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Ali`. .�' �� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE( 03/1 /8/2016Y)
<br />016
<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
<br />Aon Risk Insurance sel"V1 C25 West, InC.
<br />LOS Angeles CA Office
<br />707 Wi 1 shire Boulevard
<br />suite 2600
<br />CONTACT
<br />NAME:
<br />(A/CNNo. Ext): PH C866) 283-7122 FAX
<br />No.: 800-363-0105
<br />E-MAIL
<br />ADDRESS:
<br />LOS Angeles CA 90017-0460 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />INSURER A: Zurich American Ins CO
<br />16535
<br />SCS Engineers
<br />3900 Kilroy Airport way, Suite 100
<br />Long Beach CA 90806-6816 USA
<br />INSURERB: Steadfast Insurance Company
<br />26387
<br />INSURER C:
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570061477570 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. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MMIDD/YYYY
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLO
<br />FAGH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE X❑ OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED EXP (Any one person)
<br />_
<br />$10, 000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN L AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PRO X LOC
<br />�JECT
<br />GENERAL AGGREGATE
<br />$4 , 000, 000
<br />PRODUCTS - COMP/OP AGG
<br />$4,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />BAP 0112780-01
<br />04/01/2016
<br />04/01/2017
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1, 000 , 000
<br />BODILY INJURY ( Per person)
<br />AUTO
<br />OWNED SCHEDULED
<br />IPerANY
<br />AUTOS ONLY AUTOS
<br />HIRED AUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />L
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE
<br />accident
<br />UMBRELLA LIAR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />HOCCUR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED RETENTION
<br />A
<br />WORKERS
<br />RRCOM�PBENSATION AND ILITY YIN
<br />ANY PROPRIETOR/ PARTNER / EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? �
<br />N I A
<br />Wc011277901
<br />04/01/2016
<br />04/O1/2017
<br />X STATUTE ERHEMPLO
<br />E.L. EACH ACCIDENT
<br />__ _
<br />$l, OOO, OOO
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1, 000, 000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1, 000, 000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Env Prof (E&O)
<br />IPR37923S301
<br />Prof/Poll Liab
<br />SIR applies per policy ter
<br />03/31/2016
<br />S & condi
<br />03/31/2017
<br />ions
<br />Per Claim
<br />Aggregate
<br />$2,000,000
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />job No. 90000016.01 Task 0000, Job Description: Environmental Services. City of Santa Ana, its officers, employees, agents,
<br />volunteers and representatives are included as Additional Insured as required by written contract, but limited to the
<br />operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and
<br />Automobile Liability policies. General Liability policy evidenced herein is primary to other insurance available to an
<br />additional insured, but only to the extent required by written contract with the insured.
<br />7
<br />r
<br />REVIEWED BY "; EUNICE HEREDIA (PG OF 14
<br />CERTIFICATE HOLDER CANCELLATION Z4
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana AUTHORIZED REPRESENTATIVE
<br />Attn: Marylin Boothe �i
<br />20 Civic Center Plaza M-36 (�/✓J (%�,�J y X "FM
<br />Santa Ana CA 92702 USA eXXcr ✓Ga sc atdcGtldnce et2��rzd
<br />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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