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�,,...._ CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />10/31/2017
<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(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 />Aon RiSk Insurance Services West, Inc.
<br />Los Angeles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />PHE
<br />(A/CNNo. Ext): (866) 283-7122 (AAC. No.): (800) 363-0105
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />LOS Angeles CA 90017-0460 USA
<br />INSURED
<br />INSURER A: Travelers Property Cas Co of America 25674
<br />willdan Enqineerinq
<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 />COVERAGES CERTIFICATE NUMBER: 570069106101 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 as requested
<br />ILTfi
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUER
<br />WVI
<br />POLICY NUMBER
<br />EFF
<br />MMIDDIYYYY
<br />DD/YYYY FXP
<br />MW_Pb_R7
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />20 civic center M-30)
<br />Santa Ana CA 9270202 VSAUSA
<br />TIL
<br />�°.
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS -MADE ^ IOCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $1,000,000
<br />MED EXP (Any one person) $15,000
<br />X Employee Benefits Liability
<br />PERSONAL& ADV INJURY $1,000,0Q0
<br />GEML AGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE $2,000,000
<br />X POLICY ❑ PRO ❑ LOC
<br />JECT
<br />PRODUCTS - COMP/OPAGG $2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />BA -77365332 -TIL -17
<br />11/09/2017
<br />11/09/2018
<br />COMBINED SINGLE LIMIT $1,000,QQO
<br />Ea accident
<br />_
<br />BODILY INJURY ( Per person)
<br />X ANY AUTO
<br />BODILY INJURY (Per accident)
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident
<br />UMBRELLALIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED RETENTION
<br />A
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY Y1 N
<br />ANY PROPRIETOR/ PARTNER I EXECUTIVE
<br />N
<br />UB97558819TIL17
<br />11/09/201711/09/2018X
<br />PER OTH-
<br />STATUTE E
<br />E.L. EACH ACCIDENT $1,000,000
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N/A
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />B
<br />Archit&Eng Prof
<br />028174912
<br />11/09/2017111/09/2018
<br />Aggregate $2,000,000
<br />SIR applies per policy terns
<br />& condi
<br />ions
<br />Per Claim $1,000,000
<br />SIR $250,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: To provide engineering services on an as -needed basis. Engineeringg services may include, but are not limited to, civil
<br />engineering, electrical engineering, traffic engineering, geotechnical) land/property surveying, structural, architecture and
<br />landscaping design services and grant writing services. General Liability policy excludes claims arising out of the performance
<br />of professional services. Independent Contractors are included as respects to General Liability.
<br />i
<br />( RRE'VlF_ ED L3Y: < -- EUNtCE FIEREDIA (PG OF )
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />01988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
<br />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 />AUTHORIZED REPRESENTATIVE
<br />Attn: City Clerk
<br />20 civic center M-30)
<br />Santa Ana CA 9270202 VSAUSA
<br />9ffi 9FalGt68?tCG GZ2�@�9
<br />�°.
<br />01988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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