My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
JOHNSON-FRANK & ASSOCIATES, INC. (3)
Clerk
>
Contracts / Agreements
>
J
>
JOHNSON-FRANK & ASSOCIATES, INC. (3)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/27/2026 3:36:16 PM
Creation date
5/27/2026 3:36:12 PM
Metadata
Fields
Template:
Contracts
Company Name
JOHNSON-FRANK & ASSOCIATES, INC.
Contract #
A-2023-072-01A
Agency
Public Works
Council Approval Date
5/2/2023
Expiration Date
5/1/2027
Insurance Exp Date
12/1/2026
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
AC 1e"® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 12/2/2025 <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 GUNIA NAME:CT Bettv Tran <br /> IOA Insurance Services PHONE g49-297-5962 FAX No; 949-297-5960 130 Vantis, Suite 250 MAIL <br /> Allso Viejo, CA 92656 ADDRESS: bett ,trap ioausa,com <br /> INSURERS AFFORDING COVERAGE NAICN <br /> www.ioausa.com CA License#OE67768 INSURER A: RLI Insurance Company 13056 <br /> INSURED INSURER B: <br /> Johnson-Frank&Associates, Inc.5150 E.Hunter Avenue INsuRERc; <br /> Anaheim CA 92807 INSURERD: <br /> INSURER E: <br /> INSURER F; <br /> COVERAGES CERTIFICATE NUMBER; 88127141 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 SUER <br /> LTR TYPE OF INSURANCE WVD POLICY NUMBER MML�U�YY MMLQU� LIMITS <br /> A s/ COMMERCIAL GENERAL LIABILITY ✓ s/ PSB0001301 12/1/2025 12/1/2026 EACH OCCURRENCE $1000000 <br /> CLAIMS-MADE ❑✓ OCCUR Scheduled AI Endt OEa occurrence $1 DDD 000 <br /> ✓ PrimlNonCon #PPB3130212 PREMISES <br /> Professional Services MED EXP(Any one person) $10 000 <br /> ✓ Wvr of Subr performed by the Insured PERSONAL&ADV INJURY $1 DDD Op0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: are Excluded GENERAL AGGREGATE $2,000,000 <br /> POLICY JEST RI LOC PRODUCTS-COMPIOPAGG $2000000 <br /> OTHER: Deductible $0 <br /> A AUTOMOBILE LIABILITY ✓ ✓ PSAOOOI078 12/1/2025 12/1/2026 CEaeacdentSINGLELIMIT $1000000 <br /> ✓ ANY AUTO Designated Insured Endt BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED #CA20481013;Prim/NonCon <br /> AUTOS ONLY AUTOS and Blkt Wvr of Subr BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED✓ AUTOS ONLY ✓ AUTOS ONLY included on pg 2 of Form (Per ae RdTnDAMAGE $ <br /> Prim/NOnCOn Wvr of Subr I#PPA3000313 Deductible $0 <br /> A UMBRELLA LIAB H <br /> OCCUR PSE0001230 12/1/2025 12/1/2026 <br /> EACH OCCURRENCE $4 D00 000 <br /> 7,/ EXC ESS LIAB CLAIMS-MADE Follow Form;Excl Prof AGGREGATE $¢000 DDD <br /> DED I ✓I RETENTION$0 Liability <br /> A WORKERS COMPENSATION ✓ PSW0002298 12/112D25 1211/2026 $ <br /> AND EMPLOYERS'LIABILITY YIN ✓ STATUTE EftH Deductible- 0 <br /> ANYPROPRIETORIPARTNEWEXECUTIVE U5L&H Included; E.L.EACH ACCIDENT $1 000 000 <br /> OFFICERIMEMDEREXCLUDED7 � NIA Scheduled Waiver of <br /> (Mandatory In under g If yes,dascrlbe under Subro ation Endt E.L,DISEASE-EA EMPLOYEE $1 0 <br /> DESCRIPTION OF OPERATIONS below #WC0403060484 E.L,OISF..ASE-POLICY LIMIT $1 DDD 000 <br /> A Professional Liability RDPOO60563 12/1/2025 12/1/2026 $2,000,000 Each Claim <br /> Claims-Made $2,000,000 Annual Aggregate <br /> $25,000 Each Claim Deductible <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) _ <br /> Certiflcate Holder is an Additional Insured with respect to General Liability(GL)and Automobile Liability when required by contract with the <br /> Insured,but only to the extent provided within the Endorsements noted above. GL includes Separation of Insureds and Contractual Liability per <br /> limitations in the BusinessOwners'Coverage form. A Workers'Compensation Waiver is included for the person or organization named in the Schedule <br /> that are parties to a written contract,but only to the extent provided within the Endorsement noted above. Coverage is subject to all policy terms, <br /> conditions,limitations and exclusions, 30 Day Notice of Cancellation 110 Days for Non-Payment In accordance with policy provisions, <br /> Mglbllyse d <br /> TLI Trf�rt 6yTU Iran <br /> f�yguyen <br /> Date:x0as.t a.oe <br /> CERTIFICATE HOLDER CANCELLATION' <br /> APP <br /> Agreement#A-2023-071-01 and#A-2023-072-01 By Tu Trap Nguy6h of-8-49 Yni;Dec-08;-2025 <br /> City of Santa Ana, its officers and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> YTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br /> AVC)Alicia K.Igram X. <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> 08127141 1 12/25-26 4L/AUT0/8%CESS/W0/PL I Tereaa Frank 1 12/2/2025 3:03:18 PM (PST) I Page 1 OE 7 <br />
The URL can be used to link to this page
Your browser does not support the video tag.