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INSURANCE 0r 8 d7= 1 tiL rI. a Y l d'`
<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 />6ELO"W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, dr a poliey(ios) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy„ certain policies may require an endorsement. A statement on this Certificate does flat confer rights to the
<br />certificate holder in Net of such endorsement(s).
<br />PRODUCER Venbrook Insurance Services CA Lic OD80532 , NTA:r
<br />NAME:
<br />6320 Canoga Aver)Us, 12th floor PHOME—
<br />Woodland Hills, CA 91367
<br />E 3lAlt
<br />www,vonbraak.colT,
<br />msuRso
<br />Overland PaClfiC & Cutler Inc.
<br />3750 Schaufele Avenue,
<br />Suite 160
<br />Long Beach CA 90808
<br />COVFRAOF.^r r'.FRTIFIr:ATP MI IMAPP, on>artnn oFulclrinl Nil f 1511:0.
<br />THIS IS TO CERTIFY THAT THE. POLICIES OF INSURANCE LIS rED.85LOVV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT" TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -
<br />IflT
<br />TYPE OF INSURANCE
<br />AD
<br />LING
<br />0
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDfYYYY
<br />POLICY EXP
<br />MMID `YYYY
<br />LIMITS
<br />._
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAINC-MADE n OCCUR
<br />✓
<br />72UUNTR7359
<br />iB?(2D15
<br />81112016
<br />EAC14 aCCURRENCE:
<br />$ 1,000,000
<br />DA"al,"!,i%1E�Ti7l2@. -D
<br />ITA'm F.Tow-rm,rrtn yf ..E-
<br />_'-
<br />300,000
<br />MEDEXP W,ywn pe,Rff
<br />N 10.000
<br />✓
<br />$10.,000 BI&PO Ded_
<br />,_.
<br />PERSONALS ANINJUR.Y
<br />s 1,p0Q000
<br />Per Claim _
<br />GBNs RALACGPvGATE _
<br />`S 2,00000 .0
<br />GENL
<br />AGGREGATE LIMIT APPLIES PER
<br />O.
<br />OLICY L✓� T Ld LOC
<br />PEC
<br />(
<br />PRCADI-CTS- CLMNOPAGG
<br />a 2,000.000
<br />Inure, Bon, Lida. Occ. _.�
<br />1,000000
<br />OTI-CR
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />j
<br />72UUNTR7I
<br />6/1120/5
<br />0/112018
<br />4aMdPpa ISINGI1I LIb'IT
<br />S �1000,000
<br />BODILY trp n...n
<br />✓
<br />ANYAl1 r0
<br />1
<br />w
<br />..._.
<br />✓
<br />ALl aUNer) IfIAILfir)
<br />4 LO.S' ✓ AJIOSNON
<br />tIRED AU'10, IV/ ---�1�AE1r1�S Ii9
<br />1
<br />B(JrliYwnlf 'gar tc` J
<br />6
<br />pTp 1'YD MIn' ...b
<br />S
<br />✓
<br />amp S'I 000 ✓ I Coll S I C00
<br />C
<br />✓
<br />UMBRELLAUAB „{ OCC,UR
<br />72RHUTR7849
<br />6"U'I015
<br />EACfIOCCVBRLNCE
<br />2.000000
<br />AGGREOPIFF mm..
<br />3 2,000,000
<br />EXCESS LIAR J C:1iIP,14hpllr-
<br />�6/112016
<br />-
<br />UED RE'r[NTIL)N5
<br />l
<br />[!
<br />WORKERS
<br />4EIL�Y YIN
<br />AP! PROPR'IE'O(P R(R'XI-IfTiVE
<br />IiHPY 9FFl. REk LUr 6-
<br />(Mmlttoy NIA)) ��
<br />eLsuel nnai aF OPERATIONSr
<br />NIA
<br />_
<br />li2'JVECC]430©
<br />8/V2015
<br />8/1(2016
<br />I
<br />1
<br />itl
<br />✓. Pre IY(E EPi
<br />-
<br />E.L"AH1C'IDS"Iff
<br />�� I,i70900U
<br />a
<br />11.OI EAYE I- EMPLOYEE
<br />..^o �1,000000
<br />FA. DISEASE POLICYLIo-nT
<br />s �1,000,000
<br />-
<br />Pmfeaalonal Liao.
<br />BRL0000106
<br />0H120t5
<br />6/1/9016
<br />152,000,000 Each Claim
<br />Claims Made
<br />t
<br />S2,00000Y Aggregate
<br />Rallo Dan. t1/3=,3
<br />550,000 D»ductihle
<br />DESCRIPTION OF OPERATIONS !LOCATIONS i VEHICLES (ACORD 10t,Ad,1601IlawI,1,IFugh F:Itl{P.. rIlRjbrc uttgcl,atl IIf"Ic"DR, r &-'d)
<br />RE: Piaperty Acquisition, Relocation & Management Services Agmemcnt. A-2P11-055-01, A-2015-182, A-2015-165
<br />City of Santa Ana, its officers, emcoyees, agents, volunteers and represonehive, are named as additional insured on a
<br />primaryF non-contributory basis :vtlera required by written contract, Subjact to policy ierrrls, conditions and exChlsionB.
<br />`10 Days Notice of canc Slation for Flan-laayalant of PiSmijal ih rOys All otli rs Al
<br />RImVIEWED BY: EUNIEE. HERE,DiA (PG 1 0172 )
<br />Cityy of Santa Ana
<br />P'K Box 1988
<br />20 Civic Center Plaza (M-36)
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE, DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BL DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />nTPrmcas Ra-RtenNrn IVE v.
<br />ACORD 25 (2014101)
<br />4 ACORD CORPORATION, All
<br />The ACORD name and logo are registered ❑1arlts of ACORD
<br />
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