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Client #: 17272
<br />NELSONYGA
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE
<br />GATE2512015
<br />TYPE OF INSURANCE
<br />1 /2 512 0 1 5
<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 c Gate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsod. If SUBROGATION IS W ect AIVED, subj 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 Iiou of such endorsoment(s),
<br />PRODUCER
<br />WW
<br />Nelson
<br />NAMEA UUlie Nelson
<br />Dea ey, Renton & Associates
<br />_ __..
<br />PHONE 510
<br />FAx 510 452 -2193
<br />(NCiNI Extf: ----]-FAX No)___._
<br />OX 2675
<br />�'M ^tL nelson deals renton.com
<br />AoDRESS:
<br />Oakland, CA 94604 -2675
<br />$200_0000___
<br />�— A
<br />&��ICgF-ESj ERENTED
<br />aoccurrenca
<br />510 465.3090
<br />_ INSURER AFFORDING COVERAGE
<br />NAICM
<br />! INSURER A: Travelers indemnity Co. of Cann
<br />_
<br />25682
<br />_
<br />$2,000 000
<br />INSURED'
<br />INSURER a_: Travelers Property Casualty Co
<br />_
<br />25674
<br />NelsonlNygaard Consulting
<br />INSURER C : Hartford Ins. Co of Midwest
<br />37478
<br />Associates, Inc.
<br />INSURER o: Continental Casualty Company _
<br />20443 _
<br />116 New Montgomery Street, Ste. 500
<br />San Francisco, CA 94105
<br />INSURER E
<br />--- --
<br />09/011201
<br />INSURER F:
<br />$1,000,060
<br />BODILY INJURY (Per person)
<br />COVERAGES CERTIFICATE NUMBER: RFVIRI()N NNMFIFR-
<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 REQUIREMCNT, 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 />LTR
<br />TYPE OF INSURANCE
<br />ADD
<br />W
<br />SUER
<br />;WyO
<br />— _....— ..._FOCI
<br />POLICY NUMBER
<br />_..__..._.
<br />CCyy ggpppp
<br />MMIDOIYYYY
<br />II�� yy��gg
<br />PO IC P
<br />MMIOOIVYYY
<br />.. --
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />J CLAIMS-MADE I_ /lJ OCCUR
<br />._ ... . .... _ ... _- _.___. _._..._...—
<br />68026560298
<br />09/0112015
<br />09101/201
<br />M
<br />EACHOCCURRENCE
<br />$200_0000___
<br />�— A
<br />&��ICgF-ESj ERENTED
<br />aoccurrenca
<br />$1000,000
<br />MED EXP (Any one Person)
<br />$10,000
<br />_
<br />PERSONAL d ADV INJURY
<br />_
<br />$2,000 000
<br />GEN'L AGGREGATE LIMIT APPLIES PER;
<br />POLICY JECT LOG
<br />OTHER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />PROOUCI'3- CbMP /OP AGG
<br />$4,000,000
<br />$
<br />B
<br />AUTOMOBILE
<br />.-.�
<br />_
<br />X
<br />LIABILITY
<br />ANYAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED ALlrOS X NONOWNEp
<br />AUTOS
<br />BA G560575
<br />09!01/2015
<br />09/011201
<br />COMBINED SINGLE —�IT
<br />Ea accident
<br />$1,000,060
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY Per accident)
<br />$
<br />PROPERTY DAMAGE_
<br />(Paraaldent
<br />$
<br />I
<br />$
<br />B
<br />(UMBRELLA
<br />LIAR
<br />EXCESS LIAB
<br />J(
<br />OCCUR
<br />CLAIMS -MADC-
<br />CUP2G561707
<br />09/01 /201509
<br />/01/2016
<br />EACHOGCURRENCE
<br />$4000 op0
<br />L
<br />( AGGREGATE
<br />$4,000 000
<br />DED RETENTION y
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOIPARTNERIEXECUTIVE
<br />OFFICER /MEMBER EXCLUDED? ®
<br />(Mandatory in NH)
<br />((yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />_
<br />_
<br />57WBGPH999H
<br />09/01( ?015
<br />09/01/2016
<br />X PER OTH-
<br />T T-
<br />'�E.L. EAGH ACCIDENT
<br />.
<br />$1,000,000
<br />E,L, DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000000
<br />D
<br />Professional
<br />Liability
<br />MCH591867601
<br />1
<br />__— _
<br />12/0112015
<br />09101/201
<br />$5,000,000 per Claim
<br />$5,000,000 Aggregate
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required)
<br />General Liability Policy excludes claims arising out of the performance of professional services.
<br />RE; All operations of the named Insured. City of Santa Ana, Its officers, employees, agents, volunteers and
<br />representatives are covered as additional insured as respects General and Automobile Liability and such
<br />coverage is primary / non - contributory per policy form.
<br />REVtEWEOBY: EUNICE FIEREDIA(PG / OFC- i
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2014101) 1 of 1
<br />#S7536669/M1535406
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />©198$ -2014 ACORD CORPORATION. All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
<br />NMF
<br />
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