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<br />ACO/ Ef CERTIFICATE OF LIABILITY INSURANCE
<br />t► --"'-
<br />F DATE iMMMMYYYY)
<br />4/9/2014
<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 endorsem nt s .
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />199 S Los Robles Ave Ste 540
<br />Pasadena, CA 91101
<br />ON ACT Sand Peters
<br />PHONE FAX
<br />Atr N,� iho, 626 844 -3070 R,. 626 844 -307.4
<br />-� -�
<br />'MAIL .speters @Insdra.com
<br />_ INSURERSS)_AFFORDING COVERAGE
<br />NAIC B
<br />INSURERA,Travelers Indemnity Co. of Connect1
<br />25682
<br />INSURED PROJEPART
<br />Project Partners
<br />23195 La Cadena Drive, Suite 101
<br />Laguna Hills, CA 92653 1
<br />949852.9300 ^�1� DJJ
<br />N `'�
<br />_
<br />INSURERS: Travelers Property Casualty Co of A
<br />25674
<br />INSURER c:American Automobile Ins. Co.
<br />21849
<br />INSUREaD:U.S. Specialty Insurance Compan
<br />_
<br />29599
<br />NSURER E:
<br />_
<br />51000,y000
<br />INSURER F
<br />MED E %P (Anyone person)
<br />COVERAGES CERTIFICATE NUMBER: 205849858 REVISION MBER
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE 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 />TYPE OFINSURANCE
<br />A 0
<br />WVD
<br />POLICY NUMBER x
<br />PO /bI01YEF�'T
<br />DOnVVY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 1E OCCUR
<br />Y
<br />Y
<br />68093611-110 s T(? '_y� 1" 11
<br />/
<br />�
<br />/1/ 014
<br />-
<br />/18/2015
<br />.,�-� -- "-`"
<br />EACH OCCURRENCE
<br />$1,000,000
<br />PREMISES (Ea OCCUrcence
<br />_
<br />51000,y000
<br />MED E %P (Anyone person)
<br />$10000
<br />_
<br />-.
<br />4
<br />'I�
<br />PERSONAL &AOV INJURY
<br />$1000,000
<br />ngi
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY X JECT PRO LOC
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L
<br />Std F!? (1
<br />ri
<br />iItYOT
<br />�J
<br />PRODUCTS - CO,MP/OP AGO
<br />$2.000,000
<br />$
<br />OTHER:
<br />i
<br />B
<br />AUTOM081LE
<br />LIABILITY
<br />BA93611-484
<br />11IKb14
<br />4/18/2015
<br />Eaaccident
<br />$1,000,000
<br />AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />1XXANY
<br />ALT WE SOULEO
<br />III'
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY(Perawlden0
<br />S
<br />PROriERiT"DAMAGE
<br />(Par aecidenli
<br />$
<br />NoOwnedAUtos
<br />$ `- --
<br />B
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP8833Y649
<br />411812014
<br />IIA/18/2015
<br />EACH OCCURRENCE
<br />$1.000,000
<br />EXCESS LIAR _
<br />CLAIMS -MADE
<br />_
<br />AGGREGATE
<br />DEO
<br />X RETENTION$0
<br />__$1,000,000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERE%ECUTIVE ❑
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />WZP81018468
<br />41112014
<br />11/2015
<br />P O7
<br />'X T A H-
<br />E1. EACH ACCIDENT
<br />—
<br />$1,000.000
<br />E.L. DISEASE - EA EMPLOYE
<br />$1,000,000
<br />IMand story inNH)
<br />Ii yyees, antler
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000.000
<br />RIPTIbe
<br />OEBCRIscnhe F OPERATIONS below
<br />D
<br />Professional Liability
<br />U881424824
<br />118/2014
<br />/10/2015
<br />$1,000,000 Per Claim
<br />$1,000A00 Anal Aggregate
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schadule, may be attached If more spans is required)
<br />*General Liability excludes claims arising out of the performance of professional services'
<br />" *Umbrella policy Is a follow -form to underlying General Liability /Hired &Non -Owned Auto Liability /Employers Liability,"
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects general
<br />liability for claims arising from the operations of the named insured as required per contract or agreement.
<br />CERTIFICATE HOLDER CANCELLATION 30 Day NOC /10 Day for NonPay of Prom
<br />@ 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<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 />920 Civic Center Plaza - M36
<br />Santa Ana CA 92701
<br />pU RIZED REPRE TATIVE ,�,+/F�'�'�y ,fir
<br />@ 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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