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A '® CERTIFICATE OF LIABILITY INSURANCE
<br />06/24
<br />D06 /24 IODIY/2013 3
<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 lieu of such endorsement(s).
<br />PRODUCER 1- 770 -552 -4225
<br />Greyling Insurance Brokerage
<br />CONTACT Jerry O
<br />No y L8
<br />PHONE FAX
<br />c N E ; 770- 552 -4225 AIC No: 866 - 550 -4062
<br />450 Northridge Parkway
<br />g Y
<br />Suite 102
<br />EMAIL ar no o1a® re tin com
<br />ADDRESS: 1 ry• Y g Y g•
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />Atlanta, GA 30350
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Zurich American Insurance Company
<br />EACH OCCURRENCE
<br />Matias Ormaza
<br />INSURED
<br />INSURER B: American Guarantee & Liability Insuramcni
<br />"MED EXP(Any one parson)
<br />TRC Solutions, Inc.
<br />INSURER C: American Zurich Insurance Company
<br />X Contractual Liability
<br />INSURER D:
<br />123 Technology Drive
<br />INSURER E:
<br />7rney
<br />Irvine, CA 92618
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 34341654 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 />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD /YYYY
<br />POLICY EXP
<br />MM /DONYWY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />GLOS472507 -01 qq��pp��¢¢ggr�
<br />32': Si6dV Ma;
<br />'�
<br />7001y
<br />�'
<br />Oa' "4
<br />"-
<br />^
<br />EACH OCCURRENCE
<br />$2,000,000
<br />PREMISES Ea occ RENTED
<br />PREMISES Ee occurrence
<br />$ 500,000
<br />"MED EXP(Any one parson)
<br />$ 10,000
<br />X Contractual Liability
<br />�)Sr,
<br />A5SI5ta
<br />. _...+•°°
<br />-- ^^^".-
<br />` J (QIZ[(K
<br />It CCItU AtIf
<br />7rney
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 4,000,000
<br />POLICY X PRO X LOG
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP 5472506 -01
<br />07/01/1--
<br />07/01/14
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY I NJ U RV (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Par accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />NON -OWNED
<br />HIREDAUTOS AUTOS
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />AUC- 6547767 -04
<br />07/01/1
<br />07/01/14
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />AGGREGATE
<br />$ 9,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DIED X RETENTION $ 0
<br />Is
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/ N
<br />ANY PROPRIETORIPARTNEWEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />WC5472508 -01
<br />07/01/1
<br />07/01/14
<br />X TCITAT S OE
<br />E, L. EACH ACCIDENT
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />E.L. DISEASE - EA EMPLOYE_
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E. L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Professional Liability
<br />EOC 5472532 -01
<br />07/01/1
<br />07/01/14
<br />Per Claim 15,000,000
<br />Including Pollution Liabilit
<br />Aggregate 20,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana CA 92701, its officers, employees, agents, volunteers &
<br />representatives are named as Additional Insureds under the General Liability & Automobile Liability where required by
<br />written contract. This insurance is primary & non - contributory over any exisiting insurance & is limited to liability
<br />arising out of the operations of the named insured & where required by written contract. Waiver of Subrogation is
<br />applicable where required by written contract & allowed by law.
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />,TNOyola
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza - Ross Annex (M -36)
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />USA
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />,TNOyola
<br />
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