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LARRY WALKER ASSOCIATES RFCA 9/1/15 AGR # TBD REVIEWED BY: (/"' � EUNICE HEREDIA (PG 1 OF 5)
<br />Client #: 422 LARRYWALK
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM /Do /YYYY)
<br />AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />7!29/2016
<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 WAIVEfJ, subject to
<br />the terms and condltlons 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 />CONT A T Doris A. Chambers_
<br />NAME:
<br />Dealey, Renton & ASSOCIateS
<br />_
<br />PHONE _
<br />1Alc, Exl 510 465-3090 (Alc No), 510 452 -2193
<br />P. 0. BOX 12675
<br />-NO
<br />EMAIL ............_. — .._,.,_
<br />Oakland, CA 94604.2675
<br />ADOaESS;_
<br />__,- ,_____.,__
<br />510 465 -3090 Mandy Guo
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICft
<br />INSURER A: Travelers Indemnity Co, of Conn
<br />25682
<br />INSURED
<br />INSURER e: Travelers Property Casualty Cc
<br />25674
<br />Larry Walker Associates, Inc.
<br />INSURER C: American Automobile Ins. Co.
<br />21049
<br />707 Fourth Street, Suite 200
<br />INSURER D: Greenwich Insurance Company
<br />22322
<br />Davis, CA 95616 -4124
<br />INSURER E:
<br />INSURER F:
<br />GENERAL AGGREGATE
<br />CERTIFICATE 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 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 />AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ggEXCLUSIONS
<br />LTflR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR.
<br />WVD
<br />I POLICY NUMBER
<br />POLICY EFF
<br />MWDDIYYYY
<br />POLICY EXP
<br />MM /DOIYVYV
<br />--
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />X
<br />6803C998380 -
<br />4/01/2015
<br />04/01/201 E.
<br />EACH OCCURRENCE
<br />_._ ................_...
<br />$2,900,000_
<br />___
<br />X COMMERCIAL GENERAL LIABILITY
<br />_ CLAIMS -MADE OCCUR
<br />oqMp E TCRENTEO
<br />I'19EM�bE6 (Ee occurrence
<br />$300,000
<br />MEO EXP (Any cne Peram _
<br />$5,000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPUES PER:
<br />PRODUCTS - COMPIOP AGG
<br />$4,000,000
<br />_POLICY
<br />X jE0 LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />X
<br />X
<br />BA3C999002
<br />0./01/2015
<br />04/01!201
<br />COMBINED SINGLE MIT
<br />E.A.CIdenl
<br />$1,000000
<br />BODILY INJURY (Par porsan)
<br />$
<br />ANY AUTO
<br />_
<br />X
<br />ALL OS SCHEDULED
<br />AUTOS AUTOS
<br />N
<br />HIRED AUTOS %t ON-OWNFID
<br />AUTOS
<br />BODILY INJURY Par aconant
<br />( )
<br />$
<br />PROPERTY DAMAGE
<br />Pereccldontl _
<br />_
<br />$
<br />$
<br />B
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />X
<br />X
<br />CUP3C999260
<br />4/01/2015
<br />W01/2016
<br />EACH OCCURRENCE
<br />$1 000,000
<br />_
<br />EXCESS LIAB
<br />CLAIMS MADE
<br />AGGREGATE
<br />$11 000 000
<br />_
<br />DED RETENTON$
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIRTNEV YIN
<br />ANYCEWMEMBERIPARTNDED? CUTIVE —
<br />OFFICENMEMBER EXCLUDED'? LJ
<br />N/A
<br />X
<br />WZP81024754
<br />4/01/2015
<br />04/01/2016
<br />H
<br />X WCSTATU- OTH-
<br />'IIMITR –
<br />C.L. EACH ACCIDENT
<br />- - --
<br />$1.000,000
<br />_— .__
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1 000 000
<br />(Mandatory In NH)
<br />E.L. DISEASE - POLICY LIMIT
<br />$1000,000
<br />DESCRIPTION OF OPERATIONS below
<br />DESCRIPTION
<br />D
<br />Professional
<br />PECO03092705
<br />4/01/2015
<br />04101/2016
<br />$2,000,000 per Claim
<br />Liability
<br />$4,000,000 Annl Aggr.
<br />DC-SCnIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If mare space is requlred)
<br />GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES.
<br />REF: Project Name: Santa Ana NPDES & Environmental Programs Fee Study; LWA Project No. 528.01. The City of
<br />Santa Ana, its officers, employees, agents, and representatives are named as Additional Insured to General
<br />and Auto Liability per policy form wording. Insurance is Primary and Non - contributory with Severability of
<br />Interest clause. Waiver of Subrogation applies to Workers Compensation coverages per policy form wording.
<br />Cancellation provisions are solely as shown on this certificate.
<br />City of Santa Ana
<br />Clerk of the City Council
<br />P.O. Box 1988
<br />Santa Ana, CA 92702.1988
<br />ACORD 25 (2010105) 1 Of 1
<br />#S1408243/M1277865
<br />SHOULD ANY OF 1 "HE ABOVE DESCRIBED POLICIES BE CANCELLED DEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />U 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name a11d logo are registered marks of ACORD
<br />DAC
<br />
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