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aD DATE IMMiDD✓YYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE 912912414
<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 pollcy(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, Reu of such endorsement(s).
<br />PRODUCER CONTACT
<br />Risk Strate IeS Company NAME: Risk Strategies Company
<br />2040 Main Street, Suite 450 PHONE FAX
<br />Irvine, CA 92614 � C. o. Exo: 949-242-9240 _ A/C No _ - __.
<br />www.risk-s,trategies.com
<br />INSURED ..... _...
<br />T & B Planning, Inc.
<br />17542 E. 17th Street, Suite 100
<br />Tustin CA '92780
<br />CA DOI License No. OF06675
<br />:ORDING COVERAGE
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />NAIL #
<br />Casualty Co. of America
<br />INSR .. .... ...... .................... f515i14.. S1fB11 ....__�— POLICY EFF 060"CY EDCP LIMIT'S
<br />LTR. TYPE OF INSURANCE POLICY NUMBER MMIDDN MMIDDMYYY
<br />25674
<br />y Co. ofConnecticuk
<br />25692
<br />I Benefit Ins CD
<br />2/1/2015 EACH OCCURRENCE
<br />41840
<br />r nVFrUAnFC r.FRTIFIr:ATF NIIMRFR'• 91-77r1 AA 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 .. .... ...... .................... f515i14.. S1fB11 ....__�— POLICY EFF 060"CY EDCP LIMIT'S
<br />LTR. TYPE OF INSURANCE POLICY NUMBER MMIDDN MMIDDMYYY
<br />A
<br />„/' COMMERCIAL GENERAL LIABILITY w/
<br />680708OP051
<br />2/1/2014
<br />2/1/2015 EACH OCCURRENCE
<br />$ $2,000.,000
<br />_ —-
<br />B
<br />CLAIMS -MADE Ell
<br />6801E176797
<br />2/1/201'4
<br />2/1/2015 DAMAGE To RENTED
<br />PRERv11SE5„ QEa occurrence}
<br />_ 1,000,0_00
<br />$ $_ _
<br />MED EXP (Any one person)
<br />$ $10,000
<br />PERSONAL.. & ADV INJURY
<br />$ $2,000,000
<br />GEN L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />-�
<br />$4,000 0014
<br />i� ( .. PRO-
<br />POLICY I ✓ f JECT LOC
<br />_
<br />PRODUCTS - COMPJOP AGG
<br />...,....,._.
<br />.,_.— .
<br />$ $4,000,000 •
<br />_......
<br />....I OTHER:
<br />$
<br />C
<br />AUTOMOSILELIABILITY
<br />AW3A21249700...
<br />2/1/2014
<br />2/1!2015
<br />COMBINED 'SINGLELIMiT
<br />_(Ea accident).
<br />$...
<br />- -__ $1,000,040
<br />-
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />ALL OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />$
<br />AUTOS AUTOS
<br />........._ NON -OWNED
<br />PROPERTY DAMAGE
<br />-....
<br />$ -
<br />✓ HIRED AUTOS .✓ AUTOS
<br />APer accident} .. ,._....._ _
<br />....._._... —. —.._
<br />A
<br />✓
<br />UMBRELLA LIAR
<br />✓ OCCUR
<br />CUP1 E10983A
<br />2/1/2014
<br />2/112015
<br />EACH OCCURRENCE
<br />$ $2,000,000
<br />AGGREGATE
<br />$ $2,000,000
<br />_ ... ...........
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED V,RETENTION$..a
<br />$
<br />A
<br />WORKER'S COMPENSATION
<br />_
<br />UB4212T523
<br />2/1/2014
<br />2/112015
<br />d sTEATUTE OTH-
<br />AND EMPLOYERS" LIABILITY YIN
<br />- __ .. -...- ...._._.-
<br />ANY PROPRiETCRIPARTNERIEXECUTIVE
<br />E.L EACH AOCIbENT $ $1,000,000
<br />,., ..-...,.,
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory lnNH)
<br />NIA
<br />_.... _. __,._... _
<br />E.L. DISEASE EA EMPLOYE. $ $1,000,000
<br />_ ... __-
<br />If yes, describe under
<br />DESCRIPTION OF OPERATION'S below
<br />E.L. DISEASE - POLICY LIMIT $ $1,000,000
<br />D
<br />Professional Uability
<br />MCH288294144
<br />9/20/2014
<br />912012015
<br />Per Claim: $1,000,000
<br />I
<br />Aggregate: $2 „000,000
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
<br />Projects as on file with the insured including but not limited to San Lorenzo Lift Station & San Lorenzo Lift Station MND. City of Santa Ana is named
<br />as additional insured on the generai liability policy -see attached endorsement.
<br />(;hK 111-H;A I t HULLItK I ANI r!_LA i 1UPI
<br />Cl of Santa Ana
<br />Public Works Agency
<br />Corporate Yard, M -84
<br />220 S. Daisy Ave.
<br />Santa Ana CA 92703
<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 />Michael Christian
<br />U 1988 -20,14 AGUKU GUKPUKAI IVN, AI ',I rignts reservecl,
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />C;ERT NO.: 71775144 Sherry Yav g 909/2014 939:18. AM. IPbf'I Page 1. of 3,
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