaneyFAX <br />PHONE <br />626-696-1890 ac No <br />nooasss: CertsDesignPro@AssuredPartners.com <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />INSURER A: Travelers Property Casualty Company of America <br />25674 <br />License#: 6003745 <br />INSURED PROJPAR-01 <br />Project Partners <br />949 852-9300 <br />INSURER B: The Travelers Indemnity Company of Connecticut <br />25682 <br />INSURER C: US Specialty Insurance Company <br />29599 <br />INSURER D: <br />23195 La Cadena Drive, Suite 101 <br />Laguna Hills CA 92653 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 716733997 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 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OFINSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICYEFF <br />flMMODAi <br />POLICY EXP <br />MMIDDi <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />V <br />BBOOJ543236 <br />4/18/2022 <br />4/18/2023 <br />CURRENCE <br />S2.000.000 <br />CLAIMS-MAOE i� OCCUR <br />TO RENTEDS Ea occunence <br />$1,000,000 <br />X <br />(Any one person) <br />$10,000 <br />Contractual Liab <br />X <br />XCU Included <br />AL&ADV INJURY <br />[COMBINED <br />$2,000,000 <br />GEN'L AGGREGATE LIM IT APPLIES PER <br />POLICY�jECT LOC <br />LAGGREGATE <br />$4,000,000 <br />TS-COMPIOP AGG <br />$4,000.000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />V <br />Y <br />BA6R856630 <br />4/18/2022 <br />4/18/2023 <br />SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Peraxitlent) <br />$ <br />X <br />HIRED X NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />IS <br />NOOWnedAUl05 <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />CUP8833Y649 <br />4/18/2022 <br />4/18/2023 <br />EACH OCCURRENCE <br />$1.000,000 <br />AGGREGATE <br />$1,000,000 <br />EXCESS LIAB <br />CLAIM, -MADE <br />DED I RETENTION$ n <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YINER <br />Y <br />UB3J809976 <br />4/18/2022 <br />4/18/2023 <br />X STAT,i 0 <br />E.L. EACH ACCIDENT <br />$1,000.000 <br />ANVPROPRIETOWPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBEREXCWDED4 <br />N/A <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 />C <br />Professional Liability <br />USS2232805 <br />4/18/2022 <br />4/18/2023 <br />Per Claim <br />$2,000.000 <br />Aggregate Limit <br />$2,000.000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />AM Best's Rating for all policies listed are: A/XII or greater. Insured owns no company vehicles: therefore, hired/non-owned auto is the maximum coverage that <br />applies. Umbrella policy is follow -form to its underlying Policies: General Liability/Auto Liability/Employers Liability. <br />Re: Agreements: A-2018-213, A-2019-117-01, A-2020-153-04 -- <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects general and auto liability as <br />required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of <br />subrogation per the attached endorsement(s). <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana 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 RA M.V..d DiWion <br />CoREHEVAnLawsa, %du aits.on <br />mm <br />n 1QRR-2nt5 Ar:f1Rn r:r Rpb mene cmceodnod Ftle <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD V— N <br />