Laserfiche WebLink
78/8/2025 <br /> E(MM/DD/YYYY) <br /> A�" 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 endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Chris Romano <br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX <br /> 3697 Mt. Diablo Blvd Suite 230 A/C No Ext: 714-427-3489 (A/c,No): <br /> E-MLafayette CA 94549 ADDRESS: CertsDesignPro@AssuredPartners.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:6003745 INSURERA: Hartford Casualty Insurance Company 29424 <br /> INSURED JENDUNB-01 INSURERB:Travelers Casualty and Surety Co of America 31194 <br /> Jen Dunbar DBA: Dunbar Architecture INSURERC: Hartford Underwriters Insurance Company 30104 <br /> 4150 W. Riverside Dr., Suite 205 <br /> Burbank CA 91505 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1587399893 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 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD <br /> C X COMMERCIAL GENERAL LIABILITY Y Y 57SBWBPlYEX 8/27/2025 8/27/2026 EACH OCCURRENCE $2,000,000 <br /> CLAIMS-MADE OCCUR PREMISES DAMAGE TO <br /> PREMISES Ea occurrence) <br /> ccurrence $1,000,000 <br /> X Contractual Liab MED EXP(Any one person) $10,000 <br /> Included PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $4,000,000 <br /> OTHER: $ <br /> C AUTOMOBILE LIABILITY Y Y 57SBWBP1YEX 8/27/2025 8/27/2026 COMBINED SINGLE LIMIT $2,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED FIR ERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION Y 57WEGBJ5MG9 8/27/2025 8/27/2026 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICE R/M EMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> B Professional Liability 108103582 8/27/2025 8/27/2026 Per Claim $2,000,000 <br /> Aggregate Limit $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies. <br /> Cypress Fire Station Rehabilitation The City of Santa Ana, its officers,officials,employees,and volunteers are named as additional insureds as respects <br /> general and auto liability as required per written contract. General and Auto Liability are Primary/Non-Contributory per policy form wording. <br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Risk Management Division <br /> 20 Civic Center Plaza AUTHORIZEDt1k PRESENTATIVE <br /> Santa Ana CA 92702 <br /> 1� <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />