|
DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 03/10/2026
<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 CONTACT Tina Cowie
<br /> NAME:
<br /> Cornerstone Specialty Insurance Services,Inc. pAH/cNE. Ext: (714)731-7700 a c,No: (714)731-7750
<br /> 14252 Culver Drive,A299 E-MAIL tina@cornerstonespecialty.com
<br /> ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Irvine CA 92604 INSURERA: RLI Insurance Company 13056
<br /> INSURED INSURER B: Travelers Casualty&Surety Co.of America 31194
<br /> DAVID VOLZ DESIGN LANDSCAPE ARCHITECTURE,INC. INSURER C:
<br /> dba:DVD CREATIVE INSURER D:
<br /> 151 Kalmus Drive,Ste.M-8 INSURER E:
<br /> Costa Mesa CA 92626 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 26/27 COVERAGES 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 RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 1,000,000
<br /> X ADDT'L INSURED/P&NC MED EXP(Any one person) $ 10,000
<br /> A X BLANKET WVR OF SUBRO Y PSB0001408 03/14/2026 03/14/2027 PERSONAL&ADV INJURY $ INCLUDED
<br /> MOTHER
<br /> LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 4'000'000
<br /> JECT: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED PSB0001408 03/14/2026 03/14/2027 BODILY INJURY(Pe r accide nt) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED �/ NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY X AUTOS ONLY Per accident
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $
<br /> DED I I RETENTION $ $
<br /> WORKERS COMPENSATION ER/� STATUTE EORH
<br /> AND EMPLOYERS'LIABI LI TY YIN 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> AOFFICER/MEMBER EXCLUDED? NIA PSW0001346 03/14/2026 03/14/2027
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> E
<br /> Professional Liability ach Claim $2,000,000
<br /> B Claims Made 108013639 03/14/2026 03/14/2027 Annual Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:On-Call Landscape Architects
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are named as Additional Insured for General Liability but only if
<br /> 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
<br /> conditions.*30 days notice of cancellation,except for 10 days notice for non-payment of premium.For Professional Liability coverage,the aggregate limit is
<br /> the total insurance available for all covered claims reported within the policy period.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION ByTu Tran Nguyen at 11:26 am,Mar 16,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana-Att:PWA-Parks,Fleet& ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Facilities
<br /> AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 92701
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|