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Client#: 422
<br />LARRYWALK
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE
<br />DATD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />3/330/200/2017
<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(les) 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 />Tacr
<br />NAME: Doris A. Chambers
<br />NAM
<br />Dealey, Renton & Associates
<br />PHO" o, Ext) 510 465-3090 Fa/c, N545 3
<br />P. O. Box 12675
<br />E-MAIL dchambers Beae
<br />lrenton.com �Y
<br />Oakland, CA 94604-2675
<br />._ADDRESS:
<br />510 465-3090 -Julie L. Nelson
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: Travelers Indemnity Co. of Conn 125682
<br />INSURED
<br />INSURER B : Travelers Property Casualty Co 25674
<br />Larry Walker,SuitAssociates,
<br />_.... _____--- -......_ -.___
<br />INSURER C: American Automobile Ins. Co. 121849
<br />0
<br />Street, Suite 200
<br />INSURER D: Greenwich Insurance Company 122322
<br />Davis,Fourth
<br />DaCA 95616-4124
<br />INSURER E:
<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 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 HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X.COMMERCIAL GENERAL LIABILITY
<br />X
<br />6809H382758
<br />4/01/2017
<br />04/01/2018
<br />EACHOCCURRENCE $2000,000
<br />CLAIMS -MADE "i OCCUR
<br />PREMISES (Ea occurrence)
<br />-.0,0002000
<br />MED EXP (Any one person) s5,000
<br />PERSONAL & ADV INJURY $2,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY I^I JECOT LOC
<br />GENERALAGGREGATE $4,000,000
<br />PRODUCTS - COMP/OPAGG $4,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />X
<br />X
<br />BA3C999002
<br />4/01/2017
<br />04/01/201
<br />EaaocideDSINGLE $1,000,000
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />'AUTOS ,___.__. AUTOS
<br />X''.... HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />B
<br />X,'...,,. UMBRELLA LIAB X OCCUR
<br />X
<br />X
<br />CUP3C999260
<br />4/01/2017
<br />04/01/2018
<br />EACH OCCURRENCE $11,000,000
<br />AGGREGATE $11,000,000
<br />EXCESS LIAB CLAIMS -MADE
<br />$
<br />DED RETENTION $
<br />`+
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
<br />OFFICER/MEMBER EXCLUDED? F
<br />N / A
<br />X
<br />WZP81038775
<br />04/01/2017
<br />04/01 /201
<br />XPER OTH-
<br />E.L. EACH ACCIDENT $1 000,000
<br />-- -�---
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />(Mandatory in NH)
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT 1 $1,000,000
<br />D
<br />Professional
<br />X
<br />PECO03092707
<br />4/01/2017
<br />04/01/2018
<br />$2,000,000 per Claim
<br />Liability
<br />$4,000,000 Annl Aggr.
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if 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-polic form wording
<br />Cancellation provisions are solely as shown on this certificate. jai rII;ELS B) EL9C P(„L ---i�L Dl (� u�
<br />City of Santa Ana
<br />Clerk of the City Council
<br />P.O. Box 1988
<br />Santa Ana, CA 92702-1988
<br />ACORD 25 (2014/01) 1 Of 1
<br />#S1982970/M1982337
<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 />C 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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