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<br />A ! " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />3/24/2016DIYYYY)
<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 />199 South Los Robles Ave., Suite: 540
<br />Pasadena, CA 91101
<br />CONTACT
<br />NAME: Sand Peters
<br />PHONE 626 844-3070 �A� No;
<br />_(AMC Nn,-E�t)' ' }
<br />E-MAIL , speters@dealeyrenton.com
<br />_
<br />_ 1NSURER(5) AFFORDING COVERAGE NAIC 0
<br />License #0020739
<br />INSURER A :Travelers Property Casualty Cc of A 25674
<br />3/27/2016
<br />INSURED TTGCORPOR
<br />INSURER B:
<br />TTG Engineers
<br />300 N. Lake Ave., 14th Floor
<br />Pasadena, CA 91101
<br />INSURER C
<br />INSURER D ;
<br />INSURER E: I
<br />626 351-8881
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 1193257471
<br />RFVIRIr)N NI IMRFR.
<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 />LTR
<br />TYPE OF INSURANCE
<br />A
<br />W SD
<br />POLICY NUMBER
<br />POLICY EFF)
<br />POLICY
<br />M DDmYY LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />6808925L874
<br />3/27/2016
<br />3/27/2017 EACH OCCURRENCE $1,000,000
<br />_ CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $1,000,000 _
<br />X Contractual Liab
<br />MED EXP (Any one person) $10,000
<br />_
<br />X XCU Included
<br />PERSONAL & ADV INJURY $1,000,000
<br />_
<br />GEHL AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PRO- ( �
<br />JECT !� LOC
<br />! GENERAL AGGREGATE _ $2,000,000_ _
<br />PRODUCTS - COMPIOP AGG $2,000,000
<br />OTHER;
<br />_
<br />$
<br />A ,' AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />Y
<br />I
<br />BA8C558351
<br />13/27/2016
<br />3/27/2017
<br />Ea aBc deptSl GLE L IMIT $1,000,000
<br />BODILY INJURY (Per person) ( $
<br />-
<br />X
<br />ALL OWNED -' SCHEDULED
<br />AUTOS I AUTOS
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Por accident) $
<br />PROPERTY DAMAGE --
<br />SPer accident $
<br />A
<br />UMBRELLA LIAB X DCCURY
<br />Y
<br />CUPBC696526
<br />3127/2016
<br />3/27/2017
<br />EACH OCCURRENCE $10,000,000
<br />AGGREGATE $10,000,000
<br />LX
<br />EXCESS LIAB _ CLAIMS-MAOC
<br />DED X , RETENTION $10,000
<br />$
<br />A I WORKERS COMPENSATION
<br />EMPLOYERS' LIABILITY YIN;
<br />�ANY PROPRIETOR/PARTNER/EXECUTIVEr
<br />OFFICER/MEMBER EXCLUDED? N N / A
<br />UB3673T680
<br />3/27/2016
<br />3/27/2017X
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT $1,000,000
<br />__..-.....____
<br />E.L. DISEASE - EA EMPLOYE $1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />IN@S--R..L_.fwwwIwA.._(_P_G_.
<br />-PEV..'.I_m.__N_E_.E:.)S_Y .,��..._.. ._.._..�� I .....�w0
<br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (AC ORD 1D1, Additional Remarks Schedule, may be attached if more space is required)
<br />*Umbrella policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability,*
<br />RE; Santa Ana Bridge Preventative Maintenance Program; #15-047 -- City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are named as additional insured as respects general liability for claims arising from the operations of the named insured as
<br />required per written contract or agreement. Coverage afforded the additional insured is primary and non-contributory as respects to general
<br />liability coverage. SEE CANCELLATION SECTION of Certificate for 30 Day NOG /10 Day for Non -Payment of Premium.
<br />See Attached...
<br />L t:K I It-IUAI C HULUtK GAN4k,LLAIION ou L) ay IVVL / IU uay Tor INonI ay OT I -'rem
<br />City of Santa Ana
<br />20 Civic Center Plaza (M36)
<br />Santa Ana CA 92701
<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 />AU RIZED REPRE NTATIVE
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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