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A ®� CERTIFICATE OF LIABILITY INSURANCE
<br />4/DATE(M 5DMYY)
<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: It 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 confer rights to the
<br />certificate holder in lieu of such endorsements .
<br />PRODUCER
<br />CD TACT Marie Swaney_
<br />Dealey, Renton & Associates
<br />PHONE PAX
<br />199 S Los Robles Ave Ste 540
<br />tf wr-Nel'
<br />s-mni�ss, mswaney@dealeyrenton.com
<br />Pasadena, CA 91101
<br />INSURERS) AFFORDING COVERAGE
<br />NAICtl
<br />LIC#0020739
<br />INSURERA:Travelers Indemnity Co. of Connecti
<br />25682
<br />INSURED PROJEPART
<br />INSURER B:TravelerS Property Casualty CD of A
<br />25674
<br />INSURERC:American Automobile Ins. Co.
<br />21849
<br />Project Partners
<br />23195 La Cadena Drive, Suite 101
<br />Laguna Hills, CA 92653
<br />INSURER a:U.S. S ecialty Insurance Company
<br />29599
<br />INSURER E:
<br />949 852-9300
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 1447584767 REVISION NUMBFR-
<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 15 SUBJECT TO ALL THE TERMS.
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTp
<br />TYPE OF INSURANCE
<br />0
<br />D
<br />POLICY NUMBER
<br />MMlbtl/VYVY
<br />MMQDM'XYY
<br />LIMITS
<br />A
<br />X
<br />I COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE F_X] OCCUR
<br />Y
<br />Y
<br />680936IL110
<br />/18/2015
<br />4/1812016
<br />EACH OCCURRENCE
<br />$1.000,000
<br />0
<br />PREMISESso accu rant
<br />$1,000,000
<br />x
<br />MED EXP(Any one person
<br />$10,000
<br />Contractual LBIG
<br />PERSONAL A ADV NJUI
<br />S1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY [:K]°E° LOC
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L
<br />PRODUCTS -COMPIOPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />$A93611.484
<br />/18/2015
<br />4118/2016
<br />Eeac ideal
<br />$1,000,000
<br />BODILY INJURY (Par parson)
<br />$
<br />ANY AUTO
<br />X
<br />EE
<br />ALTOSNEO SSH-RULED
<br />HIREO AUTO$ X NON-OWNEO
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />p A E —$
<br />jeer accidenq
<br />$
<br />X
<br />NoOwnedAutas
<br />B
<br />X
<br />UMBRELLA LIAB
<br />I X
<br />IOCCUR
<br />Y
<br />Y
<br />111312015
<br />4/18/2016
<br />EACH OCCURRENCE
<br />$1,000,000
<br />AGGREGATE
<br />$1.000.000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />�CUPIIIIY641
<br />OEO
<br />I X I RETENTIONS
<br />S
<br />C
<br />WORMERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANYPROPRIETORIPARTNEWEXECUTIVE ❑NIA
<br />OFFICERIMEMBER EXCLUDED4
<br />(Mandatory In NH)
<br />If yes, descri8a under
<br />DESCRIPTION OF OPERATIONS below
<br />WZP81024762
<br />1/1/2015
<br />d11/2016
<br />X ER OTH-
<br />SrATUTE R
<br />E.L. EACHACCIOENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$1,000,00D
<br />E.L. DISEASE -POLICY LIMIT
<br />$1.000,000
<br />D I
<br />Professional Liability
<br />USS1525750
<br />/18f2016
<br />4MW2016
<br />$1,000,000 Per Claim Y
<br />e
<br />Claims Mad Form
<br />$1,000,000 Annual Aggregate
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Bamako Schedule, maybe attached if more space Is required)
<br />"General Liability excludes claims arising out of the performance of professional services. Umbrella policy Is a follow -form to underlying
<br />General Liability/Hired&Non-Owned Auto Liability/Employers Liability.`
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representsqqves ar named as additional insured as respects general
<br />and hired/non-owned auto liability for claims arising from the operations of the nar"nod ins eed as required per contract or agreement.
<br />R[?ItEWELi BY EUNICE HEREDIA (PG I OF }
<br />City of Santa Ana
<br />120 Civic Center Plaza - M36
<br />Santa Ana CA 92701
<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 />rtnhtc. rnennma
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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