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AC�RO�
<br />�- CERTIFICATE OF LIABILITY INSURANCE
<br />DAT VD1IY0 aYYY)
<br />1
<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 have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />AGO Risk Insurance Services West, Inc.
<br />LOS Angeles CA office
<br />CONTACT
<br />NAME:PHONE
<br />(666) 283-7122 FAX (800) 363-0105
<br />UVC.N¢ExU: A/C. NPJ.
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAICk
<br />Los Angeles PA. 90017-0460 USA
<br />INSURED
<br />INSURER A. Travelers Property Cas CO of America 25674
<br />wilidan Homeland Solutions
<br />2401 East Katella Avenue
<br />INSURER B: Lexington Insurance Company 19437
<br />INSURER C:
<br />Suite 300
<br />Anaheim CA 92806 USA
<br />INSURER D'
<br />INSURER E'.
<br />INSURER F:
<br />PREMISE-Eaoccurtm,sN31,000,000
<br />COVERAGES CERTIFICATE NUMBER: 570073760041 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 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. Limits shown are IS requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSID
<br />WE
<br />POLICYNUMBER
<br />MMIDD/YYYY
<br />MMIDONYYY
<br />LIMITS
<br />A
<br />P ] 1 TIL
<br />/
<br />EACH OCCURRENCE $1,000,000
<br />Me -MADE %❑DCCUR
<br />JX]OM.M.ERCIALGENEIRALLIAERL"
<br />Santa Ana CA 92701 USA
<br />PREMISE-Eaoccurtm,sN31,000,000
<br />MED'-XP,AnYone Penon) 515,000
<br />ployee Benefits Uali
<br />% I Con4adual Liab,liy lndoded
<br />PERSONAL a ADV INJURY 11,000,000
<br />GENLAGGREGATELIMUAPPUESPEA-.
<br />GENERALAGGREGATE 42,000,000
<br />X POLICY ❑ PROJECT [:]LOC
<br />PRODUCTS-COMPOPAGG 52,000,000
<br />OTHER:
<br />A
<br />AUTOMOSILELIABWTV
<br />P -318 -7136$332 -TIL -18
<br />11,109/201811/0912019
<br />COMBINED SINGLE LIMIT 31,000,000
<br />Ee accident
<br />BODILY INJURY i Per Person)
<br />X ANYAUTO
<br />BODILY INJURY (Per ansto"N
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON-0WNED
<br />ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Prin—dean
<br />UMBRELLALWB OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EXCESS LIAR CLAIMS -MADE
<br />DEC RETENTIOry
<br />A
<br />WORKERS COMPENSATION AND YIN
<br />ANY PROPRIETOR/?ARTNER EsECUTIVE
<br />P3UB93$5881913
<br />11/09/2013
<br />11/09/2019
<br />X sinTure ETH
<br />E.L EACHACCIDENT $1,000,000
<br />OFFICEI,MEMOER zxCLUOEOI
<br />(Mandatory in NH) Q
<br />NIA
<br />E.L. DISEASE£.A EMPLOYEE $1,000,000
<br />If Yes, dascnba under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />B
<br />Archit&Eng Prof
<br />028174912
<br />11,'09/2018
<br />11/09/2019
<br />Aggregate 52,000,000
<br />SIR applies per policy ter
<br />s & condi
<br />ions
<br />Per Claim $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Restrike ScbedUlo, may be aUacMd B more space ip rtgwmdl
<br />RE: AS -Needed Training Exercises.
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in
<br />accordance with the policy provisions of the General Liability and Automobile Liabilitypolicies. General Liability and
<br />Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to an additional
<br />Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Certificate Holder
<br />In accordance with the policy provisions of the General Liability, Automobile Liability and workers' Compensation policies.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />©1988-2015 ACORD CORPORATION. A ght reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SHOULD MY OF THE ABOVE DESCRIBED
<br />POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORREO REPRESENTATIVE
<br />Attn: Clerk of the City Council
<br />20 Civic Center Plaza(M-30)
<br />PO Bax 1988
<br />Santa Ana CA 92701 USA
<br />©1988-2015 ACORD CORPORATION. A ght reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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