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Client#: 25320 <br />KIMLHORN <br />ACORD_ CERTIFICATE OF LIABILITY INSURANCE <br />DATE/YYYY) <br />7/30/201/2018 <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 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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Greyling Ins. Brokerage/EPIC <br />3780 Mansell Road, Suite 370 <br />Alpharetta, GA 30022 <br />CONTACT Jerry Noyola <br />P/C,ONE 770-552-4225 FAX <br />L°' EXt : (A/C, N° : 866-550-4082 <br />ADDRESS: jerry.noyola@greyling.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: National Union Fire Ins. Co. <br />� 19445 <br />INSURED <br />Kimley-Horn and Associates, Inc. <br />421 Fayetteville Street, Suite 600 <br />Raleigh, NC 27601 <br />INSURER B : Aspen American Insurance Company <br />143460 <br />New Ham shire Ins. Co. <br />INSURER C : P <br />I23841 <br />INSURER D : Lloyds of London <br />085202 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 18-19 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 CONTRACTOR 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 />LTRR <br />TYPE OF INSURANCE <br />NSRLSUBR <br />WVD <br />POLICY NUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />A <br />X, <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />5268169 <br />4/01/2018 <br />04/01/2019 <br />EACH OCCURRENCE <br />$1 00,000 <br />PREMISESOEaoccurrDence <br />$500 000 <br />X <br />MED EXP (Any one person) <br />$25 OOO <br />Contractual Liab. <br />PERSONAL & ADV INJURY <br />$1 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY nX JECT X LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />4489663 <br />4/01/2018 <br />04/01/2019 <br />id.nIINGLELIMIT <br />Ea acccS <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />Xi, ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X AUTOS ONLY X NON -OWNED <br />AUTOS ONLY <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTYnt DAMAGE <br />Per accide <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />X <br />I OCCUR <br />CX005FT18 <br />4/01 /2018 <br />04/01/2019 <br />EACH OCCURRENCE <br />s5,000,000 <br />AGGREGATE <br />s5,000,000 <br />EXCESS LIAB <br />F_ICLAIMS-MADE <br />DED X. RETENTION$0 <br />$ <br />C <br />A <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYSTATUTE <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N / A <br />015893685 (AOS) <br />015893686 (CA) <br />039326820 (ME) <br />4/01 /2018 <br />4/01 /2018 <br />4/01 /2018 <br />04/01 /201 <br />04/01/2019 <br />04/01 /201 <br />X PER OTH- <br />IER <br />E.L. EACH ACCIDENT <br />$1 OOO OOO <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 />_ <br />D <br />Professional Liab <br />P070831800 <br />4/01/2018 <br />04/01/2019 <br />Per Claim $2,000,000 <br />Aggregate $2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Re: On -Call Agreements A-2015-171, A-2017-108, A-2016-344, A-2017-273, A-2017-025, A-2009-212, A-2018-159 <br />01 & A-2018-160-01. <br />The City of Santa Ana, its officers, employees, agents & representatives are named as Additional Insureds <br />with respects to General Liability where required by written contract. The above referenced liability <br />policies with the exception of workers compensation & professional liability are primary & nonoc 'tributory <br />(See Attached Descriptions) REVIEWED BY: EUNICE HEREDIA (PG 1 OF ) <br />l..Crl 1 IF- 1 G <br />City of Santa Ana <br />Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701-0000 <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 />�4/�1 <br />ACORD 25 (2016/03) 1 of 2 <br />#S1150205/M1017400 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />JNOY1 <br />