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ACC?RV CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DO YYYY)
<br />11/18/2013
<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(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 />NAME:
<br />Dealey, Renton & Associates
<br />P. O. Box 10550
<br />Santa Ana CA 92711 -0550
<br />PHONE FAX
<br />AIC No : IN E.ti-714427-6810
<br />E'sAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />5301158PO20
<br />INSURER A:TraVe1erS Property Casualty Co of A
<br />�5674
<br />EACH OCCURRENCE
<br />INSURED
<br />INSURER B
<br />E1,000,000
<br />INSURER C:
<br />x COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />Willdan Homeland Solutions
<br />2401 E. Katella Avenue, Ste. 220
<br />Anaheim CA 92806
<br />INSURER D:
<br />MD EXP(Any one person)
<br />$10,000
<br />INSE R
<br />$1,000,000
<br />INSURURER FE :
<br />X Contractual
<br />COVERAGES CERTIFICATE NUMBER: 2017110655 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 />ADDLSUBR
<br />INSR
<br />MD
<br />POLICYNUMBER
<br />POLICY EFF
<br />(MMIDD/YYYYJ
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />•
<br />GENERAL LIABILITY
<br />Y
<br />5301158PO20
<br />1/912013
<br />1/9/2014
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DA MA NTE
<br />PREMISES RENT hence
<br />E1,000,000
<br />x COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />MD EXP(Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />X Contractual
<br />X
<br />BFPD,XCU
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER.
<br />PRODUCTS - COMP /OP AGO
<br />$2,000,000
<br />POLICY
<br />X PRO- LOG
<br />E
<br />•
<br />AUTOMOBILE
<br />LIABILITY
<br />8101158P020
<br />119/2013
<br />1/9/2014
<br />(Ea accident)
<br />1000000
<br />x
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />HIRED AUTOS X AUTOS
<br />a d}T T� c
<br />APPRWIL-,i, Ate? jt.
<br />�n
<br />` "ORM
<br />BODILY INJURY (Per accident)
<br />8
<br />X
<br />ROPERCenDAMAGE
<br />(Per
<br />$
<br />E
<br />UMBRELLA LIAR
<br />OCCUR
<br />��CP
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />E %LESS LIAR
<br />CLAIMS -MADE
<br />LdLLa „ `f l:l. C'11
<br />DED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />B7D417816
<br />1/9/2013
<br />1/9/2014
<br />X WCSTATU- GTH-
<br />WITS
<br />AND EMPLOYERS' LIABILITY YIN
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? NN
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<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 />$1,000,000
<br />B
<br />Professional Liability
<br />ED977441114
<br />1/9/2013
<br />119/2014
<br />Per Claim $1,000,000
<br />Claims Made
<br />Annual Aggregate $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />General Liability policy excludes claims arising out of the performance of professional services.
<br />Independent Contractors are included as respects to General Liability.
<br />30 Day NOC /10 Day for NonPay of Prem
<br />Re: Multi -year training and exercise plan (MTEP) City of Santa Ana, its officers, employees, agents, volunteers and representatives are
<br />additional insured as respects to General Liability as required by written contract. Primary and Non - Contributing coverage, Cross Liability
<br />coverage applies to GL as required by written contract. (WHS)
<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 />Attn: Clerk of the City Council
<br />20 Civic Center Plaza(M -30) / PO Box 1988 AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 jJ
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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