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® QC®R® � CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/12/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Cornerstone Specialty Insurance Services, Inc. 14252 Culver Drive, A299 Irvine CA 92604 CONTACT Aimee Guesno NAME: PHONE Ext• (714)731-7700 AXNo:(719)731-7750 AIL ADDRESS:aimee@cornerstonespecialty.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:RLI Insurance Comnpany 13056 INSURED. DAVID VOLZ DESIGN LANDSCAPE ARCHITECTS, INC. 151 Kalmus Drive, Ste. M-8 Costa Mesa CA 92626 INSURERB:Liberty Insurance Underwriters 19917 INSURERC: INSURERD: INSURER E : 1 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL S BR POLICY NUMBER POLICY EFF MM/DDIYYYY PO��CY EXPP MM/[3DNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_x1OCCUR EACH OCCURRENCE $ 2,000,000 DA AGE STOEa RENT—accuEErc[ ence — PREMISES $ 1,000,000 X MED EXP (Any one person) $ 10,000 ADDT' L INSURED/PRIMARY X PSB0001408 3/14/2017 3/14/2018 X BLNKT WVR OF SUBRO PERSONAL & ADV INJURY $ INCLUDED PER FORM #PPB3040212 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 GENIL AS REQUIRED BY WRITTEN POLICY JEO- 0 LOC CONTRACT PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER; AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS IX HIRED AUTOS AUTOS PSB0001408 3/14/2017 3/14/2018 BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ $ UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N/A PSWO001346 3/14/2017 3/14/2018 PER OTH. X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE 11 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 B PROFESSIONAL LIABILITY AEA100668-0004 3/14/2017 3/14/2018 EACH CAIM $2,000,000 Claims Made ANNUAL AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) the City of Santa Ana, its officers, employees, agents, and representatives are named as Additional Insured for General Liability but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. *30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available jo,ali covered claims reported within the policy period. REVIEWED BY: EUNICE HEREDIA (PG OF City of Santa Ana ATTN: Gaby Lomeli 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE imee Guesno/AIMEEG ACORD 25 (2014/01) INS025 (gnuni) O 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD