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AC40ROr CERTIFICATE OF LIABILITY INSURANCE
<br />Ill
<br />DATE(MMIDDNM)
<br />12/22/2015
<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 WEFN TIII.E tISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 1 n I „, k-i4.,, 9 '
<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 a dorsem atemenCdrf this Certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). ,. S 1 '
<br />PRODUCER
<br />Woodruff- Sawyer & Co.
<br />50 California Street, Floor 12
<br />San Francisco CA 94111
<br />NAMEACT(';
<br />c'0 Grewohl
<br />PHONE .415- 391 -2141 FAX .415- 98923
<br />9 -9
<br />EMAIL ,jgrewohl @wsandco.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIL#
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE IX OCCUR
<br />-
<br />INSURER A: Greenwich Insurance Com an
<br />22322
<br />_
<br />INSURED ENVISCI -01
<br />INSURERB:XLS eclalt InsuranceCompan
<br />37885
<br />Environmental Science Associates
<br />550 Kearny Street, Ste 800
<br />San Francisco CA 94108
<br />INSURER C:
<br />$1,000,000
<br />INSURER D:
<br />MED EXP (Any one person)
<br />INSURER E :
<br />I Contractual Uab _
<br />NSURER F:
<br />COVERAGES CFPTIFICATF NI IItl 17n723Rg11 evtnc,,e,
<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 />TYPEOFINSURANCE
<br />AD L
<br />INSD
<br />NND
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE IX OCCUR
<br />-
<br />Y
<br />GE0001336713
<br />1/1/2016
<br />1/1/2017
<br />EACH OCCURRENCE
<br />$1,000,000
<br />D MAGE T° RENTED
<br />PREMISES Ea occurrence )
<br />$1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$5,000
<br />I Contractual Uab _
<br />Stop Gap
<br />PERSONAL & ADV INJURY
<br />_
<br />$1,000,000
<br />X
<br />AGGREGATE LIMITAPPLIES PER:
<br />POLICY�JPEa LOC
<br />GENERAL AGGREGATE
<br />52,000,000
<br />GEML
<br />PRODUCTS- COMP /OP AGG
<br />$2,000,000
<br />X
<br />OTHER: No Deductible
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />AECO01336513
<br />1/1/2016
<br />1/1/2017
<br />Eeaacid ot� I
<br />$1,000,000
<br />X
<br />ANV AUTO
<br />BODILY INJURY(Per person)
<br />_
<br />$
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIREDAUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERT DDAMAGE
<br />PeraccImm)
<br />$
<br />X
<br />No Ded.
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />B
<br />ANO EMPLOY RS LIABI OTV YIN
<br />ANY PROPRIETORIPARTNEUEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />"IA
<br />WEC001337413
<br />1/1/2016
<br />1/1/2017
<br />X STATUTE OERH
<br />E.L EACHACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />--
<br />$1,000,000__
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />-
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Professional Liability
<br />Cov. A. Claims Made
<br />Retrc Date: 10/1/89
<br />PECO01336813
<br />1/1/2016
<br />1/1/2017
<br />Ea. Occurrence: $1,600,000
<br />Aggregate: $1,000,000
<br />Retention: $100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />D140767.00; City of Santa Ana RFQ for Environmental Consulting Services. City of Santa Ana, its officers, employees, agents, volunteers
<br />and representatives are named additional insureds on General Liability coverage per endorsements XIL 2010 07 04 (Ed. 0413) and XIL 2037
<br />07 04 (Ed. 0413) attached. Coverage is primary and non - contributory per endorsement XIL 424 0605 attached. Separation of Insureds is
<br />included in the policy contract.
<br />Policies contain a 30 day notice of cancellation and a 10 day notice of cancellation for non - payment of premium.
<br />City of Santa Ana Attn: V, Fregoso, AICP
<br />Planning & Building Agency
<br />20 Civic Center Plaza, M -20
<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 />(n 1988 -2n1A
<br />TInM All v n"ie .ewe... A
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ft'`dI
<br />
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