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ACCORH�-DA-E (M 1IUDNyvY))
<br />CERTIFICATE OF LIABILITY INSURANCE 51 20
<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 polfcy(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 CON
<br />NAM_:
<br />Marsh Risk & Insurance Services -------------
<br />17901 Von Korman Avenue, Suite 1100 P(PHIOO.Nsla.Ext6._--.�,-_____—.�__a_-_,_,_—,. an Xy,.,tlpl;
<br />(949) 399-5800; License #0437153 E-MAIL
<br />Irvine, CA 92614 -AMNEST
<br />Attn: NewpoNSeach.CedRequest@mafsh.comIP: 212-948-4323 ._,._—.,.,,_W_LNSURER(Sj AFFORDING COVERAGE _.___ NAIC#
<br />980627--01-17-18 _ ItlaNaERA: Crum & Forster S edait Insurance Co 44520
<br />_. —_L.Ty _--
<br />INSUREDPlaceWorks,[no INSURERS; Travelers Pmpal)y Casueify Company OfAmerica _ ,— 25674
<br />Des: The Planning Center MSURSE c :,-.__-,_
<br />Design Community & Envlornment INSURER n ;
<br />3 MacArthur Place, Suite 1100------------ ---- — -----
<br />Santa Ana, CA 92707-
<br />1NSURER F
<br />COVERAGES CERTIFICATE NUMBER: LOS-002365288.01 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 />INBR.__..,..-..�vv��N..'AuDC
<br />LTR TYPE OF INSURANCE POLICY NUMBER LIMITS
<br />X COMMERCIAL GENERAL LIABILITY EPK118128 0710112017 0710112018 EACH OCCURRENCE $ 6,000,000
<br />'
<br />CLAIMS -MADE IT] OCCUR
<br />P.RFJ.dLS.E�" LEAS15ZrALe_rLa).. , $ 50,000
<br />X SI_&_PD Ded. $5,000 5,000
<br />_ MED EXP Any one person $
<br />_PERSONAL &_ADV INJURY $ 61000,000
<br />GENL AGGREGATE LIMIT L........1 APPLIES PER: GENERAL AGGREGATE $ - 5,000'No
<br />X POLICY n 29 LOC PRODUCTS-COMPIOP AGG $ 5,000,000
<br />Q7 I Contractors Pollution $ 6,D00,000
<br />B AUTOMOBILELIABHJTY BA7E37616717CAG 0710112017 071m112010 COMBINED SINGLE LIMIT Is 1,000,000
<br />X ANY AUTO BODILY INJURY (Per person) $
<br />OWNED SCHEDULED BODILYINJURY(Pere ldenl) $ .._..�._.-...._..
<br />".-. AUTOS ONLY _ AUTOS _____ _
<br />AUTOS ONLY AUOTOS ONELY iP Y pAMA4E $ —' ----
<br />rt�nU_-_____
<br />_ Com lColl Deductibles $ $1,000
<br />UMBRELLA LIAB OCCUR EACH OCCURRENCE $
<br />EXCESS LIAB CLAIMS -MADE AGGREGATE $_.,.___—___.�
<br />B WORKERS COMPENSATION UB7537616717 17 0710112018 X .PER
<br />AND EMPLOYERS' LIABILITY YIN > ATLITIE ,P_,_
<br />ANYPROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1000000
<br />OFFICEMM EMBER EXCLUDED? ❑N NIA
<br />(Mandatory In NH) ELL. E . DISEASE EA EMPLOYEE $ _ _ �1 000.000
<br />Ifyes, describe under ^-�1,000,000
<br />DE SCRIPTION OF OPERATIONS below ELL, DISEASE -POLICY LIMIT $
<br />A Errors & Omissions -Claims Made EPK118128 07101017 0710112018 Each ClaimlAggregale 5,000,000
<br />Ratio Dales: See 2nd Page
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space Is required)
<br />City of Santa Ana„ its officers, employees, agents, volunteers and representatives are Included as additional Insured where required by wrlben contract with respect to General Uability,
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />20 CMc Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />PO Box 1988 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ann, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />Rosalynds Martinez 4y,„
<br />©1988.2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010103) The ACORD name and logo are registered marks of ACORD
<br />
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