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Digitally agned by Francine R
<br />Francine R. Villareal YIN areaI
<br />Date aon.l l.le s2:a7-o 'Go'
<br />ENVIPLA-02 ANR
<br />,a��Ro CERTIFICATE OF LIABILITY INSURANCE
<br />DAT0/1/2021
<br />10/1/2021
<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 endorsements .
<br />PRODUCER License # OE67768
<br />CONEAcr Rita
<br />Summon
<br />IDA Insurance Services
<br />3875 Hopyard Road
<br />Suite 200
<br />Pleasanton, CA 94588
<br />PHONE
<br />(ac, IN Earl): (925) 416-7862 jac, Nol:
<br />Eoortks . Rita.Summan@ioausa.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Continental Casualty Company
<br />20443
<br />INSURED
<br />INSURER B: Hartford Casualty Insurance Company
<br />29424
<br />Environment Planning Development Solutions Inc dba EPD
<br />Solutions Inc
<br />INSURER C
<br />INSURER D :
<br />2 Park Plaza, Suite 1120
<br />INSURER E:
<br />Irvine, CA 92614
<br />INSURER F :
<br />COVERAGES CFRTIFICATF NIIMRFR• REVISION MnrAneo.
<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
<br />I TYPE OF INSURANCE
<br />ADDL
<br />wvD
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMIT
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADEl.A I OCCUR
<br />X
<br />X
<br />B6025654530 -
<br />6123/2021
<br />6/2312022
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGE TO RENTED
<br />ESEMISES
<br />1,000,000
<br />MED EXP An one arson
<br />10,000
<br />PERSONAL &ADV INJURY
<br />2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY JEST LOG
<br />GENERAL AGGREGATE
<br />4,000,000
<br />PRODUCTS -COMPIOPAGG
<br />41000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLE LIMIT
<br />$ 1,000,000
<br />BODILY INJURY Per arson
<br />ANY AUTO -
<br />OWNED SCHEDULED
<br />AUTOS ONLY ASUr05W
<br />X
<br />X
<br />B6025654530
<br />6/2312021
<br />612312022
<br />BODILY INJURY Per accident)
<br />X
<br />Al1TO50NLY X AOUIN'OS ONLB
<br />PeOaaolden[ AMAGE
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />4,000,000
<br />X
<br />AGGREGATE
<br />41000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE.
<br />X
<br />X
<br />B 6025663132
<br />6/2312021
<br />6/2312022
<br />DED I X I RETENTION$ 10,000
<br />B
<br />ACOMPENSATION
<br />ND EMPLOYERS'LIA
<br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN
<br />gFFICERRNEMBE; EXCLUDED? �N
<br />,,Mandatory in NH
<br />If yes, descdbe antler
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />57 WEG AC208W
<br />913012021
<br />913012022
<br />X PER
<br />FIR
<br />E.L. EACH ACCIDENT
<br />$ 1,gpg ppp
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,OOQ000
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />q
<br />Professional Liab.
<br />I
<br />X JEEH591923312
<br />9/3012021
<br />9/3012022
<br />Per Claim
<br />2,000,000
<br />q
<br />Professional Liab.
<br />X
<br />EEH591923312
<br />913012021
<br />9/3012022
<br />Aggregate
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is re uired(
<br />City of Santa Ana is included as additional insured on Commercial General Liability and Hired and Nan -Owner 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 />30-Day Notice of Cancellation is Included per policy provisions.
<br />City of Santa Ana
<br />Risk Management Divison
<br />20 Civic Center Plaza, 4th Floor
<br />ACORD 25 (2016/03)
<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 />Wdr M1tnrogemmt Divielon
<br />V�I1�� is REVIEWED&APPRovEDBr
<br />©1988-2015 ACORD C
<br />The ACORD name and logo are registered marks of ACC I I - Risk Man,Dement Analy,t
<br />
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