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Client #: 6644
<br />HKAELEVAT
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 12/330/2014 0120I14
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />P. O. Box 10550 ,,{{��
<br />Santa Ana, CA 92711.0550 /V' /I /- 1-1
<br />714 427.6610 � 7
<br />CONTACT Sherall Gradias
<br />PHONE 714 427 -6610 FA 714 427.6616
<br />EZt: AIC No:
<br />E ALO,
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Travelers Indemnity Co. of Conn
<br />25682
<br />INSURED
<br />INSURER B: Travelers Property Casualty Co
<br />25674
<br />HKA Elevator Consulting, Inc.
<br />23211 South Pointe Drive
<br />INSURER c: Travelers Casualty & Surety Co.
<br />31194
<br />Laguna Hills, CA 92653
<br />INSURER D
<br />INSURER E
<br />$1,000,000
<br />INSURER F:
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />LTRR
<br />TYPE OF INSURANCE
<br />NSRL
<br />Me
<br />POLICY NUMBER
<br />MMIDIDNYYV
<br />MMIDDNYVY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY -
<br />X
<br />X
<br />68072861-662
<br />01101/2015
<br />01/011201
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE Fj� OCCUR
<br />DAMAGE To E.
<br />PREMISES Ea occurr
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />X Contractual Llab.
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMPIOP AGO
<br />$2,000,000
<br />POLICY X PRO LOD
<br />JECT
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />X
<br />X
<br />BA7290L96A
<br />01/01/2015
<br />01/0112MAGGREGATE
<br />EDSINGLELIMIT
<br />ent
<br />$ 1,000,000
<br />INJURY (Per person)
<br />5
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NJURY (Per accident)
<br />$
<br />TY DAMAGE
<br />ent
<br />$
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />B
<br />�(
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />CUP8107Y639
<br />01/0112015
<br />01/01/2
<br />EACH CURRENCE
<br />$5000000
<br />ATE
<br />$5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />Does not Incl.
<br />DED RETENTION$
<br />$
<br />Prof. Liab.
<br />B
<br />WORKERS COMP ENSATION
<br />AND EMPLOYERS' LIABILITY VIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICEMEMBER EXCLUDED?
<br />R
<br />NIA
<br />x
<br />UB5259Y605
<br />01/0112015
<br />01/011201
<br />X WCSTATU- OTH-
<br />O V LI IT
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICV LIMIT
<br />$1,000,OQO
<br />C
<br />Professional
<br />Liability
<br />105871284 -
<br />01/01/2015
<br />011011201
<br />$2,000,000 per claim r
<br />$2,000,000 annl aggr.
<br />Claims made
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Cancellation: 30 Day /10 Day for Non - Payment of Premium
<br />All operations.
<br />The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured
<br />on general & hired and non -owned auto liability as per written contract.
<br />(See Attached Descriptions)
<br />City of Santa Ana, its officers,
<br />employees, agents and I
<br />representatives
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />AUTHORIZED REPRESENTATIVE
<br />in idinA.min ACnRn Cn RPr1RATIr1M All •iohfe --A
<br />ACORD 25 (2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#S1211757/M1211731 THC
<br />
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