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CI lent#: 422
<br />LARRYWALK
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />D031252016
<br />TYPE OF INSURANCE
<br />03/25/2018
<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 />P.0,B, Renton &Associates
<br />P. 0. Box 12675
<br />Oakland, CA 94604.2675
<br />NA E:
<br />TDeraleyAT Doris Chambers
<br />PHONE 510 465.3090 F 510 452-2193
<br />AIC No Exl: AIC No:
<br />AD�ARIESS: dchambers@dealeyrenton.com
<br />INSURERS) AFFORDING COVERAGE NAICN
<br />510 465.3090
<br />INSURER A: Travelers Indemnity Co. of Conn 25682
<br />INSURED
<br />Larry Walker Associates, Inc.
<br />Fourth Street, Suite 2D0
<br />Davis,American
<br />DaCA 95616-4124
<br />INSURER B: Travelers Property Casualty CO 674
<br />25
<br />INSURER c: _ Automobile Ins. Co. 21849
<br />INSURER o;Greenwich Insurance Company 22322
<br />INSURER E
<br />MED EXP (Anyone person) $5000
<br />INSURER F,
<br />MI
<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, TCRM 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 HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />INR
<br />D POLICY NUMBER
<br />POLICYE F
<br />(MMIDD)
<br />POLICY E%P
<br />MMIODIYYYY
<br />LIMITS
<br />A
<br />�(
<br />_
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FYI
<br />X
<br />X 6803C998380
<br />04101/2016
<br />04/011201
<br />OCCURRENCE $2,000,000
<br />EEAACCHH
<br />PREMISES Eeocaunence $300000
<br />—
<br />MED EXP (Anyone person) $5000
<br />PERSONAL &ACV INJURY s2,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY DXPRO-
<br />JECT LOC
<br />GENERAL AGG REBATE $4,000,000
<br />GEHL
<br />PRODUCTS -CO_MPIOP AGG $4000,000
<br />OTHER:
<br />$
<br />13
<br />AUTOMOBILE
<br />LIABILITY
<br />X
<br />X
<br />BA3C999002
<br />04101/2016
<br />04/011201
<br />COaa aocld. I) SINGLE LIMIT 1,000,000
<br />BODILY INJURY (Per person) $
<br />X
<br />ANYAUTO
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIREDAUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE
<br />Per accident $
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />X
<br />X
<br />CUP3C999260
<br />04101/2016
<br />04/011201
<br />EAC14OCCURRENCE $1 000000
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />AGGREGATE $1,000,000
<br />DEO RETENTION$
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED? ®
<br />NIA
<br />X
<br />WZP81031046
<br />04/01/2016
<br />0410112011X
<br />PER OTH-
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $1,000000
<br />(Mandatory In NH)
<br />ho, tlescrlbeIunder
<br />RIPTON OF OPERATIONS below
<br />E.L. CI$EASE- POLICY LIMIT $1,000,000
<br />D Professional PtECO03092706 04/01/2016 0410V2017 $2,000,000 per claim
<br />LiabilityWED BY. - $4,000,000 annl aggr.
<br />REVIE. EUNICC NERGDIA (PGI OF.
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required)
<br />GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES.
<br />REF: Project Name: Santa Ana NPDES & Environmental Programs Fee Study; LWA Project No. 528.01. The City of
<br />Santa Ana, its officers, employees, agents, and representatives are named as Additional Insured to General
<br />and Auto Liability per policy form wording. Insurance is Primary and Non-contributory with Severability of
<br />Interest clause. Waiver of Subrogation applies to Workers Compensation coverages per policy form wording.
<br />Cancellation provisions are solely as shown on this certificate.
<br />City of Santa Ana
<br />Clerk of the City Council
<br />P.O. Box 1988
<br />Santa Ana, CA 92702.1988
<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 />"00-11) IH AUUKU ULIKPUKA I RUN. All rights reserved.
<br />ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S1648555/114'1648468 OTMP1
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