|
A�® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMI0 4YY)
<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
<br /> Assured NAME: Sandy PetersPartners Design Professionals Insurance Services, LLC PHONE
<br /> 3697 Mt. Diablo Blvd Suite 230 UArc.No.EXt): 626-696-1901 IA1C.Ncl:
<br /> Lafayette CA 94549 ADDRESS: CertsDesignPro@AssuredPartners.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:6003745 INSURER A:Travelers Casualty and Surety CO of America 31194
<br /> INSURED TRANENG-09 INSURER B:Travelers Property Casualty_Company of America 25674
<br /> Transtech Engineers, Inc.
<br /> 909-595-8599 INSURER c:The Travelers Indemnity Company of Connecticut 25682
<br /> 13367 Benson Ave INSURERD:HARTFORD INSURANCE COMPANY 38288
<br /> Chino CA 91710-3009 INSURERE:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:56315398 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 TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP
<br /> LTR POLICY NUMBER MM1DDlYYYY MM/DDl1^/YY LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y 6805H73747B 12/31/2024 12/31/2025 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> Included PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY�PE0 LOC PRODUCTS-COMPIOPAGG $2,000,000
<br /> OTHER: s
<br /> C AUTOMOBILE LIABILITY Y Y BA3R067451 12/31/2024 12/31/2025 CO aBINED(SINGLE LIMIT $1,000,000
<br /> cciden
<br /> ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED BODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ( )
<br /> HIRED X NON-OWNED PROPERTY DAMAGE
<br /> X $
<br /> AUTOS ONLY AUTOS ONLY Per accident _
<br /> X NoOwredAutos $
<br /> B X UMBRELLA LIAB X OCCUR Y Y CUP4F17434A 12/11/2024 12/3112025 EACH OCCURRENCE $5.000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED I X I RETENTION$ $
<br /> D WORKERS COMPENSATION Y 57VVEGAA508A 9/1/2024 9/1/2025 X STATUTE OERH
<br /> AND EMPLOYERS'LIABILITY Y/N -
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
<br /> OFFICERIMEM13ER EXCLUDED? ❑ NIA $1,000,000
<br /> (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Professional Liability 107328311 12/31/2024 12/31/2025 Per Claim $2,000,000
<br /> Aggregate Limit $4,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies.Professional Liability is E&O Liability.
<br /> The Umbrella Policy is follow form to its underlying Policies:General Liability/Auto Liability/Employers Liability.
<br /> RE:All Operations of the Named Insured City of Santa Ana,its officers,officials,employees,and volunteers are named as an additional insured as respects
<br /> general liability and auto liability as required per written contract.General Liability is Primary/Non-Contributory per policy farm wording. Insurance coverage
<br /> includes waiver of subrogation per the attached endorsement(s).
<br /> APPROVE®
<br /> By Cynthia Mora at 1:46 pm, Jan 15, 2025
<br /> CERTIFICATE HOLDER CANCELLA
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza AU RIZED REPRES ATIVE
<br /> Santa Ana CA 92702 45
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|