Laserfiche WebLink
A`C>R ®® CERTIFICATE OF LIABILITY INSURANCE <br />ATE (MMIDD <br />D5/17/2016 ) <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(les) 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 endorsement(s). <br />PRODUCER <br />Professional Concepts Insurance Agency, Inc. <br />1127 South Old US Highway 23 <br />Brighton MI 48114-9861 <br />CONEACT Certs@pciaonline.com <br />(PP1J1CNEd.i (800)969-4041 aC No: (8001969-9081 <br />ADDRESS: Certs@poiaonline. corn <br />INSURERS AFFORDING COVERAGE NAIC ft <br />INSURER A:Travelers Indent. Cc of America 25666 <br />INSURED <br />Walker Parking Consultants Engineers, Inc. <br />606 S Olive St <br />Suite 1100INSURER <br />Los Angeles CA 90014 <br />INSURER B:Travelers Indemnity Cc 25658 <br />INSURERCXL Specialty IRs. Co. 37885 <br />INSURER D: <br />E: <br />INSURER F: <br />EKOUIQrf_114�.�Ma:4112["SILaou]oe;12..Dl.lr=:swr� ourF luac�-mVL-9r•1 ielu,nlel=1 <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />rypE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADEOCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED 300,000 <br />PREMISES Ea goti $ <br />MED EXP (Any one person) $ 5,000 <br />X Contractural Liability <br />X <br />6801839L533TIA16 <br />5/23/2016 <br />5/23/2017 <br />X X,C,U <br />PERSONAL B ADV INJURY $ 1,000,000 <br />6801847L188 - CA <br />GEHL AGGREGATE LIMIT APPLIES PER: <br />POLICY r JECT 7 LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />6802303LB28 - FL <br />PACP1648L308 - TX <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />OTHER: <br />I <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per remain) $ <br />B <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />BA4887N56416GRP <br />5/23/2016 <br />5/23/2017 <br />BODILY INJURY Per accident $ <br />( ) <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accldenl <br />X <br />UMBRELLA LIAR <br />XCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ 2,000,000 <br />AGGREGATE $ 2,000,000 <br />B <br />EXCESS UAB <br />DED I X <br />I RETENTIONJ 10,000 <br />$ <br />CUPID3197441647 <br />5/23/2016 <br />5/23/2017 <br />B <br />WORKERS COMPENSATIONX <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOWPARTNEWEXECUTIVENIA <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatory In NH) <br />VYAKUB3721T82916 <br />5/23/2016 <br />5/23/2017 <br />PER OTH� <br />STATUTE ER <br />E, L. EACHACCIDENT $ 1,000,000 <br />E. L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If ye s, describe under <br />DE SCRIPTION OF OPERATIONS below <br />EL. DISEASE POLICY LIMIT $ 1,000,000 <br />C <br />Professional Liability <br />DPR9804737 <br />5/23/2016 <br />5/23/2017 <br />Per Claim 1,000,000 <br />Aggregate 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Project: City of Santa Ana Operator RFP Walker Project No. 37-8605.00. <br />City of Santa Ana, California 92710; its officers, employees, agents and representative are considered <br />additional insured's with respects to general and auto liability coverage as long as required within a <br />written contract. Waiver of subrogation in favor of certificate holder and additional insured's as long <br />as required within a written contract. Coverage is considered primary and non-contributory where <br />applicable. 30 day written notice provided to certificate holder and additional insured's for <br />cancellation of coverages listed. 10 day notice for nonpayment of listed policies. <br />ARodriguez@santa-ana.org <br />City of Santa Ana <br />Attn: Finance & Management Services Agenc <br />20 Civic Center Plaza M-16 <br />P.O. Box 1988 <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 />ke Cosgrove/CARRIE r C �`�""'� �"�✓� <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACO <br />'�g'�gpp/7 ®� <br />INS025t2m4nn ®L+(�/A lrVEd V I/ <br />