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ALTA PLANNING A -2015 -011 REVIEWED BY /A,_ EUNICE HEREDIA (PG 1 OF 7)
<br />Client#: 835015 ALTAPLAN
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD[YYYY)
<br />1 812012015
<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 -c-e-rt-!'fl--c"a-;'t—e'-hol-d-e-r 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 IAIMT
<br />EAIT Karen Barry
<br />6
<br />61
<br />10
<br />USI Northwest PHONE 0 3&
<br />_8
<br />EXII: 503 2�24-8390 130
<br />700 NE Multnomah, Suite 1300 E-MAIL
<br />Portland, OR 97232 ADDRESS, karen.barry@usi.biz
<br />503 224-8390 INSURFR(SI AFFORDING COVERAGE..._ NAIL If
<br />INSURED
<br />Alta Planning + Design, Inc.
<br />711 SE Grand Avenue
<br />Portland, OR 97214
<br />COVERAGES
<br />CERTIFICATE NUMBER-
<br />INSURER A:
<br />a, ter val% Fire insurance Co.
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />25615
<br />INSURER B:
<br />Travelers Property Casualty Ins
<br />ADDLSUBR
<br />INSR
<br />36161---
<br />INSURER C:
<br />Travelers Indemnity Company
<br />POLICY EXP
<br />LMy!1)9Pffy_"_L
<br />�5658_'
<br />INSURER D
<br />SA IF Corporation
<br />GENERAL LIABILITY
<br />36196
<br />INSURER E,
<br />Zurich American Ins. Co
<br />07101/2015
<br />6 5 �35
<br />!NSURERF:
<br />Continental Casualty y
<br />------------------
<br />
<br />24443....._ -..
<br />PFVI*Fntj MI FMRF=P.
<br />680813259331
<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 CONTRACTOR 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 OF INSURANCE
<br />ADDLSUBR
<br />INSR
<br />WVD
<br />POLICY NU
<br />POLICY EFF
<br />_LMMiDolyyyy)
<br />POLICY EXP
<br />LMy!1)9Pffy_"_L
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />68088259484
<br />07101/2015
<br />0710'112016
<br />EACH OCCURRENCE
<br />11$2,000,000
<br />COMMERCIAL GENERAL LIABILITY
<br />680813259331
<br />07101/2015
<br />07/01/2016
<br />PARENAiis�EsT?ERE.'�.Tu,,'en,eI
<br />$1,000,000
<br />CLAIMS-MADE IF-IV]
<br />A OCCUR
<br />MED EXP (Any one person!.,
<br />$10,000
<br />PERSONAL & ADV INJURY
<br />$2,444,444
<br />GENERAL AGGREGATE
<br />s4,000,000
<br />GI AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGO
<br />s4,000,000
<br />I JECTPOLICY X, P"_ F7 LOC
<br />AUTOMOBILE LIABILITY
<br />BA7A574417
<br />07101/2015
<br />07101/201E
<br />COMBINED SINGLE LIMIT
<br />S1,000,000
<br />X ANY AUTO
<br />BODILY INJURY (Per person!
<br />$
<br />ALL OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />$
<br />AUTOS AUTOS
<br />X ' NON-OWNED
<br />X HIRED AUTOS
<br />_Pff5I5E�TY DAMAGE
<br />Per accidenti
<br />AUTOS
<br />�
<br />C
<br />X UMBRELLA LIAB X OCCUR
<br />C U P 8 B259933
<br />47/01/2415
<br />07/01/2016
<br />EACH OCCURRENCE
<br />EXCESS LIAR
<br />AGGREGATE
<br />$5 444 444
<br />DIED X RETENTION $10,000
<br />— -E
<br />ID
<br />WORKERS COMPENSATION
<br />771940
<br />09/ 0112015
<br />09101 1/2016
<br />TU- I OTH-
<br />ij�Tvogy L%ulis I ER
<br />E
<br />AND EMPLOYERS'LLABILITY YIN
<br />ANY PROPRIFTOR)PARTNER/EXECUTIVEF---I
<br />8997892
<br />09/0112015
<br />09/01/2016
<br />E.L EACH ACCIDENT
<br />OFFICERWEMBER EXCLUDED?
<br />an L—Y]
<br />(Mdatory in NH)
<br />N I AT
<br />WA Stop Gap -EL
<br />included
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000_
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS bellow
<br />OH Stop Gap -EL
<br />included
<br />L,L DISEASE - /POLICY LIMIT
<br />11,000,000
<br />IF
<br />Professional
<br />MCH11413525,7
<br />07/01/2015
<br />07101/201
<br />$3,000,000 Per Claim
<br />Liability
<br />$4,000,000 Aggregate
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />** Workers Comp, Information **
<br />Proprietors /Partners /Executive Officers/Members Excluded:
<br />Michael Jones,Mia Birk,George Hudson
<br />(See Attached Descriptions)
<br />i.crcr 1111�M I I nUL1JC[1
<br />The City of Santa Ana
<br />20 Civic Center Plaza - Ross
<br />Annex
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010105) 1 of 2.
<br />#SI'6037085IM1 6031150
<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 />— . C,
<br />@ 1988-2010 ACORD CORPORATION, All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />INNOIAU
<br />
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