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ACOR I a
<br />CC) CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDIYYYY)
<br />5/17/2017
<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 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 />CONNAMT CT carts@pciaonline,com
<br />AX
<br />PHONE (800) 969-4041 FAIc No: (800)969-4081
<br />AIL
<br />ADDRESS: Certs@pciaonline, com
<br />INSURERS AFFORDING COVERAGE NAIC 9
<br />INSURER A .Travelers Indem. Co of America 25666
<br />INSURED
<br />Walker Parking Consultants Engineers, Inc.
<br />606 S Olive St
<br />Shite 1140
<br />Los Angeles CA 90014
<br />INSURERB:Travelers Indemnity Co 25658
<br />INSURERC:XL S ecialt Ins. Co. 37885
<br />INSURER D:
<br />INSURER E
<br />INSURER P
<br />C0VFRA414F9 rFRTIFIrATF NIIMRFR-17-18 4137 81PL 82UME RFVISIf1N NI IMRFR-
<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 />TYPE OF INSURANCE
<br />ADDI.
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDONYYYI
<br />POLICY EXP
<br />(MMIr)I)NYYYI
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGEIRIENTA
<br />PREM SESOE. '� ence $ 300,000
<br />MED EXP (Any one person) $ 5,000
<br />X Contractural Liability
<br />X
<br />6801J12541717
<br />5/23/2017
<br />5/23/2018
<br />X X,C,U
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />6801,716691017 CA
<br />GENT AGGREGATE LIMIT APPLIES PER.
<br />GENERAL AGGREGATE $ 2,000,000
<br />6801J124341117 - FL
<br />POLICY Lj] jEO F-1 LOC
<br />6801J16726117 - TX
<br />PRODUCTS - COMWOPAGG $ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X
<br />BA4887N56417GRP
<br />5/23/2017
<br />5/23/2018
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE
<br />I Per accident $
<br />X
<br />NON -OWNED
<br />HIRED AUTOSX AUTOS
<br />X
<br />UMBRELLA LIAS
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MAD£
<br />DED I X I RETENTION$ 10,000
<br />$
<br />CUPID31974417
<br />5/23/2017
<br />5/23/2018
<br />H
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE FN]
<br />(MandatOFFICERIoryEMBER In NH EXCLUDED? N
<br />( ry }
<br />=B4549T76A17
<br />5/23/2017
<br />5/23/2018
<br />X PER OTH-
<br />STATUTE ER
<br />F.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />N as, describe under
<br />ID RIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />C
<br />Professional Liability
<br />DPR9913337
<br />5/23/2017
<br />5/23/2018
<br />Per Claim 1,000,000
<br />Aggregate 1 , 000 , 000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 401, Additional Remarks Schedule, maybe 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 primary and non-contributory as it applies to general
<br />liability, auto liability and umbrella. 30 day written notice provided to certificate holder and
<br />additional insured's for cancellation of coverages listed. 10 day notice for nonpayment of listed
<br />CERTIFICATE HOLDER CANCELLATION
<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. Sox 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 />��/f
<br />Mike Cosgrove/CARRZE
<br />© 1988-2014 ACORD QORPORATIO All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD we s,.�•-e �
<br />INS025oniami 4;<
<br />� I II I
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