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A�® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE /23/2024
<br />01/23I2024
<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 />Stanton and Associates Inc.
<br />ISU Stanton &A$SODlafe$
<br />CONTACT Jayne Allyn
<br />NAME:
<br />gICNN Ext: (805)413-1481 FAX NP: (805)586-8514
<br />E-MAIL Jay
<br />ApORESS: ne@isustanton.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC A
<br />3625 Thousand Oaks Blvd Suite 292
<br />o1SURERA: Crum& FOrstef,A(XIII)-CRC
<br />44520
<br />Westlake Village CA 91362
<br />INSURED
<br />Envicom Corporation
<br />INSURER B: California Automobile -Mercury,A(XIV)
<br />38342
<br />INSURER C: Employers Compensation,A-(XI)
<br />11512
<br />INSURER D :
<br />4165 Thousand Oaks Blvd Ste 290
<br />INSURER E
<br />INSURER F:
<br />Westlake Village CA 91362
<br />9Inaan94 RFVISION NUMHEH:
<br />COVERAGES - - 1.
<br />THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 IS SUBJECTTO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR
<br />TYPE OF INSURANCE
<br />INSO
<br />WVD
<br />POLICYNUMBER
<br />MMMO�
<br />MMIDDrI LICY YY
<br />LIMITS
<br />X COMMERCIALGENERALW\BILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />PREMISES Eaa Treace)$
<br />100,000
<br />FE
<br />CLAIMS -MADE OCCUR
<br />5,000
<br />X Deductible: $5,000 per Occ
<br />MED EXP (Any one erson)
<br />$
<br />PERSONAL 8 ADV INJURY
<br />$ 2,000,000
<br />A
<br />Y
<br />Y
<br />EPK-143897
<br />05/17/2023
<br />05/17/2024
<br />GEN'L AGGREGATE UMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />$ 4,000,000
<br />PRODUCTS-COMP/OPAGG
<br />$ 4,000,000
<br />POLICY 0 dECT F7 LOG
<br />OTHER:
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />AUTOMOBILE LIABILITY
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />BODILY INJURY (Per accitlent)
<br />S
<br />g
<br />OWNED X SCHEDULED
<br />BA040000085701
<br />12/05/2023
<br />12/05/2024
<br />PROPERTY DAMAGE
<br />Per accitlent
<br />$
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />X X
<br />Hired/borrowed
<br />$ Included
<br />AUTOS ONLY AUTOS ONLY
<br />UMBRELLALIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMSMADE
<br />DED RETENTION $
<br />v _
<br />$
<br />WORKERS COMPENSATION
<br />STA UTE EERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />AND EMPLOYERS LIABILITY YIN
<br />C
<br />ANY PROPRIETOR/PARTNERIEXECUTIVE
<br />NIA
<br />Y
<br />EIG4690451-03
<br />02/0412024
<br />02/04/2025
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />E.L. DISEABE- POLICY LIMIT
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />PROFESSIONAL LIABILITY(E&O)
<br />EPK-143897
<br />05/17/2023
<br />05/17/2024
<br />POLICYAGGREGATE
<br />3,000,000
<br />A
<br />DED: $5,000 PER CLAIM
<br />EACH CLAIM
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required)
<br />Project: RFQual 23-142 Environmental & Planning Services
<br />The City of Santa Ana, Its officers, officials, employees, and volunteers named as Additional Insured(s)
<br />City of Santa Ana Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana
<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 PR01
<br />AUTHORIZED REPRESENTATIVE
<br />CA 92702 I dU`,AC`iQ
<br />©1988.2015
<br />FiskrmdDiv6lnn
<br />v+q yo��we^ REviexEQAt&APPRDrvEGBY:
<br />1 ;, rt� rtdW4:o
<br />Risk Management Specialist
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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