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ENVIPLA-02
<br />SUMMANIR
<br />DATE 12J192019Y)
<br />12/19/2019
<br />,MacoRO' CERTIFICATE OF LIABILITY INSURANCE
<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 rights to the certificate holder in lieu of such endorsemen s .
<br />PRODUCER License # OE67768
<br />Cr JACT David Sifuentes
<br />IOA Insurance Services
<br />3875 HoFFyard Road
<br />Suite 200
<br />PHONE FAX
<br />ae,No,Eel: 50027 FAX Np:(925) 416-7869
<br />. David.Sifuentes@ioausa.com
<br />Pleasanton, CA 94588
<br />INSURERS AFFORDING COVERAGE
<br />NAIL a
<br />INSURER A: RLI Insurance Coman
<br />13056
<br />INSURED
<br />INSURER 8 : Hartford Casualty Insurance Company
<br />29424
<br />Environment Planning Development Solutions Inc dba EPD
<br />Solutions Inc
<br />INSURER c : Continental Casuafty Company
<br />20443
<br />2 Park Plaza, Suite 1120
<br />INSURER D :
<br />INSURER E:
<br />Irvine, CA 92614
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER- RFVIRION NIIMRFR-
<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 RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS.
<br />LI R
<br />TYPE OF INSURANCE
<br />A
<br />SUBR
<br />POLICY NUMBER
<br />POLICY
<br />EFF
<br />POLICY IXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAMS -MADE [ OCCUR
<br />X
<br />X
<br />PSB0006142
<br />9/3012019
<br />9/3012020
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGE TO RENTED
<br />1,000,000
<br />MED EXP An one n
<br />10,000
<br />PERSONAL $AOV WIJRY
<br />2,000,00
<br />EN'L
<br />AGGREGATE pLRIMpIT. APP SPER:
<br />POLICY � JEL'T LOC
<br />GENERAL AGGRE TE
<br />S 4,000,000
<br />PRODUCTS - COMPIDP AG
<br />j 4,000,00Q
<br />I
<br />S
<br />OTHER
<br />I
<br />A
<br />AUTOMOBILE
<br />LWBIIITY
<br />COMBINED SINGLE LIMIT
<br />(Ea acakrrtlANY
<br />$ 2,000.006
<br />BODILY INJURY IPw
<br />$
<br />AUTO
<br />OWNAUTOS ONLY
<br />X
<br />X
<br />PSB0006142
<br />9/3012019
<br />9/30/2020
<br />BODILY INJURY Per eweent
<br />$
<br />X
<br />PP aEAentDAMAGE
<br />$
<br />rAgUTryOpSwULNEEDp
<br />HF61S ONLY X AUTOS ONLY
<br />$
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000.000
<br />X
<br />AGGREGATE
<br />4.000.000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />X
<br />X
<br />PSE0003502
<br />9/30/2019
<br />9130/2020
<br />DEC) I I RETENTIONS
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' 11AB1U1YSTATUTE
<br />ANY PROPRIETOWPARTNER,EXECOTIVE v�
<br />pF�FICEqMMEMg�p EXCLUDED9
<br />(Nlanearory In NPN)
<br />H yas, tlMscnte ur Der
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />57 WEG AC20BW
<br />9/30I2019
<br />9130/2020
<br />X PER OTH-
<br />ER
<br />E. L. EAEASECH C
<br />1,000,000
<br />AEM
<br />EL. DISEASE - EA EMPLOYE
<br />1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />C
<br />lProfessional Liab.
<br />X
<br />EEH591923312
<br />9/30/2019
<br />W3012020
<br />Per Claim
<br />2,000,000
<br />C
<br />Professional Llab.
<br />X
<br />EEH591923312
<br />9/30/2019
<br />9/30/2020
<br />Aggregate
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS? LOCATIONS I VEHICLES (ACORD 101, ACdiff m) RemMlu Scha , may In amtchW N mole space N n ulmE)
<br />RE: EPD PN 19-D07 - Warner and Redhill Residential
<br />City of Santa Ana is included as additional insured on Commercial General Liability and Hired and Non -Owned Auto Liability, as required by written contract.
<br />Waiver of Subrogation and Primary and Non -Contributory Provision included on Commercial General Liability Policy, as required by written contract Waiver
<br />of Subrogation Provision included on Workers Compensation policy, as required by written contract -Commercial Excess Liability policy follows form with the
<br />Commercial General Liability, Hired and Non -Owned Auto Liability and Employers Liability Policies. and Employers Liability Policies. Should any of the above
<br />described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. Professional Liability is a
<br />claims made policy and includes Waiver of Subrogation Provision as required by written contract
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />1% 2020
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana AUTIIOR¢ED REPRESENTATIVE
<br />Risk Management Plaza,
<br />4t n Floor THA M. LAMBERT
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Anw CA B97M
<br />ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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