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/t- 2009-(1 <br />GILLS,PA-01 ROSEM <br />CERTIFICATE OF LIABILITY INSURANCE <br />DAT$ 1/20lYYYVI <br />/141zo14 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In Ileu of such endorsement(s). <br />PRODUCER License # QE67768 <br />IDA Insurance Services -SD <br />4360 La Jolla Village Drive, Suite 000 <br />San Diego, CA 92122 <br />CONTACT <br />NAME; Erica Wilson <br />PRONE <br />a <br />ATZ- <br />No Ext: (619) 974.6220 �ac, Not+ (619) 574.6288 <br />nMnEes: <br />Erica.WilsORtl lOauaa.com <br />INSURER S)AFKORDING GtlVERAGE NAICk <br />INSURERA,RLIInsurance Compaa 13056 <br />INSURED <br />Gulls & Panlchapan Architects, Incorporated <br />2900 Bristol St, Suite G206 <br />Costa Mesa, CA 92626 <br />INSURERB;AtlantlC9peClaltylDSUranCeCom an 27154 <br />INSURERC: <br />INSURER D: <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 ISSU ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />INTRI-Rpp <br />TYPE OF INSURANCE <br />The City of Santa Ana <br />POLICYNUMBUR <br />MMIDDMr <br />M I DrfYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,QQO <br />CLgIM9 YtAOE OCCUR <br />X <br />•PS80001118 <br />0772412014 <br />07124I2019 <br />pRGw6E9 Ea aca;nenca) $ 1,000,000 <br />_ <br />X <br />MED E%P A' one person) s 10,000 <br />Contractual Llab. <br />X <br />I Ded.:$D <br />PERSONAL &AOV INJURY $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />OENERALAGGREGATE S 4,000,000 <br />POLICY�LOC <br />PRODUCTS - COMP/OP AGO $ 4,000,00 <br />$ <br />OTHER <br />AUTOMOBILE LIABILITY <br />LE UMI'r $ 1,000,000 <br />�(Ee ewidonl ..................................... <br />A <br />X ANYAUTO <br />PSA0001116 <br />06141/2014 <br />06/01/2010 <br />BODILY INJURY (Par persan) $ <br />AUTOBmEp AlO1THO81LED <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />90 DILY INJURY (Par accident) $ <br />R avc,-dedt GE $ <br />_......,� <br />$ <br />X camp$t00o X Coll$1,OOQ <br />X <br />UMBRELLA LIAR X <br />OCCUR <br />EACH OCCURRENCE�W $ 3,000,000 <br />AGREE? TE $ 3,000,000 <br />A <br />EXCESS LAB <br />ICLAIMS-MADE <br />PSE0001038 <br />07/2412014 <br />07/2412015 <br />OED I X I RETENTION 0 <br />_ $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERiE%ECUTNE YIN <br />OFFOCRIMCMBER EXCLUDED? <br />(Mandetaryln NH) <br />NIA <br />.,...........-4�-WM-�mm <br />SWUOQ1177 <br />09/07/2014 <br />0810112015 <br />PER DTH' <br />X STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />If yes desadbe under <br />DE64tRIPTIONOROPERATIONS We,, <br />EL. DISEASE -POURQMn $ 1,000,000 <br />B <br />Prof Liab/Clms Made <br />DPL28T613 <br />11/0812013 <br />_ <br />1110812014 <br />Per Claim 1,000,00 <br />B <br />Dad.: $Sk Per Claim <br />DPL207613 <br />11/08/2013 <br />11i <br />gg ate 2,000,00 <br />DESCRIPTION OT' OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Adetional Remarks Scbeduee, may be an a 11 KM <br />Re: All Operations <br />The City of Santa Ana is Additional Insured with respect to General Liability per the ails had r ant u e y written con DEC <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium Ina o . "fli1p2Ce yS111 <br />for Assistant Cite Attorney <br />CERTIFICATE 14OLDER CANCELLATION <br />©1908-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <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 />The City of Santa Ana <br />_ <br />AUTHORIZED REPRESENTATIVE <br />Attn: Michelle Walker <br />20 Civic Center Plaza M-36 <br />P.O. Box 19881 <br />-1�-^J I I i� <br />'4'i <br />Santa Ana CA 92702-198B <br />©1908-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />