|
I V 1 1 r I C I .] V I I Due: 2p22Il1.29o9:AL45 uroo'
<br />WOOD&CU-01
<br />ABERCH
<br />DATE
<br />3I241224/2022
<br />'4fill o CERTIFICATE OF LIABILITY INSURANCE
<br />CERTIFICATE
<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 />Ames & Gough
<br />859 Willard Street
<br />Suite 320
<br />Quincy, MA 02169
<br />CAONMTACT
<br />NE
<br />PHONE
<br />(A/c, rvo, Eat): (617) 328-6555 jA/c, No:(617) 328-6888
<br />no A,'La : boston@amesgough.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Continental Casualty Company CNA) A XV
<br />20443
<br />INSURED
<br />INSURER B: Continental Insurance Company A XV
<br />35289
<br />INSURER C:American Casualty Co of Reading,PA A XV
<br />20427
<br />Woodard & Curran, Inc.
<br />INSURER D:
<br />41 Hutchins Drive
<br />Portland, ME 04102
<br />INSURER E:
<br />INSURER F:
<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 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 />TYPE OF INSURANCE
<br />ADDL
<br />AM
<br />SUERLTR
<br />POLICY NUMBER
<br />iMPOMLICm
<br />POLICY EXIs
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE LK OCCUR
<br />X
<br />_MD
<br />6014561812
<br />2/23/2022
<br />2/2312023
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES ccurrence
<br />500,000
<br />MED EXP (Anyoneperson)
<br />$ 15,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GENT
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY FX] JECT[XI LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,00D
<br />PRODUCTS-COMPIOP AGG
<br />$ 2,000,000'
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000'
<br />$
<br />X
<br />BODILY INJURY Parperson)$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOSONLY AUTOS
<br />6014561843
<br />2123/2022
<br />2/23/2023
<br />BODILY INJ URV Per accident
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />A TOS ONLY AUTOS ONLY
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I I RETENTION$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY-XIT
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICEFUMEndatory n NH) EXCLUDED'
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS beow l
<br />NIA
<br />WC712160450
<br />2/2312022
<br />2/23/2023
<br />PER OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />1,OOg,000
<br />$
<br />E.L. DISEASE- POLICY LIMIT
<br />1,000,000
<br />A
<br />Professional Liab
<br />114135520
<br />2123/2022
<br />2/23/2023
<br />Per Claim
<br />1,000,000
<br />A
<br />114135520
<br />212312022
<br />2/23/2023
<br />Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />If Al box is checked, GL Endorsement Form# CNA75079XX, Auto Endt Form# SCA23500D to the extent provided therein applies and all coverages are in
<br />accordance with the policy terms and conditions.
<br />RE: N2021-104 On -Call Sewer System Hydraulic Modeling Support Services
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives shall be included as additional insured with respects to General
<br />Liability where required by written contract. General Liability is Primary and Non-contributory as required per written contract. A 30 Day Notice of Cancellation
<br />is provided in accordance with the policy terms and conditions.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<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 PROvI"'-"
<br />AUTHORIZED REPRESENTATIVE `'f BenEwED6 MPRW®Bv:
<br />%C4.J ed-ht2YWLll ( %xC P
<br />Risk Managenmr Clairol Ai de
<br />ACORD 25 (2016IU3) ©1988-2015 ACORD C( v N
<br />The ACORD name and logo are registered marks of ACORD
<br />
|