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A ,FLL CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM,DDYYY)
<br />9!312014
<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 senior rights to the
<br />certificate holder In lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />PHONE E d L714- 427 =6870 nab fie) 4-
<br />Deal% , Renton & Associates
<br />P, 0. Box 10550
<br />Santa Ana CA 92711 -0559
<br />MAIL
<br />_ .w„ _ IN9URER19}APF4ROINO COVERAGE mm _ NAICN _
<br />3865D390300 (3b12014
<br />13012015
<br />INSURER AI uP,y -eje ELEmpacty ,A'aSl1a Co ofA�
<br />INSURED
<br />INSURERB; (g L'a5U` f11yRi; urety Co Anne, 11V4
<br />ENSURER C :
<br />RJM Design Group, Inc.
<br />INSURER 0; _-
<br />INSURER E �
<br />31591 Camino Capistrano
<br />San Juan Capistrano CA 92675
<br />_ ,
<br />INSURER F:
<br />kEM19F9 (AE
<br />COVERAGES CERTIFICATE NUMBER: 160437120 REVISION NUMBERt
<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 />SEEN-REDUCED
<br />EXCLUSION'S AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ASR
<br />TYPEOFINSURANCE
<br />AUDI
<br />SI
<br />4
<br />EYYY
<br />POLICYNUMI
<br />MOUO VYP
<br />UNITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />Y
<br />3865D390300 (3b12014
<br />13012015
<br />EACH OCCURRENCE
<br />$2,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />kEM19F9 (AE
<br />MED E %P An one pamoo
<br />,81,000,000 _
<br />$10000
<br />"
<br />CLAIMS -MADE OCCUR
<br />tJ
<br />PERSONAL &ADV INJURY
<br />8200.000
<br />Contractual
<br />Liability
<br />GENERALAGGREaTE _
<br />$4,00,000 —
<br />GENLAGGREGATLUMMAPPUES
<br />PER;
<br />PRODUCTS- COMPfOP AGG
<br />$4,000,000
<br />$ _
<br />POLICY
<br />X 1 O'
<br />LOG
<br />A
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />AUTOS OWNED SCHEDULED
<br />x_ HIRED AUTOS AU a5 NEO
<br />BA5D394305 !3012014
<br />q( pI
<br />AN,r.7 �
<br />3'!,z °' g xJ
<br />13012015
<br />dLDly}
<br />w„ --
<br />DINED:
<br />-
<br />1,000,000
<br />BOOILY INJURY (per pare0n)
<br />_
<br />8
<br />—�-
<br />60011.Y INJURY (Per aCnidanlj
<br />$
<br />ROn EftMTY AMAGE
<br />�
<br />—�
<br />UMBRELLA UAa
<br />EXCESS LIAR
<br />OCCUR
<br />CLAIMS -MADE
<br />i..tCfjA p,1L0
<br />pssiBtan
<br />neY
<br />d
<br />b
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE -
<br />$_-M
<br />..-
<br />DED RETENTIONS
<br />$_
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNIUVEXECUTIVE YIN
<br />y
<br />UB413OT960 _ /30/2014
<br />/30/2015
<br />X WC STAN- IN -`
<br />ORY
<br />E.LEACHACClDEN,
<br />81,0001000
<br />OFFICERtMEMSER EXCLUDED?
<br />(Meruhrtmy ke NH)
<br />'-
<br />E.L. DISEASE. FA EMPLOYE
<br />$1000 iPCO
<br />E,C OISFAS£ - POLICY UMtr
<br />81,006000
<br />It de3Cr8e muter
<br />-9CRiPTiON OF OPERAT NS below
<br />B
<br />Professional Liability
<br />Claims Made
<br />105991919 110/1/2014
<br />(
<br />01112015
<br />Per Claim $1,000,000
<br />Annual Aggr. 82,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ADDED 1011, Additional Remarks Schedule, If more spaeo Is required)
<br />General Liability policy excludes Claims arising out of the performance of professional services,
<br />Re: On•Cali Services - City of Santa Ana, CA.
<br />The City of Santa Ana, Its officers, employees and representatives are Additional Insured as respects to General Liability coverage as
<br />required by written contract.
<br />Primary and Non - Contributory applies to General Liability as required by written contract. Waiver Of Subrogation for Work Comp is Included
<br />as required by written contract.
<br />See Attached.,.
<br />CERTIFICATE HOLDER CANCELLATION30 Da 110 Day Notice of Cancellation
<br />C9 998 &2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />Attn: Marilyn Boothe
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P.G. BOX 1988
<br />Santa Ana, CA 92702 -1988
<br />UTHORIBEC REPRESENTATIVE
<br />i
<br />C9 998 &2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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