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Client#: 704 <br />I ZI I I 1001 iT, [0101h"T, <br />ACORD,,, CERTIFICATE OF LIABILITY INSURANCE <br />DAT (M iDDIYY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />912912017 <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 :CONTACT <br />NAME: Doris A. Chambers <br />Dealey, Renton & Associates HONEO, -FAIC, No): 510 452-2193 <br />(PAJC, N E,): 510 465-3090 i <br />P. 0. Box 12675 E-MAIL <br />ADDRESS: dchambers@dealeyrenton.com <br />Oakland, CA 94604-2675 ......... - - ---- - --- <br />INSURERS) AFFORDING COVERAGENAIC # <br />510 465-3090 -Sarah D'anjou ii F674___ <br />INSURER A: Travelers Property Casualty Co <br />INSURED INSURER B : American Automobile Ins. Co. <br />21849 <br />Ninyo & Moore Geotechnical & <br />INSURER C: Evanston Insurance Company <br />35378 <br />Environmental Sciences Consultants <br />DAMAGE TO RENTED <br />PR -E -MI -SES (Eci.ocLcqrrence <br />475 Goddard, Suite 200 INSURER D <br />XContractual <br />Irvine, CA 92618 INSURER E: <br />_ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 HAVL 2�EEN REDUCED BY PAID CLAIMS. <br />L RR <br />TYPE OF INSURANCE <br />�ADDL <br />INSIR <br />SUBR' <br />WD I POLICY NUMBER <br />POLICY EFF <br />(MMIDD/YYYY) <br />I POLICY EXP <br />!(MM/DD/YYYY) LIMITS <br />A X COMMERCIAL GENERAL LIABILITY <br />Y Y 16308986R247 <br />11011112117� <br />111011201 <br />EACH OCCURRENCE <br />$1.000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PR -E -MI -SES (Eci.ocLcqrrence <br />S1,000,000 <br />XContractual <br />_ <br />MED EXP (Any one person) <br />$10,000 <br />X OCP <br />PERSONAL & ADV INJURY <br />__..---- <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PR <br />T LOC <br />POLICY FY JECo- F,--,-- <br />FPRODUCTS - COMP/OP AGG <br />s2,000,000 <br />$ <br />OTHER: <br />------10/-03—/2017110/0-3--/-2---O-1--� <br />A AUTOMOBILE LIABILITY <br />Y Y <br />COMBINED SINGLE LIMIT <br />(Ea accident) - ----- ___ <br />$1,000,000 <br />X ANY AUTOBODILY <br />INJURY (Per person) <br />$ <br />ALL OWNED F SCHEDULED <br />AUTOSAUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />X <br />Xi HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />_LPeL@cctdant2_.__ <br />$ <br />$ <br />A X: UMBRELLA LIABX <br />OCCUR <br />y y <br />CUP9J428527 <br />10/0312017 <br />10/031201 EACH OCCURRENCE <br />$9,000,000 <br />$9 000 000 <br />EXCESS LIAS <br />CLAIMS -MADE <br />AGGREGATE [�G <br />DIEDRETENTION $ <br />$ <br />B WORKERS COMPENSATION <br />Y <br />WZP81038417 <br />05/01/2017 <br />05/01/2018XZs ATv 10TH <br />EMPLOYE RS'LIABILITY YIN <br />,_ <br />- ----- <br />:ANY PROPRIETOR/PARTNER/EXECUTIVE-- <br />E.L. EACH ACCIDENT <br />$1,000,010 <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />:NtA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />If y s, describe under <br />e <br />DE S,R,PT,ON OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />I $1,00o,000 <br />C Professional Liab <br />Y <br />MKLV7PL0002608 <br />04/03/2017 <br />10/0312016$5,000,000 per Claim <br />& Contractor's <br />$5,000,000 Arml Aggr. <br />Pollution Liab. <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />REF: RFP15-055 Geotechnical, special inspection, & material testing service. GENERAL LIABILITY/AUTOMOBILE <br />LIABILITY ADDITIONAL INSURED: City of Santa Ana, its officers, employees, agents, Volunteers. Insurance is <br />Primary and Non-contributory. <br />[REV�l EUNCE HEREDIA (PG OF <br />CAN <br />City of Santa Ana <br />V7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Public Works Agent ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza D I 1 <br />Santa Ana, CA 9271)'_5qOT,OO i AUTHORIZED REPRESENTATIVE <br />(9) 1988-20,14 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#82156374/M2154667 DAC <br />