|
RJMDESI-01 MCCOWANA
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY)
<br /> 9/12/212/2024
<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 License#OE67768 CONTACT Ali Smith
<br /> NAME:
<br /> IOA Insurance Services PHONE 619 788-5795 50206 FAX 619 574-6288
<br /> 3636 Nobel Drive (A/C,No,EXt):( ) (A/C,No):( )
<br /> Suite 410 'DRIES:;: a o
<br /> San Diego,CA 92122 Anqie Aceve 1 Lulle Acevedo
<br /> INSUR S A ORDING COV RAGE NAIC#
<br /> n-Qatlw 17:26:34 -07' 0556
<br /> INSURED IN?JRERB:Arch Insurance Company 11150
<br /> RJM Design Group,Inc. INSURERC:
<br /> 31591 Camino Capistrano INSURERD:
<br /> San Juan Capistrano,CA 92675
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR PSB0007263 9/30/2024 9/30/2025 DAMAGE TO RENTED 1,000,000
<br /> X PREMISES Ea occurrence $
<br /> X Cont Liab/Sev of Int MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY� JECT1:1 LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: Ded $ 0
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> ANY AUTO X PSA0002412 9/30/2024 9/30/2025 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> X Not os Co.Owned
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE PSE0003628 9/30/2024 9/30/2025 AGGREGATE $ 1,000,000
<br /> X DED RETENTION$ 0 $
<br /> A WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN PSW0004066 9/30/2024 9/30/2025 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ X E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> B Prof Liab/Clms Made PAAEP0031107 10/1/2024 10/1/2025 Per Claim 2,000,000
<br /> B Ded.:$25K Per Claim PAAEP0031107 10/1/2024 10/1/2025 Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:Re:On-Call Landscape Architectural Services
<br /> The City of Santa Ana,its officers,employees and representatives are Additional Insureds with respect to General/Hired&Non-Owned Auto Liability per the
<br /> attached endorsements as required by written contract.Insurance is Primary and Non-Contributory.Waiver of Subrogation applies to Workers'
<br /> Compensation.
<br /> 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POILICIFS RE CANCELLED RFFnRF
<br /> THE EXPIRATION DATE THEREO
<br /> ACCORDANCE WITH THE POLICY PR( HouN Risk Managmwn}Di sium
<br /> REVIEWED&APPROVED BY:
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE Aecv
<br /> 44
<br /> Risk Management Division
<br /> 20 Civic Center Plaza Risk Management Specialist
<br /> Santa Ana CA 92702
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
|