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ACC?R"® CERTIFICATE OF LIABILITY INSURANCE
<br />`,;i"
<br />DATE(MMIDDIYYYY)
<br />11/21/2013
<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(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 lieu of such endorsement(s).
<br />PRODUCER
<br />MOC Insurance Services
<br />License No. 0569960
<br />44 Montgomery St., 17th Fl.
<br />San Francisco CA 94104
<br />CONTACT Halides Callejas
<br />PHONE (415)957 -0600 AX 0,(415)957 -0577
<br />aoo'°ae s:hcallejas @mocins.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA:Golden Eagle Insurance Corp
<br />10836
<br />INSURED
<br />Keyser Marston Associates, Inc.
<br />160 Pacific Avenue, Suite 204
<br />San Francisco CA 94111
<br />INSURER B:REI U]El Indemnity CompanV
<br />22179
<br />INSURERC - Evanston Insurance Cc
<br />35378
<br />INSURER D:
<br />INSURER E
<br />$ 1,000,000
<br />INSURER F:
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />COVERAGES CERTIFICATE NUMBER:MASTER 2013 -2014 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
<br />TYPE OF INSURANCE
<br />HISS
<br />MD
<br />POLICY NUMBER
<br />MMI�D/YYYY
<br />MMIDYYIPY
<br />LIMITS
<br />Santa Ana, CA 92701
<br />GENERALLIABILITY
<br />Halidee Callejas /HCA
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />BP8932329
<br />12/1/2013
<br />12/1/2014
<br />DAMAGE RENTE
<br />PREMISES Ea occurrence
<br />$ 500,000
<br />MED EXP(Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />o Deductible applies
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 1,000,000
<br />$
<br />POLICY X PRO LOC
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1 000 000
<br />BODILY INJURY(Per person)
<br />$
<br />A
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />1XX ANY AUTO
<br />X
<br />8932429
<br />12/1/2013
<br />12/1/2014
<br />BODILY INJURY(Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Parsed of
<br />$
<br />X NO TOWNED
<br />HIRED AUTOS AUTOS
<br />Comp $500 X Coll$500
<br />YA
<br />I 3
<br />®DGE
<br />Uninsured motorist combined
<br />$ 11000,000
<br />X
<br />I UMBRELLA LIAB
<br />OCCUR
<br />$ 1
<br />®rney
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$ 10,00C
<br />$
<br />X
<br />PU 8932629
<br />12/1/2013
<br />12/1/2014
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNERIEXECUTIVE Y
<br />OFFICER /MEMBER EXCLUDED?
<br />NIA
<br />03954619
<br />12/1/2013
<br />12/1/2014
<br />X I TWO STATU- OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEd
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1 $ 1,000,00D
<br />_
<br />.0
<br />Professional Liability
<br />E0855446
<br />12/1/2013
<br />12/1/2014
<br />Each Wrongful Act $1,000,000
<br />Retention: $25,000
<br />AGGREGATE LIMIT $2,000,000
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) k "'
<br />City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing AutlTefity of`'�the City of
<br />Santa Ana, its officers, employees, agents, volunteers and representatives are Adctltionalj�Ansured with
<br />respects to the Insured's operations. Insurance provided is Primary and is not contributorj._Jwith any
<br />other insurance carried. 30 Da Notice of Cancellation 10 Da for nonpayment of rewi um.
<br />Y / Y P
<br />CERTIFICATE HOLDER CANCELLATION C.J.il '
<br />ACORD 25 (2010105)
<br />I NS025 (201005).01
<br />© 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />I""" :' �
<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 />City of Santa Ana
<br />Executive Director of PEA
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />Halidee Callejas /HCA
<br />ACORD 25 (2010105)
<br />I NS025 (201005).01
<br />© 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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