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CERTIFICATE LIABILITY INSURANCE 11/9/20M116 D/YYYY)
<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 AMEN'D', 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(ii must have ADDITIONAL INSURED provisions or be endorsed.
<br />16 SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on
<br />PRODUCER NAM NAM i AC I TARA
<br />PRIME INSURANCE SERVICES, INC. PHONE 949-450-2310 FAX
<br />AC N9_194,9-450-23
<br />9891 IRVINE CENTER DRIVE #160 E-MAIL TARA PRIME, POLICY. COM
<br />D.. FSS:
<br />IRVINE, CA 92618-4319
<br />INSURERS AFFORDING COVERAGE
<br />LIC #OD48024
<br />INsuRER A HARTFORD INSURANCE COMPANY 129424
<br />INSURED ENGINEERING SOLUTIONS SERVICES INSURER B: KARTF11RD UNDERWRITER TNSURANCE C0,11AVY 24046
<br />23232 PEP,A.LTA DR., SUITE 112 INEjURERC RLI INSURANCE COMPANY 28860
<br />LAGUNA HILLS, CA 9265x3 INSURER D:
<br />(94.7) 637-1405 -.INSURER E.�..
<br />(94 9) 637-1405 INSURER F'
<br />rn\YCDAf C rGDTicV`lfTc nu 9MNrtFCa. ......
<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 SUBJECTTO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIIT3 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />-70
<br />LTR
<br />'. TYPE:. OF INSURANCE,
<br />AIJUL
<br />INSD
<br />IUD
<br />OLICYNUMBERMO
<br />ICYEFF
<br />FOLIC EXP
<br />LIMITS
<br />7K, COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS ElOCCURP
<br />USES Ea occurrence $ 1,000,000
<br />-MADE
<br />MED EXP LAny one erson $ 10 000
<br />PERSONAL BADVINJURY �$ 1 000 000
<br />A
<br />Y
<br />72SBAIT944709/19A201
<br />.6
<br />�6 /a9 F20i7'
<br />AGGREGATE LIM IT APPLIES PER"
<br />GENERAL AGGREGATE S 2,000,000
<br />kF.-L
<br />JIEO- LOC
<br />POLICY PRO1:1-
<br />PRODUCTS - OOMPPOP AGG $ 2 .000 000..
<br />S
<br />OTHER
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE. LIMIT $
<br />rc,.�
<br />ANYAUTO
<br />...SCHEDULED
<br />ytmoo�wrv.
<br />BODILY INJURY (Per person) 'I,$
<br />OWNED
<br />AUTOS ONLY AUTOS
<br />..'
<br />¢ t) $.....
<br />BODILY INJURYPd
<br />(Per acmen
<br />HIRED NON -OWNED
<br />PROPERTY DAMAGE
<br />Pera Gd. t
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />UMBRELLA LIAB .F OCCUR
<br />EACH OCCURRENCE $
<br />-
<br />AGGREGATE $
<br />EXCESS LIAR CLAIMS -MADE
<br />DED I I RETENTION
<br />WORKERS COMPENSATION
<br />-- QRH.
<br />X I
<br />AND EMPLOYERS' LIABILITY Y!N
<br />SPER TAT T
<br />1 000 000
<br />B.. L. EACH ACCIDENT $ F 7
<br />B
<br />ANY pRbPRI ETOR1PARTNEREXECUTIVE
<br />OFE EMMEMBER EXCLUDED? 1 3I
<br />NIA
<br />E.L, DISEASE - EA EMPLOYEE $ 11000,00
<br />(Mandatory in r ----i
<br />72WE.CGG6484
<br />8/20/2016
<br />/2.0/2017
<br />If yes, describe under
<br />DESCRIPTION F OPERATIONSbaB
<br />I -POLICY .IMI 1,000,000
<br />A
<br />BUSINESS PERSONAL PROPERTY
<br />72SBAIT9447
<br />09/19/2016
<br />611.9/2017
<br />B. P'. P, $11,000
<br />11,11/29/2016
<br />E & O $1,000,000
<br />C I
<br />PROFESSIONAL LIABILITY I
<br />RTP0008344
<br />6/29/2017
<br />AGGREGATE $2,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 1.01, Additional Remarks Scheduie, maybe attached more sparse is required)-
<br />GRANT AND FUND MANAGEMENT, CONSULTING FOR PROJECT MANAGEMENT
<br />THOSE USUAL TO THE INSURED'S OPERATION.CERTIFICATE HOLDER (CITY OF OF SANTA ANA,IT'S OFFICERS, EMPLOYEE.S,AGENTS,
<br />AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED WITH LIABILITY LIMITED TO CLAIMS ARISING OUT OF
<br />INSURED'S OPERATION ONLY.
<br />30 DAYS NOTICE OF CANCELLATION' WILL BE PROVIDED.
<br />ADDITIONAL INSURED: I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE W1LL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA CA 92702 AUTHORIZED REPRESENTATIVE
<br />Q 1988-2015 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />a
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