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ACORO CERTIFICATE OF LIABILITY INSURANCEF10/8/ <br />`—� <br />DIDD/YYYY) <br />2o10 <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 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 lieu of such endorsement(s). <br />PRODUCER <br />Ames and Gough <br />450 Northridge Parkway <br />Suite 102 <br />Atlanta _ GA 30350 <br />CONTANAME: Jerry Noyola <br />PHCNNo Ext: (770)552-4225 LA/C,NoI: <br />_ <br />ADDRESS:3noyola@amesgough.com <br />PROU_SDUCER A0001398 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />Kimley-Horn and Associates, Inc. <br />P.O. Box 33068 <br />Raleigh NC 27636 <br />INSURERA:Travelers Indemnity Co. of CT <br />INSURER B Travelers Indemnity Company <br />INSURERC:Travelers PropertV Casualty Co. <br />INSURER o Phoenix Insurance Company <br />INSURER E:Travelers Prop. Cas._ Co America <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:10-11 (Kimley Jessica) 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 <br />LTR TYPE OF INSURANCE <br />ADDL <br />IN <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFFPOLICY <br />MMIDD/YYYY <br />EXP <br />IM <br />LIMITS <br />GENERAL LIABILITY <br />- <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />li CLAIMS -MADE C', OCCUR <br />630 -315X3476 -TCT -10 <br />9/1/2010 <br />9/1/2011 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 1,000,000 <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL &ADV INJURY ! $ 1,000,000 <br />_. <br />GENERAL AGGREGATE $ 2,000,000 <br />kGEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY I X PRO- <br />JECT X LOC <br />PRODUCTS - COMP/OP AGG $ 1,000,000 <br />$ <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) ': $ 1,000,000 <br />BODILY INJURY (Per person) $ <br />B <br />ALL OWNED AUTOS <br />810-1711,6115- ND -10 <br />9/1/2010 <br />9/1/2011 <br />— <br />BODILY INJURY (Per accident) $ <br />X <br />.SCHEDULED AUTOS <br />HIRED AUTOS <br />OV D <br />TO FOM <br />PROPERTY DAMAGE <br />(Per accident) $ <br />X <br />NON -OWNED AUTOS <br />Underinsured motorist BI split $ <br />Uninsured motorist property $ <br />X UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />R A . <br />asistant il <br />HO E <br />y Attome <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 5,000,000 <br />DEDUCTIBLE <br />$ <br />C <br />X RETENTION $ 10 000' <br />P -1711,6115-T -10 <br />9/1/2010 <br />9/1/2011 <br />$ <br />D <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/ N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />Dyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N 1 A <br />C -836G8783-10 <br />C -836G8783-10 (CA) <br />9/1/2010 '9/1/2011WCSTATU- <br />9/1/2010 <br />I <br />9/1/2011 <br />OTH-, <br />X T RY IMIT R <br />E.L. EACH ACCIDENT $ 500 000 <br />E.L. DISEASE - EA EMPLOYE $ 500,000 <br />E.L. DISEASE -POLICY LIMIT $ 500,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Re: Project - Consulting Contract City of Santa Ana. The City of Santa Ana, its officers, employees & volunteers are <br />named as Additional Insureds on the above referenced liability policies with the exception of workers compensation & <br />professional liability. Umbrella Follows Form. <br />City of Santa Ana <br />Planning Division <br />P.O. Box 1988 <br />M-20 <br />Santa Ana, CA 92702 <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 />AUTHORIZED REPRESENTATIVE <br />Ormaza/JOSH <br />1-- .1 U 79SS-ZUU9 ACURD CORPORATION. All rights reserved. <br />INS025 (2ooso9) The ACORD name and logo are registered marks of ACORD <br />