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yKq Client#:25181 PSOMAS ® e"" CO ■®T. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/22/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Jerry Noyola Greyling Ins. Brokerage/EPIC I PHONE (A/C, No Ext): 770-552-4225 (FAX, 3780 Mansell Road, Suite 370 E-MAIL RE(A/CNo) : 866-550-408_2 SS: jerry.noyola@greyling.com Alpharetta, GA 30022 INSURED Psomas 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins. Co. _19445 INSURER B INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER! 17-1R RFVISInN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL5268212 4/01 /2017 04/01/2018 EACH OCCURRENCE $1 OOO 000 PREMISES Ea.cc"n.nce s500,000 MED EXP (Any one person) $25 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- '.. POLICY I X.I JECT X LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X''... ANY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS X HIRED AUTOS NON -OWNED AUTOS CA4489706 4/01 /2017 04/01 /201 COMBINED SINGLE LIMIT Ea accident 11,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR „EXCESS LIAB HCLAIMS-MADE DED I RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC015893764 (AOS) WC015893765 (CA) 4/01/2017 4/01 /2017 04/01/201 04/01 /201 X STATUTE T OTH- _ E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN051100 & 4SAN020200; Agreement Nos. A-2008-219, A-2015-167, A-2017-114 & A-2014-224 ; City of Santa Ana On -Call Engineering Services 14-037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required written (See Attached Descriptions) REVIEWED BY:°"" EUNICE HEREDIA (PG QI ) r�.L•�e.�a.i City of Santa Ana Public Works Agency 20 Civic Center Plaza, M-21 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) 1 of 2 #S812646/M691546 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5iffe1 it