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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
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