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AC10RH' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMmomYV)
<br />10/8/2014
<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 endorsement(s),
<br />PRODUCER
<br />NAME: Valerie Porter ]Q
<br />Woodruff- Sawyer & Co. /
<br />50 California Street, Floor 12 V
<br />San Francisco CA 94111
<br />PHONE FAX E.t:415- 391 -214 ac 1.1415-989-9923
<br />-MAIL
<br />ADDRESS:v ort -
<br />INSURERS AFFORDING COVERAGE
<br />NAIL#
<br />GECO01336711
<br />\ ^
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<br />,q�
<br />eVt
<br />INSURER A:Greenw ch Insurance Company
<br />/1/2015
<br />EACH OCCURRENCE
<br />INSURED ENVISCI -01
<br />INSURER B:XL Specialty Insurance Com n
<br />7885
<br />INSURER C,
<br />$5,000
<br />Environmental Science Associates
<br />550 Kearny Street, Ste 800 ✓
<br />San Francisco CA 94108
<br />INSURER D:
<br />Slop Gap
<br />GENERAL AGGREGATE
<br />GEN'L AGGREGATE LIMITA PER',
<br />- POLICY X J`1l PPLIES I
<br />INSURER E
<br />_$2,000,000
<br />$2,000,000
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 107552000 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
<br />ADDL
<br />INSR
<br />SUBR
<br />WYE
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM /DD/YYY1'
<br />POLICY EXP
<br />MMIDD/YYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X Contractual Liab
<br />Y
<br />GECO01336711
<br />\ ^
<br />- YJ/
<br />,q�
<br />eVt
<br />'1/1/2014
<br />/1/2015
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES( Ee occurrence
<br />$1,000,000
<br />MED EXP(Any one person)
<br />$5,000
<br />PERSONAL &ADVINJURY
<br />$1,000,000
<br />X
<br />Slop Gap
<br />GENERAL AGGREGATE
<br />GEN'L AGGREGATE LIMITA PER',
<br />- POLICY X J`1l PPLIES I
<br />PRODUCTS - COMP/OP AGO
<br />_$2,000,000
<br />$2,000,000
<br />1
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />AECO01336511
<br />1/112014
<br />/1/2015
<br />Ea M"INdJuD
<br />1,000000 `�
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />/
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per decided
<br />$
<br />X
<br />X NON -OWNED
<br />HIREDAUTOS AUTOS
<br />$
<br />X
<br />i$5,000 Ded.
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE _
<br />$
<br />_
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />VVECO01337411
<br />1/1/2014
<br />/1/2015
<br />X WC STATU- iOTH-
<br />____ TORY LIMITS ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANY PROPRIETORIPARTNER /EXECUTIVE
<br />OFFICER /MEMBER EXCLUDED? ❑
<br />N I A
<br />/
<br />v
<br />E.L. DISEASE -EA EMPLOYEE
<br />--_
<br />$1,000,000 l/
<br />(MantlatoryinNH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E. L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />A
<br />Professional Liability
<br />PECO01336811
<br />1/1/2014
<br />11/2015
<br />'Ea. Occurrence: $1,000,000
<br />Cov. A. Claims Made
<br />Retire Date: 10/1189
<br />i
<br />I/
<br />Aggregate: $1,000,000
<br />Retention: $100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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 CG 2010 07 04 and CG 2037 07 04
<br />attached. Coverage is primary and non - contributory per endorsement XIL 424 06 05 attached. Separation of Insureds is included in the policy
<br />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 />tS°fz3`v to ag - iii
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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