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A� be CERTIFICATE OF L1ABILIW INSURANCE
<br />°A�1(211204'�'
<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 />Aon Risk Services Northeast, Inc.
<br />AOn Risk services Northeast, Inc.
<br />NY NY Office
<br />199 water street
<br />CONTACT
<br />NAME:
<br />PHONE 866- 283 -7122 FAX 800 - 363 --0105
<br />JAIC.No.Ext): [AfC. No.:
<br />E -MAIL
<br />ADDRESS:
<br />New York NY 10038 -3551 USA
<br />CGL2005388
<br />UJL/
<br />INSURER(S) AFFORDING COVERAGE
<br />NAW #
<br />INSURED
<br />WSURERA: Hartford Fire insurance Co.
<br />19682
<br />Bureau veritas North America, Inc.
<br />1665 Scenic Avenue, Ste. 200
<br />Costa Mesa CA 42626 USA
<br />INSURER B_ Allianz Global Risks us Insurance Co.
<br />35300
<br />INSURER C: Trumbull insurance co
<br />27120
<br />INSURER D: Hartford Ins Co of the Midwest
<br />37478
<br />INSURERE: Hartford underwriters insurance Company
<br />30104
<br />INSURER F: Hartford Accident & indemnity company
<br />122357
<br />COVERAGES CERTIFICATE NUMBER: 570056449413 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. Limits shown are as requested
<br />INSR LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MWD
<br />MM1oDiYYYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CGL2005388
<br />UJL/
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE X❑OCCUR
<br />DAMAGE TO RE
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN1 AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PRO X LOC
<br />�JECT
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />PRODUCTS- COMWOPAGG
<br />$2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />10 AB 541202
<br />A05
<br />01/01/2015
<br />01/01/2016
<br />COMBINED SINGLE LIMIT
<br />a accident
<br />$2,000,000
<br />BODILY INJURY( Per person)
<br />AI NYAUTO
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIREDAUTOS NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />PROPERTYDAMAGE
<br />eraccident
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />H
<br />AGGREGATE
<br />OED I RETENTION
<br />C
<br />D
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIE CR1 PARTNERf EQ_CUTIVE
<br />OFFICERlMEMBEREXCLUDED?
<br />(Mandatory in NHJ
<br />If yes, describe under
<br />DESGRIPTION OF OPERATIONS below
<br />NIA
<br />10wNs41200
<br />AGS
<br />1OWN541200
<br />AK, ID, NJ , NY
<br />5-17-172-1-315
<br />01/01/2015
<br />0110112016
<br />01/01/2016
<br />X I PER OTH-
<br />STATUTE
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE- POLICY LIMIT
<br />$1, 000, 000
<br />B
<br />Archit &Eng Prof
<br />CGL2005390
<br />SIR applies per policy ter
<br />01/01/2015
<br />s & conditions
<br />01/01/2011
<br />Each Claim
<br />Each Aggregate
<br />$1,000,000
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if morn space Is required)
<br />RE: (EH5) Program Management- 2509.14.27681.
<br />City of Santa Ana, its officers, employees agents, volunteers and representatives are included as Additional Insured in
<br />accordance with the policy provisions of tie General Liability policy, General Liability evidenced herein is Primary and
<br />Non - Contributory to other insurance available to an Additional insured, but only in accordance with the policy's provisions.
<br />Separation of insureds is included in accordance with the policy provisions of the General Liability policy. The Architects &
<br />Engineers policy includes coverage for Professional Liability and Contractors Pollution Liability.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />©11988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXP RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />city of Santa Ana
<br />Clerk of the City Council
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza CM -30)
<br />Santa Ana CA 42702 -1988 USA
<br />©11988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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