| ACOR" CERTIFICATE OF LIABILITY INSURANCE 
<br />DAT8/31/2018 Y) 
<br />08/31 /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(ies) 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 />Parker, Smith & Feek, Inc. 
<br />2233 112th Avenue NE 
<br />Bellevue, WA 98004 
<br />CONTACT 
<br />NAME: 
<br />PHONE 425-709-3600 FOX 425-709 7460 
<br />A/C Ext: AIC No 
<br />L 
<br />E-MAIL 
<br />ADDRESS: 
<br />INSURERS AFFORDING COVERAGE 
<br />NAIC # 
<br />INSURER A: Hartford Fire Insurance Co. 
<br />INSURED Alta Planning +Design, Inc 
<br />711 SE Grand Ave 
<br />INSURER B : Hartford Casualty Ins. Co. 
<br />INSURER C : Continental Casualty Company 
<br />INSURER D : 
<br />Portland, OR 97214 
<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 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. 
<br />INSR 
<br />LTR 
<br />OF INSURANCE 
<br />ADDLTYPE 
<br />INSR 
<br />SUER 
<br />POLICY NUMBER 
<br />MM DPOLIDY 
<br />/YYYY 
<br />MMIDDIIYYYY 
<br />LIMITS 
<br />A 
<br />GENERAL LIABILITY 
<br />52UUNHB2172 
<br />9/1/2018 
<br />9/1/2019 
<br />EACH OCCURRENCE 
<br />$ 1,000,000 
<br />X COMMERCIAL GENERAL LIABILITY 
<br />CLAIMS -MADE Ix OCCUR 
<br />X 
<br />DAMAG O R NTED 
<br />PREMISES Ea occurrence 
<br />$ 300,000 
<br />MED EXP (Any one person) 
<br />$ 10,000 
<br />PERSONAL & ADV INJURY 
<br />$ 1,000,000 
<br />X $0 Deductible 
<br />GENERAL AGGREGATE 
<br />$ 2,000,000 
<br />GEN'L AGGREGATE LIMIT APPLIES PER: 
<br />PRODUCTS - COMP/OP AGG 
<br />$ 2,000,000 
<br />17 POLICY X PE O LOC 
<br />$ 
<br />A 
<br />AUTOMOBILE LIABILITY 
<br />52UUNHB2172 
<br />9/1/2018 
<br />9/1/2019 
<br />Easacld.ntSINGLELIMIT 
<br />11000,000 
<br />X ANY AUTO 
<br />BODILY INJURY (Per person) 
<br />$ 
<br />ALL OWNED SCHEDULED 
<br />AUTOS AUTOS 
<br />X NON -OWNED 
<br />HIRED AUTOS X AUTOS 
<br />X $1,000 COME 
<br />BODILY INJURY (Per accident) 
<br />$ 
<br />PROPERTY DAMAGE 
<br />Per accident 
<br />$ 
<br />$ 
<br />B 
<br />UMBRELLA LIAB 
<br />X 
<br />OCCUR 
<br />52XHUHB1180 
<br />9/1/2018 
<br />9/1/2019 
<br />EACH OCCURRENCE 
<br />$ 7,000,000 
<br />X 
<br />EXCESS LIAB 
<br />CLAIMS -MADE 
<br />AGGREGATE 
<br />$ 7,000,000 
<br />DED X I RETENTION $ 10,000 
<br />$ 
<br />B 
<br />WORKERS COMPENSATION 
<br />AND EMPLOYERS' LIABILITY Y/N 
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE 
<br />OFFICER/MEMBER EXCLUDED? ❑ 
<br />(Mandatoryin NH) 
<br />N/A 
<br />52WEAA6IPB 
<br />�` Stop Gap Liability WA OH 
<br />9/1/2018 
<br />9/1/2019 
<br />X WC STATU- X OTH- 
<br />E.L. EACH ACCIDENT 
<br />$ 1,000,000 
<br />E.L. DISEASE - EA EMPLOYEE 
<br />$ 1,000,000 
<br />If yes, describe under 
<br />DESCRIPTION OF OPERATIONS below 
<br />E.L. DISEASE - POLICY LIMIT 
<br />$ 1,000,000 
<br />C 
<br />Professional Liability 
<br />MICH114135257 
<br />9/1/2018 
<br />9/1/2019 
<br />15,000,000 per claim 
<br />$5,000,000 per aggregate 
<br />$75,000 per claim deductible 
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 
<br />Project #00-2017-440 - Santa Ana CA Safe Routes to School Plan. City of Santa Ana is additional insured on the general liability policy per the attached 
<br />endorsements/forms. 
<br />REVIEWED BY: EUNICE HEREDIA (PG I OF 
<br />I.tKI Ir II:HIt MVLLI 
<br />City of Santa Ana 
<br />20 Civic Center Plaza 
<br />Santa Ana, CA 92702 
<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 />©1988-2010 ACORD CORPORATION. All rights reserved. 
<br />ACORD 25 (2010/05) 
<br />The ACORD name and logo are registered marks of ACORD 
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