NV5, INC-A-2020-075-05 - Laserfiche WebLink

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CERTIFICATE OF LIABILITY INSURANCE DATE (MMMONM) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIATE HOL 4IZUZU FICIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S) REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. , AUTHORIZED Ir me COMIncate holder Is an ADDITIONAL INSURED, the POlicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy. certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Cavignac & Associates 450 B Street, Suite 1 Boo San Diego CA 92101 INSURED NV5, Inc. 163 Technology Drive Suite 100 Irvine, CA 92618 COVERAGES CFRTIFIf eTc Mllaroee..—...- -----•-•-•••••••�.�. ,aco0•sr yr REVISION NUMBER: THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY AYBE SUEDO OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH O POLICIES. LIMITS NSR SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TA A TYPE OF INSURANCE X R POLICY NUMBER POLICY EFF MMAID POLICY EXP MAN D LIMITS COMMERCIAL GENERAL LIABILITY Y 805]040530 s1=0 CLAIMS -MADE � OCC / 511M21 EACH OCCURRENCE E1,000.000 MI 5igagmMol S1,D0a000 X Cmss UabSeNn V/ X W DWmt1bla f 15,O0D MED EXP M one rsan GENL AGGREGATE LIMB APPLIES PER PERSONALBAOVtWuRY $1,0oo= GENERAL AGGREGATE II 2.000,DDo X O a LOC :XICY JE(T OTr�R: PRODUCTS - COMP/OP AGG $2,DDD,000 Sro Ga LiaMli $1,000,000 B AOTOYOB LMBILm' Y a05 W5]5 X s1rM20 s1/M21 C MBIN I L IT S ANY AUTO / / ' nt D L/ s� BODILY eMURY (Per Dason) f AUTOS AUTOS NON OWNED BODILY INJURY(Pw acd wq E HIRED AIII'OS AUTOS PROPERTY DAMAGE S C X UMSRELLALIAB X OCCUR CUFEO)6054554 SM0020 511r1021 S EXCESS LIAR CLAMS -MADE EACH OCCURRENCE S20,W0,0110 DED X RETENTION AGGREGATE $20,000,OW S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y,CBSl0A0558 slam 5nmi X R TN ANY PROPRIETORMARTNERIE%ECUTnIE EL EACH 000 §1000 OFFICER0EMSER EXCLUDEDT ❑N nlandltwy In NN) NIA ELOSEASE-EA EMPLOYE f1,000,000 a yyaass dexnbe undx DESCR IPTK)N OF OPERATIONS bd E.L DISEASE -POLICY LIMB S 1,00 E Pm $--W PDMu0. WhI ty AEC90�819501 st/2020 511/N21 EMn CM,m Aggregate S10"ODD00 I E20.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VENICLES (ACORD tat, AddlBonal Ramerte SDhadulIvegulrytl) Re: On -Call Water Resources. Additional Insured coverage applies to General Liabila.mryityba andatMAutomobilechAdIfmonap¢a Liability for City of Santa Ana, its officers, employees, agents and representatives per policy form. ExcesslUmbrella policy follows form over underlying policies: General Liability, Auto Liability 8 (additional Insured and waiver of Employers Liability subrogation apply). Professional Liability - Claims made form, defense costs included within limit. Primary coverage General Liability and Automobile Liability form. per policy applies to If the insurance company elects )o cancel or non -renew coverage a 30 days written notice of such cancellation or nonrenewal will be provided and 10 days for nonpayment of premium. t/ CERTIFICATE HOLDER o-, r„ , - - a City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92702 ACORD 25 (2014/01) 20 ANff1E AcEVEdO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2014 ACI The ACORD name and logo are registered marks of ACORD All rights reserved.