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,4 p® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />03/22/2018
<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(les) must have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION iS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Aon Risk insurance services west, Inc.
<br />Los Angeles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />CONTACT
<br />NAME:
<br />PHONE (866) 283-7122 FAX 800-363-0105
<br />(A/C, No, Ext): (A(C. No.):
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />Los Angeles CA 90017-0460 USA
<br />INSURED
<br />INSURER A: Steadfast Insurance Company
<br />26387
<br />SCS Engineers
<br />3900 Kilroy Airport way suite 100
<br />Long Beach CA 90806-6816 USA
<br />INSURER e: Zurich American Ins co
<br />16535
<br />INsuRERc:
<br />INSURER o:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570070499010 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 />p0
<br />DD
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLO
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE X❑OCCUR
<br />UAMA F TO RENTED
<br />PREMISES Eeoccurrence
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$25 , 000
<br />PERSONAL& ADV INJURY
<br />$2,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />POLICY X❑ PRO � LOC
<br />JECT
<br />PRODUCTS -COMPIOPAGG
<br />$4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />BAP 0112780-03
<br />04/01/2018
<br />04/01/2019
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$2,000,000
<br />BODILY INJURY (Per person)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />UMBRELLALIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DED I RETENTION
<br />B
<br />WORKERS
<br />ORKEEMPLOSCOMPENSA ION AND YIN
<br />ANY PROPRIETORI PARTNER IEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? N
<br />(Mandatory In NH)
<br />N/A
<br />WC011277903
<br />04 Ol 2018
<br />04 01 2019
<br />X 9TATlffE O7FF
<br />E.L, EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1, 000 , 000
<br />A
<br />Env Prof (E&O)
<br />IPR379235302
<br />03/31/2017
<br />03/31/2020
<br />Per Claim
<br />$2,000,000
<br />Prof Liab - claims Made
<br />Aggregate
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached tf more space Is requlred)
<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 />REVIEWED BY: EUNICE HEREDIA (PG /OF )
<br />CERTIFICATE HOLDER
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<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 />a01_
<br />City of Santa Ana AUTHORIZED REPRESENTATIVE -1
<br />Attn : Maryl i n Booth �Q �
<br />20 Civic Center Plaza M-36 25c.vn stndtGtanc� eJa3�uaxd �Y Jnu
<br />Santa Ana CA 92702 USA
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<br />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />CANCELLATION
<br />
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