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ACCA? r CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DDNYYY)
<br />4/15/2015
<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 Las Robles Ave Ste 540
<br />Pasadena, CA 91101
<br />Lic #0020739
<br />CONTACT
<br />E_
<br />-NAME: Swaney
<br />PHONE FAX
<br />(A/r Nn F4 (AIC. N°''
<br />---
<br />E -MAIL mswane Beale renton.com
<br />SOL2BESS, Y@ Y
<br />_ INSURER(S) AFFORDING COVERAGE
<br />_
<br />NAIC #
<br />NSURERA:Travelers Indemnity Co. of Connecti
<br />25682
<br />_
<br />INSURED PROJEPART
<br />INSURER B :Travelers Property Casualty Co of A
<br />25674
<br />INSURER C :American Automobile Ins. Co.
<br />_
<br />21849
<br />Project Partners
<br />23195 La Cadena Drive, Suite 101
<br />Laguna Hills, CA 92653
<br />INSURER ®:U.S. Specialty Insurance Company _
<br />29599
<br />949 852 -9300
<br />INSURER E
<br />$1,000,000
<br />INSURER F:
<br />MED EXP (Any one person)
<br />$10,000
<br />COVERAGES CERTIFICATE NUMBER: 1447584767 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 />ILTR
<br />TYPE OF INSURANCE
<br />NSD
<br />WVD
<br />POLICY NUMBER
<br />MPOLICY /YYYY
<br />MMID / /YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />68093611-110
<br />/18/2015
<br />4/18/2016
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS DE X❑ OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$10,000
<br />Contractual Liab
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY EX PRO-
<br />F—] LOC
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />PRODUCTS - COMP /OP AGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />BA9361L484
<br />!18/2015
<br />4/18/2016
<br />MBINED IN LIMIT
<br />Ea accident)
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />A O SCHEDULED
<br />AUU TOS S ALTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />NON -OWNED
<br />HIRED AUTOS X AUTOS
<br />X
<br />PROPERTY DAMAGE
<br />Per acciden1t
<br />$
<br />$
<br />X
<br />NoOwnedAutos
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP8833Y649
<br />/18/2015
<br />4/18/2016
<br />EACH OCCURRENCE
<br />$1,000,000
<br />AGGREGATE
<br />$1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$O
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />WZP81024762
<br />/1/2015
<br />4/1/2016
<br />PER OTH-
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT
<br />_
<br />$1,000,000
<br />ANY PROPRIETOR /PARTNER/EXECUTNE
<br />OFFICER /MEMBER EXCLUDED?---
<br />❑
<br />N / A
<br />E.L. DISEASE - EA EMPLOYE "'
<br />-
<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 />D
<br />Professional Liability
<br />USS1525750
<br />/18/2015
<br />4/18/2016
<br />$1,000,000 Per Claim
<br />Claims Made Form
<br />$1,000,000 Annual Aggregate
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />`General Liability excludes claims arising out of the performance of professional services. Umbrella policy is a follow -form to underlying
<br />General Liability /Hired &Nan -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 />and hired /non -owned auto liability for claims arising from the operatio oft e named insured as required per contract or agreement.
<br />PROJE(,T PARTNERS A- 2014 -055 REVIEWED BY� EUNIC : HEREDIA (li"'G. '1 OF 4)
<br />t,r-K I IFII.A I t 11ULUCK L ANGtLLA I IUN ov LJdy IV VI./ I v L/dy Ivr IVV11F'dy Of I"rem
<br />City Of Santa Ana
<br />120 Civic Center Plaza - M36
<br />Santa Ana CA 92701
<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 />©1988 -2014 ACORD CORPORATION. All rights reserved.
<br />�.� r r, �r•t
<br />
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