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Ali CERTIFICATE OF LIABILITY INSURANCE
<br />°A 11/11912019 '
<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 Due No :425-709-7460
<br />(A NE
<br />-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAICIf
<br />INSURER A: Hartford Casualty Ins. Co.
<br />INSURED Alta Planning +Design, Inc
<br />INSURERS: Trumbull Insurance Company
<br />INSURER c : Twin City Fire Ins. Co.
<br />711 SE Grand Ave
<br />Portland, OR 97214
<br />INSURER D : Continental Casualty Company
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR-
<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 />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DO
<br />POLICYEXP
<br />MMIDDNYYYI
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />52UUNHB2172
<br />09/01/2019
<br />09/01/2020
<br />EACH OCCURRENCE$
<br />1,000,000
<br />MERCIAL GENERAL LIABILITY
<br />17CILUMS-MADE lxlOCCUR
<br />X
<br />DTO
<br />DAMAMAGE TORENTEED
<br />PREMISES Eaoccurcence
<br />$ 300,000
<br />MED EXP(Any one person)
<br />$ 10,000
<br />PERSONAL&ADVIWURY
<br />$ 1,000,000
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS-COMP/OP AGG
<br />$ 2,000,000
<br />POLICY
<br />Z PMT RO K LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />52UUNHB2172
<br />09/01/2019
<br />09/01/2020
<br />CMINEDSINGLE LIMIT
<br />11000,000
<br />1r
<br />BODILY INJURY (Per person)
<br />S
<br />ANY AUTO
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTOS ANY
<br />BODILY INJURY Pereccitlenl
<br />( )
<br />S
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />A
<br />UMBRELLA LIAB
<br />K
<br />OCCUR
<br />52XHUHB1180
<br />09/01/2019
<br />09/01/2020
<br />EACH OCCURRENCE
<br />$ 7,000,000
<br />K
<br />AGGREGATE
<br />$ 7,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEB K RETENTIONS 10,000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOR/PARTNEWEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED)
<br />(Mandatary In NH)
<br />describe antler DES
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />52WEAA61PB
<br />09/01/2019
<br />09/01/2020
<br />K WOCY TATU- OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability
<br />MCH114135257
<br />11/01/2019
<br />09/Ot/2020
<br />$5,000,000 Each Claim/Aggregate;
<br />10/17/2001 Knowledge Date
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Project #00-2017-440 - Santa Ana CA Safe Routes to School Plan. City of Santa Ana, its officers, employees, agents, and representatives are additional insured
<br />on the general liability policy per the attached endorsements/forms.
<br />CANCELS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE.
<br />CERTIFICATE HOLDER R. ADDDf-1VU1CFl I ATKIN
<br />BY
<br />I k MANACIEMENT Div
<br />SIOHOULD
<br />P
<br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />N 16 2020
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division, 4t
<br />FI o
<br />RIZED REPRESENTATIVE
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />$A
<br />THA M. LAMB
<br />RT
<br />ACORD 25 (2010/05)
<br />1 of 28 SPC ID: Reissue 10/31
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />(SEL02)
<br />
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