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,°`� �® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/2019 YY)
<br />O6/17/2019
<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. 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 />GT
<br />Aon Risk Insurance Services West, Inc.
<br />Los Angeles CA office
<br />iA/C, No Ea<1$ (866) 283-7122 No : 800-363-0105
<br />707 Wilshire Boulevard
<br />Suite 2600
<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 Enqineers
<br />3900 Kilroy Airport Way, Suite 100
<br />Long Beach CA 90806-6816 USA
<br />INSURER B: Zurich American Ins Co
<br />16535
<br />INSURER C:
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570076823368 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 />LT
<br />TYPE OF INSURANCE
<br />NgD
<br />VVVO
<br />POLICY NUMBER
<br />MM/bWYYYY
<br />MMlbDlYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLO
<br />EACH OCCURRENCE
<br />$2 , 000, 000
<br />CLAIMS -MADE X❑ OCCUR
<br />DAMAGE TO RE
<br />PREMISES lEaoNc=n,,l
<br />$1, 000, 000
<br />MED EXP (Any one person)
<br />$25 , 000
<br />PERSONAL& ADV INJURY
<br />$2,000,000
<br />GEN'LAGGREGATE LIMITAPPLIESPER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />POLICY JECT PRO � LOC
<br />El
<br />PRODUCTS - COMP/OP AGG
<br />$4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />BAP 0112780-04
<br />04/01/2019
<br />04/01/2020
<br />COMBINED SINGLE LIMIT
<br />accident
<br />$2,000,000
<br />BODILY INJURY ( Per person)
<br />X ANYAUTO
<br />BODILY INJURY (Per accident)
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY IN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? N
<br />(Mandatory In NH)
<br />N / A
<br />WC011277904
<br />4/ 1
<br />X PER I OTH-
<br />T TUTE ER
<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 CE&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 / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requiredl
<br />RE: Job No. 90000016.01 Task 0000, Joky Description: Environmental Services,
<br />city of Santa Ana, Its officers, employees, agents, volunteers and representatives are included as Additional Insured as
<br />required by written contract, but limited to the operations of the insured under said contract, per the applicable endorsement
<br />with respect to the General Liability and Automobile Liability policies. General Liability policy evidenced herein is primary
<br />to other insurance available to an additiG 1 i sured, but only to the extent required by written contract with the insured.
<br />i�
<br />CERTIFICATE HOLDER F + _r,V, ( n 1 1A' 1 /1 CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />Rfs m0n rya enT I 5) n
<br />�J 1
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana
<br />Attn: Risk Management Division
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza M-36
<br />Santa Ana CA 92702 USA
<br />1. do 4f1. GfiF� ylt'l w � �L
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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