|
RJMDESI-01 M EYM
<br /> CERTIFICATE OF LIABILITY INSURANCE UAT DfYYYY)
<br /> 1 018121812025
<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#DE67768 NONE,CT All Smith
<br /> IOA Insurance Services PHONE
<br /> 3636 Nobel Drive (AIry�qN�Le,Ext:(619)788-5795 50206 FAX
<br /> No):(619)574.6288
<br /> Suite 410 ADDRESS:AIi.Smlth@loausa.com
<br /> San Diego,CA 92122 INSURERS AFFORDING COVERAGE NAIL N
<br /> INSURER A:RLl Insurance Company 13056
<br /> INSURED INSURER B:Arch Insurance Company 11150
<br /> RJM Design Group,Inc. INSURER c
<br /> 31591 Camino Capistrano INSURER D
<br /> San Juan Capistrano,CA 92675
<br /> INSURER E:
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1
<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 pOL[CY NUMBER POLICY EFF POLIICDY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR PSB0007263 9/30/2025 9/30/2026 DAMAGETDRENTEO 1,000,0OD
<br /> X ISES Ea occ r
<br /> X Limited Cont Liab 10,000
<br /> X Sery Interest MED EXP An one arson 2 000,000
<br /> PERSONAL&ADV INJURY �
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 4,000,000
<br /> POLICY JECT LOC PRODUCTS-COMPIOPAGG 4,000,000
<br /> OTHER: Ded $ 0
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea acclden
<br /> X ANY AUTO x PSA0002412 9/30/2025 913012026 BODILY INJURY Per ersan
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOSy� BODILY INJURY Per accident
<br /> AU70S ONLY AS N)ONL� Pe�acclde f AMAGF
<br /> A X UMBRELLALIAB OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS L1AH 11 CLAIMS-MADE PSE0003628 9/3012025 9130/2026 AGGREGATE $ 5,000,000
<br /> DE❑ I RETENTION$
<br /> A WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN ER
<br /> ANY PRO PRIETORIPARTNERfEXECUTIVE X PSW0004066 9l3012025 91301202ti E.L.EACH ACCIDENT $ 7,000,000
<br /> Q�FILERIMEMBER EXCLUDED? NIA E.L,DISEASE-EA EMPLOYE $
<br /> Ihlandalory In NH) 1,000,000
<br /> If yes,describe under 1,000 ODO
<br /> DESCRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT
<br /> B Prof Llab/Clms Made PAAEP0031108 1011/2025 1011/2026 Per Claim 2,000,000
<br /> B Ded.:$25K Per Claim PAAEP0031108 10/1/2025 101112026 Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,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/H I red&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 APPROVAL_- _ CANCELLATION
<br /> By Tu Tran Nguyen at 7.24 am,Oct Q8.2025
<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 /> Dlgllally signed
<br /> TI.I Ufa n;6y TU Tmn
<br /> Cityof Santa Ana lyyuyen
<br /> Nguyen Darc:20
<br /> 25.10.09 AUTHORIZED REPRESENTATIVE
<br /> PWA-Facilities orzs:rs-mroa FT��
<br /> 20 Civic Center Plaza,M-11
<br /> ACORD 25(2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
|