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Client#: 25181 <br />PSOMAS <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <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 />03/27/2018 <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(les) 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 not confer any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: Katie Kresner <br />Greyling Ins. Brokerage/EPIC <br />PH" Nr o, FAX :866.550.4082 <br />Ext 770.552.4225 (AIC, No <br />3780 Mansell Road, Suite 370 <br />E-MAIL <br />ADDRESS: Katie. Kresner@greyling.CO mi <br />Alpharetta, GA 30022 <br />04/01/2019 <br />EACHOCCURRENCE $1,000,000 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : National Union Fire Ins. Co. 119445 <br />INSURED <br />INSURER B: <br />Psomas <br />555 South Flower Street; Suite 4300 <br />INSURER C: <br />Los Angeles, CA 90071 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 18-19 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 />CLAIMS -MADE F OCCUR <br />GL5268212 <br />4/01/2018 <br />04/01/2019 <br />EACHOCCURRENCE $1,000,000 <br />PREMISES (ERENTED occur ence $500 000 <br />MED EXP (Any one person) s25,000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY X JECOT � LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMP/OPAGG $2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />XI <br />LIABILITY <br />ANY AUTO <br />CA4489706 <br />4/01/2018 <br />04/01/201 <br />EOaaacdeDt51NGLELIMIT 1,000,000 <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />BODILY INJURY (Per idt $ <br />accen) <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB CLAIMS -MADE <br />$ <br />DED RETENTION $ <br />A <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYTUTE <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N <br />N / A <br />WC015893765 (CA) <br />WC015893764 (AOS) <br />4/01 /2018 <br />4/01/2018 <br />04/01 /201 <br />04/01/201 <br />X PTR OTH- <br />ER <br />E.L. EACH ACCIDENT $1 000 000 <br />E.L. DISEASE - EA EMPLOYEE $1 000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />2SAN050900; Agreement No. A-2008-219: On -Call Engineering & Landscape Architecture Services; Executed <br />Agreement #A-2008-219 & 2SAN050902 Grand Avenue Storm Drain From Channel to 4th Street Design. The City of <br />Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Insureds <br />with respects to General & Automobile Liability where required by written contract. Primary & <br />Non -Contributory coverage applies. Waiver of Subrogation applies to General Liability & Workffj Compensation <br />where required by written contract. REVIEWED BY: 1 EUNICE HEREDIA (PG J OFJ; <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702-0000 <br />ACORD 25 (2016/03) 1 of 1 <br />#S1033018/M1032607 <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 />4W. <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />KKRE1 <br />