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CERTIFICATE OF LIABILITY INSURANCE DATE (MMr©DfYfYY)
<br />'- 7125/2017
<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, EXTENT]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 have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does riot confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER Risk aSt-trate ies Company CONTACT
<br />g p y NAME Risk SirategiBs Company_-.
<br />2040 Main Street, Suite 460 PHONE FAX
<br />Irvine, CA 92614 (MC—No. Extl _ ..__-949-242 ..240-- (arca.
<br />E-MAIL - —.... _.m....
<br />COVERAGE
<br />www.risk-strategies.com CA DOI License No. OF06675
<br />INSURERA:
<br />INSURED
<br />Phase II Systems
<br />INSURER B
<br />Elba: PARS
<br />INsuRER G,.,,.
<br />4350 Von Karman Ave., Ste 100
<br />INSURER D
<br />Newport Beach CA 92660
<br />INSURER
<br />C()VFRAf1F. ('FRTIMCATF NIIMRF'R• 'APA7')ar17 RFVIAlON NIIMRGR•
<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 COND&TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS..
<br />INSR...
<br />ADDL SUBR
<br />...............—
<br />-POLICY EFF �II
<br />POLICY EXP
<br />-_.......- ___...-...,....... _.
<br />LTR', TYPE OFiNSURANCE
<br />lNSQ WVD!
<br />POLICYNUMBER
<br />MM/DDPYYYY!)
<br />IMMIDDIYYYYI
<br />LIMITS
<br />A
<br />COMMERCIAL GENERAL LIABILITY
<br />✓72SBAAC2429
<br />5/8/2017
<br />5/8/2018
<br />EACH OCCURRENCE
<br />5 $2,000,000
<br />FIE.hITED
<br />CLAIMS -MADE OCCUR
<br />yu
<br />I
<br />PRIMA619Tt
<br />ECvtIS�SCEaoccurrenrzy-.. ..$
<br />$1,000,000
<br />.-_$10,(300
<br />MED EXP (Any one person)
<br />$
<br />PERSONAL & ADW INJURY
<br />S $2,000,000
<br />GEN'LAGGRE,GATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ $4,000,000
<br />POLICY ✓ JECT LCC
<br />PRODUCTS-COMP12PAGG
<br />S $4,000,000
<br />_..
<br />OTHER'
<br />S
<br />A
<br />AUTOMOBILE LIABILITY
<br />... _..
<br />72S'BAAC2429
<br />5/8%2017
<br />5/8/2018 NESINGLE LIMIT
<br />... .,.
<br />�CCMBIID
<br />$2,000.0
<br />0,0
<br />ANY AUTO
<br />ODILY INJURY (Per person)
<br />$
<br />OWNED -..- SCHEDULED
<br />..................—.
<br />ROD" INJURY {'eT accident)
<br />_.._.__._....- .. _____.
<br />S
<br />AUTOS ONLY AUTOS
<br />_
<br />HIRED NON -OWNED
<br />$'.....
<br />AUTOS ONLY ✓ AUTOS ONLY
<br />tr accidarr.Il .-._._ ...,.-_..
<br />$
<br />''.... UMBRELLA LIAB OCCUR
<br />''.... EACH OCCURRENCE....
<br />S
<br />EXCESS LIAR CLAIMS MADE
<br />AGGREGATE
<br />$
<br />DER RETENTION $
<br />$
<br />WORKERS CO M PENSATION..
<br />PER 0TH -
<br />AND EMPLOYERS' LIABILITY YIN
<br />J STATUTE,,.,,.., „-,,,.. ER
<br />ANYPROPRIETORIPARTNEMEXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$
<br />OFFICERWEM13ER EXCLUDED? -]
<br />N f A
<br />...-.......
<br />. ...._ ..,.,...,_.,.
<br />(Mandatory !It NH)
<br />E.L. DISEASE - EA EMPLOYEE
<br />$
<br />If yes describe under
<br />............._. ..---..._..
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE.- POLICY LIMN'
<br />$
<br />B
<br />Professional Liability
<br />LDUSA1704508
<br />7/3012017
<br />7/30/2018
<br />Per Claim: $2,000,000
<br />Aggregate: $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more spacers required)
<br />Projects as on file with the insured including but not limited to those usual to the insured's operations/PARS Supplementary Retirement Plan.
<br />The City of Santa Ana, Its officials„ employees and volunteers are named as additional insureds on the general liability policy -see attached
<br />endorsement.
<br />City of Santa Ana
<br />Attn: Executive Director of Personnel Services
<br />20 Civic Center Plaza
<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 POLI CY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Michael Christian
<br />@ 1988-2015 ACORD CORPORATION, All rights !reserved..
<br />ACORD 25 (2016103) The ACO'RD name and logo are registered marks of ACORD
<br />3613 2BG7 i 17-1N CA GL-IiNOA,-.PL I aherty Young 11 7/25/201.7 8; 16:25 ANI t4'DT1 I Page: 1 of 1P
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