Laserfiche WebLink
�►�� CERTIFICATE OF LIABILITY INSURANCE <br />01/0(9/18 DATEY' <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. <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 rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />PRIME INSURANCE SERVICES, INC. <br />9891 IRVINE CENTER DRIVE #160 <br />IRVINE, CA 92618-4319 <br />LIC #OD48024 <br />coNTAcrkathy <br />PHGNE _949-450-2310 FA't 949-450-2311 <br />E-MAIL .KATHY PRIMEPOLICY.COM <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURERA SENTINEL INSURANCE COMPANY <br />11000 <br />INSURED ENGINEERING SOLUTIONS SERVICES <br />23232 PERALTA DR., SUITE 112 <br />LAGUNA HILLS, CA 92653 <br />(949)637-1405 <br />949)637-1405 <br />INSURERB: HARTFORD INSURANCE COMPANY <br />29424 <br />.RLI INSURANCE COMPANY <br />28860 <br />INSURER D' <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 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 G 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 />aD <br />WVD <br />P VN M <br />2LUYY,FF <br />POLICL EXP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />EACH OCCURRENCE <br />2,000,000 <br />s 2,000,000 <br />MED EXP (Anyoneperson) <br />$ 10,000 <br />A <br />PERSONAL& ADV INJURY <br />$ 2,000,000 <br />72SBAIT9447 <br />08/1912017 <br />6/19/201e <br />GENT <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO- <br />JECT ❑ LOD <br />GENERAL AGGREGATE <br />s 4,000,000 <br />PRODUCTS - COMP/OP AGG <br />s 4,000,000 <br />$ <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANYAUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY HAUTOS ONLY <br />777PERTY DAMAGE <br />(Per accident) <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />D NTI N <br />WORKERS COMPENSATION <br />]( I SPTEARTUTe OTH- <br />ER <br />B <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />Mandatory neER NH EXCLUDED] $ <br />( ) <br />N/A <br />72WECGG6484 <br />8/20/201] <br />/20/2018 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 110001000 <br />Il es,tlesctlbeunder <br />A <br />1 r 000 T 000 <br />A <br />BUSINESS PERSONAL PROPERTY <br />72SBAIT9447 <br />08/19/2017 <br />8/19/2016 <br />B.P.P <br />$12,000 <br />C. <br />PROFESSIONAL LIABILITY <br />RTPOO10333 <br />08/29/2017 <br />e/29/201e <br />PLIABILITY <br />$1M/2M <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks ScIreduls, may to attached it more space is required) <br />GRANT AND FUND MANAGEMENT, CONSULTING FOR PROJECT MANAGEMENT <br />THOSE USUAL TO THE INSURED'S OPERATION.CERTIFICATE HOLDER CITY OF OF SANTA ANA,IT'S OFFICERS, <br />EMPLOYEES,AGENTS, AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED WITH LIABILITY LIMITED TO <br />CLAIMS ARISING OUT OF INSURED'S OPERATION ONLY.30 DAYS NOTICE OF CANCELLATION WILL BE PROVIDED. <br />CFRTIFICATF Hnl DFR CANCFI I ATION <br />ADDITIONAL INSURED: <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Its O££icers, Employees, Agents, Volunteers <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />and Representatives <br />220 S. Daisy Ave (M-85) <br />Santa Ana, CA 92703 <br />AUTHORIZED REPRESENTATIVE <br />F_ <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />f�gJl7, pale, I rf 2� <br />VT <br />i4 <br />