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ACC)RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY)
<br /> 8/26/2024
<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 endorsements.
<br /> PRODUCER CONTACT Annl Owens
<br /> Design Profe ionals Insurance�erVices, LLC PHONE 2-
<br /> 3697 Mt. Diablo Blvd Suite 23 E-MAIL
<br /> 10-2
<br /> _— �
<br /> Lafayette CA 94549 Anqie
<br /> ADDRESS: Ce?!De Ign !sure ners.co
<br /> IN RE 5 AFFORDING VERAGE _ NAIC#
<br /> Licens #:6003745 INSURERA:BF n(LA1,11 Mew 32603
<br /> INSURED MIGINCO-01 INSURERB:T ave.'rs Prope-doy Casualty Company of America 25674
<br /> MIG, Inc. INsuRERc r'he Tr fit a C n c t 25682
<br /> Moore lacofano Goltsman, Inc -_ a �Y a _ e
<br /> 1.0
<br /> Berkeley
<br /> Hearst Ave c e v e01:--7:11
<br /> r :
<br /> Berkeley CA 94710 _E:
<br /> I',SIiF:
<br /> COVERAGES CERTIFICATE NUMBER:1921223621 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 ADDL SUBR:, POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE POLICY NUMBER (MMIDDNYYYI, IMMILIMITS
<br /> C X COMMERCIALGENERALLUIBILITY Y Y BBOIH899998 8/31/2024 6/31/2025 EACH OCCURRENCE S1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES I occurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> Included PERSONAL&ADV INJURY S1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER:POLICY GENERAL AGGREGATE $2,000,000
<br /> XE PRODUCTS-COMP/OPAGG S2,000,000
<br /> OTHER P
<br /> $
<br /> C AUTOMOBILE LIABILITY Y Y BADS579947 8/31/2024 8/31/2025 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY Per accident S
<br /> AUTOS ONLY AUTOS ( )
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $
<br /> B X UMBRELLALIAB X OCCUR Y Y CUPOH758762 8/31/2024 8/31/2025 EACH OCCURRENCE S10.000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S 10.000,0()0
<br /> DED X I RETENTION$n S
<br /> B WORKERS COMPENSATION Y UB21-553909 0/31/2024 8/31/2025 X I SPER
<br /> TATUTE I ER AND EMPLOYERS'LIABILITY Y/N —
<br /> ANYP ROPRI ETOR/PARTN ER/EXECUTI V E
<br /> OFFICER/MEMBEREXCLUDED? NIA E.L.EACH ACCIDENT S1,OOD,000
<br /> (Mandatory 1.NH) E.L.DISEASE-EA EMPLOYEE S1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000
<br /> A Professional Liability& AEC907002005 8/31/2023 10/31/2024 IPerClaim/5,000,000 $5,000,000/Aggr
<br /> Contr.Pollution I Included Included
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule•may be attached If more space Is required)
<br /> The Umbrella Policy is follow form to its underlying Policies:General Liability/Auto Liability/Employers Liability.
<br /> RFP No.23-010.Project:California Environmental Quality Act(CEQA).
<br /> City of Santa Ana,its officers,officials,employees,and volunteers are named as an additional insured as respects general liability and auto liability as required
<br /> per written contract.General Liability is Primary/Non-Contributory per policy form wording.Insurance coverage includes waiver of subrogation per the attached
<br /> endorsement(s).
<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 PRC
<br /> 20 Civic Center Plaza(M-30) RiekMMsigpmentDivision
<br /> P.O. Box 1988 AUTHORIZED REPRESENTATIVE ��� �� REVIEWED&APPROVED BY:
<br /> Santa Ana CA 92702-1988 s1JMi11If�L= .
<br /> 1 Risk Management Specialist
<br /> 01988-2015 ACORD
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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