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ACCXRa CERTIFICATE OF LIABILITY INSURANCE
<br />Dare(Mmmonwv)
<br />4/11/2013
<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 />Dealey, Renton & Associates
<br />199 S Los Robles Ave Ste 540
<br />Pasadena, CA 91101
<br />ONTACT
<br />NAME: Sandy Peters
<br />PHONE Ex :6 - 7D A X No : -
<br />EMAIL
<br />ADORESS:s r
<br />/18/2013
<br />/18/2014
<br />EACH OCCURRENCE
<br />INSURERS AFFORDING COVERAGE
<br />NAIC N
<br />INSURER A:TraVelerS Property
<br />X COMMERCIAL GENERAL LIABILITY
<br />INSURED PROJEPART
<br />INSURER B.American Automobile
<br />1849
<br />INSURER C: S. Spec suranc e Company
<br />29599
<br />Project Partners
<br />INSURERD:
<br />23195 La Cadena Drive, Suite 101
<br />Laguna Hills, CA 92653
<br />949 852 -9300
<br />INSURER E:
<br />INSURER F:
<br />$1,000,000
<br />rr)VFRAnPA CERTIFICATE NUMBER:393Rn019R 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 INSR
<br />UBR
<br />WVD
<br />POLICY NUMBER
<br />POLICVEFF
<br />MMIDDnVw
<br />POLICY EXP
<br />MMIDDn1'YV
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />Y
<br />3809361LI10
<br />/18/2013
<br />/18/2014
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGE TO NTED
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />MED EXP (Any one person)
<br />$10,000
<br />CLAIMS -MADE OCCUR
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GENERAL AGGREGATE
<br />$2,000,000 _
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$2,000,000
<br />$
<br />POLICY I^ PRO LOG
<br />IECT L1
<br />A
<br />AUTOMOBILE LIABILITY
<br />BA9361 L484
<br />/18/2013
<br />/18/2014
<br />Ea accident)
<br />000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS OWNED
<br />X HIRED AUTOS X AUTOS
<br />X NoOwnedAulas
<br />PROPERTYDAMAGE
<br />Per accident)
<br />$
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP8833Y649
<br />/18/2013
<br />/18/2014
<br />EACH OCCURRENCE
<br />$1,000,000
<br />_
<br />AGGREGATE
<br />51,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />"W IX RETENTION$O
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR /PARTNERIEXECUTIVE❑
<br />P81D10843
<br />/1/2013
<br />/1/2014
<br />X WC SLATU- OEH-
<br />El EACHACCIOENT
<br />_$1000000
<br />E.L. DISEASE - p, p E
<br />$1000000
<br />OFFICER /MEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />NIA
<br />L, 4 d P LICY LIMIT
<br />$1000000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Professional Liability
<br />USS1323888
<br />/18/2013
<br />00,0 .Claim
<br />$ ,000 And Aggregate
<br />VB�
<br />Fqd)
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more sp OSC CW9
<br />"General Liability ex cludes claims arising out of the performance of professional servicSti "Umbrella policy is a follow -form to underlying General Liability /Hired &Non -Owned AuEyers Liability."
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, ents, volunteers and representatives
<br />are named as additional insured as respects general liability for claims arising from the operations of the named insured as required per
<br />contract or agreement.
<br />lip
<br />City of Santa Ana, Public Works Agency
<br />P.O. Box 1988
<br />M -36
<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 />A RIZED REPRE NTATIVE
<br />no 19811-2010 ACORD
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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