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Digitally signed by Tan Pierson
<br />Tori Pierson Date: 3ID2.06.281251:25
<br />VCACONS-01 -mroa' MCCOWANA
<br />A`°RO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (m20nyvv)
<br />6/21/022
<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 endorsements .
<br />PR06UCER License # OE67768
<br />IDA Insurance Services
<br />4370 La Jolla Village Drive
<br />Suite 600
<br />San Diego, CA 92122
<br />coNracr Ali Smith
<br />PHONE
<br />(A/C, Ea):
<br />(619) 788-5795 50206 jal�C, No :(619) 574-6288
<br />1NLa,
<br />E- PARE ,AIi.Smith@ioausa.c0
<br />nn
<br />INSURERS AFFORDING COVERAGE
<br />NAIC A
<br />INSURER A: Travelers Property Casualty Company of America
<br />25674
<br />INSURED
<br />VCA Consultants, Inc.
<br />(See Desc. of Operations for Full Named Insured)
<br />1845 W. Orangewood Ave, Suite 200
<br />INSURERB:Twin Cit Fire Insurance Company
<br />29459
<br />INsu.ERc:Interstate Fire $: Casual Company
<br />22829
<br />INSURER 0:
<br />Orange, CA 92868
<br />INSURER E:
<br />iEl
<br />INSURER F :
<br />'-"' '^ "�'•�'•'��•`• RCY WIVK KUmr3CK:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE,
<br />ADDL
<br />SUBRINSO Me
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY UP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />Cont Liab/Sev of Int
<br />X
<br />X
<br />680IR291569 ''
<br />711/2022
<br />7/112023
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAEMGE TO RENTED a
<br />1,000,000
<br />X
<br />MED EXP An one arson
<br />5,000
<br />PERSONALBADV INJURY
<br />1,000,000
<br />AGGREGATE LIMIT APPLIES PER
<br />POLICY �X JECT �LOC
<br />GENERALAGGREGATE
<br />1 21000,000
<br />GEN'L
<br />-'
<br />PRODUCTS - COMP/OP AGG
<br />1 2,000,000
<br />OTHER:
<br />Ded
<br />g
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON-OWNE❑❑
<br />AUTOS ONLY AUTOS INE
<br />Comp.: $1.000 X Call.:$1,000
<br />X
<br />BA9P831412
<br />711/2022
<br />7/112023
<br />COMBINED SINGLE LIMIT
<br />1 ggg ggg
<br />$
<br />BODILY INJURY Perperson)
<br />BODILY INJURY Per accident
<br />$
<br />[PR AMAGE
<br />Per accident
<br />$
<br />X
<br />-A
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />'CLAIMS -MADE
<br />CUPIR295206
<br />711/2022
<br />7/1/2023
<br />EACH OCCURRENCE
<br />$ 5,000,00O
<br />AGGREGATE
<br />$ 5,000,000
<br />X
<br />DEO I RETENTION$ 0
<br />B
<br />C
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNERIEXECUTVE YINTNIIX72WEGAM3JXV
<br />OFFICERry inN REXCLUDED?
<br />(Mandatory in and
<br />K yyes, describe under
<br />DrofesRffanal OPERATIONS below
<br />Professional Liab. -
<br />Ded $50,000 Ech Clm - -
<br />-
<br />-'
<br />USFOO847422 -
<br />USFOO847422 - .
<br />711I2022
<br />7/112022
<br />711/2022
<br />71112023
<br />7/112023
<br />7111/2023
<br />X STAT OTH-
<br />E.L EACH ACCIDENT
<br />100ggg(MandaER
<br />E.L. DISEASE - EA EMPLOYE
<br />1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />Per Claim
<br />Aggregate
<br />1,000,000
<br />2,000,000
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES ACORD 101. Additional Remarks Schedule, may be attached IT more space is required
<br />required
<br />Named Insured Includes: dba VCA Structural; dI a VCA Consultants; Van Dorpe Chou
<br />Associates, Inc.; The Code Inc.; dba VCA Green; dba VCA Code;
<br />CiteVCACode Group, , The Code Group, Inc. dba: Verde, The Code Group, Inc. dba: Verde, a VCA Company. The Umbrella policy is follow -form to the
<br />underlying GL, Auto and WC policies.
<br />Re: Contract Staffing, Plan Check, and Sustainability Services
<br />City of Santa Ana, officers, agents, employees, and volunteers are Additional Insureds with respect to General and Auto Liability per the attached
<br />SEE ATTACHED ACORD 101
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE
<br />THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY
<br />-, Rdrk Me�geeml Da+ian
<br />AUTHORIZED REPRESENTATIVE
<br />8Ru1�N�flLIDPtle
<br />U 1988-2015 ACORD C(1- V
<br />The ACORD name and logo are registered marks of ACORD
<br />
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