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RJM Design Group, Inc A-2009-023 & A-2.014-223-01 REVIEWED BY: o EUNICE HEREDIA (PG1 OF 5) AC -OR& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates DRA License 0020739 P. O. Box 10550 CONTACT NAME: PHONE 714-427-6810 FAx 714-427-6818 (Air No Fxt)- E-MAIL INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURER A :Travelers Property Casualty Co of A 25674 6805D390306 INSURED INSURERB:Travelers Casualty & Surety Co. Ame 31194 RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92675 INSURER C INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1207104895 REVISION NHMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6805D390306 9/30/2015 9/30/2016 EACH OCCURRENCE $2,000,000 CLAIMS -MADE FX OCCUR E( RENTED PREMIEa occurrence) $1,000,000 PREMISESS MED EXP (Any one person) $10,000 X Contractual Liability PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY E PEI° LOC PRODUCTS - COMP/OPAGG $4,000,000 $ OTHER: A AUTOMOBILE LIABILITY BA5D394305 9/30/2015 9/30/2016 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LAB CLAIMS -MADE DED RETENTION $ __$___ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N y UB413OT960 9/30/2015 9/30/2016 X PER OTH- STATUTE ER _ E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liability Claims Made 105991919 10/1/2015 10/1/2016 Per Claim $1,000,000 Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability policy excludes claims arising out of the performance of professional services. Re: A-2009-023 and A-2014-223-01. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for Work Comp is included as required by written contract. See Attached... l.CrcllrwAlc r7ULUr-M I.AINI.I=LLA I IUN JU Udy IVUU/ IU Udy IVI IVUI Ir-dy UI 1" ICIII City of Santa Ana Attn: Marilyn Boothe P.O. Box 1988 Santa Ana, CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE c ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE