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<br />�� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (M MIDDIYYYY)
<br />4/7/2017
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE=RS 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 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 />Edgewood Partners Insurance Center
<br />License #OB29370
<br />PO Box 138 47
<br />CONTACT
<br />NAME: Rebecca Foster
<br />PHONE 916 676-1524 FAx 916 583-7578
<br />E MAIL . Rebecca. Foster@epicbrokers.com
<br />INSURER(S) AFFORDING COVERAGE NAIC A
<br />Sacramento CA 95853
<br />INSURERA:Zurich American Insurance Co 16535
<br />GLO102078400
<br />INSURED VANICONS
<br />INSURERB,Travelers Prop Casualty Co ofAmeri 25674
<br />Vanir Construction Management, Inc.
<br />INSURERC:Llo ds of London 85202
<br />4540 Duckhorn Drive, Suite 300
<br />Sacramento CA 95834
<br />INSURER D: Liberty Insurance Underwriters 19917
<br />INSURER E
<br />INSURER F:
<br />nnVFRAnFR CFRTIFICATF NIIMRFR- 1326245631
<br />RFVIA10N NIIIMRFR-
<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 />INSR
<br />LTR
<br />TYPE INSURANCE
<br />Aun
<br />INSD
<br />wVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDlYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />GLO102078400
<br />7/112016
<br />7/1/2017
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE 1�1 OCCUR
<br />DAMAGE 11
<br />PREMISES FaoccurOnce
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL BADV INJURY
<br />$1,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY PRO- LOC
<br />JECT
<br />PRODUCTS - COMPIOPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />_
<br />Y
<br />Y
<br />BA7A975298
<br />11/112016
<br />11/1/2017
<br />C LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Par accident)
<br />$
<br />NON -OWNED
<br />HIRED AUTOS F_ AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />1$
<br />D
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />100018366101
<br />1111!2015
<br />7/1/2017
<br />EACH OCCURRE=NCE
<br />$5,000,000
<br />X
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE❑NEA
<br />y
<br />WC102078300
<br />7/1/2016
<br />7/1/2017
<br />X PER CTH-
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />OFFICERIMEMBER EXCLUDED?
<br />{Mandatory in NH)
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />- ---
<br />E.L. DISEASE - POLICY LIMIT
<br />_
<br />$1,000,000
<br />C
<br />Professional Liability
<br />Y
<br />BN301750K
<br />11/1/2016
<br />7/1/2017
<br />Each Claim $3,000,000
<br />Claims Made
<br />Aggregate $3,000,000
<br />Deductible $100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: RFQ No. 16-143 Re -Use Plan and Feasibility Study for the Santa Ana Jail (R100037). Additional Insured: The City of Santa Ana, its
<br />officers, employees, agents, volunteers and representatives. When required by written contract, additional insured status with primary
<br />coverage applies to General Liability and Automobile Liability and waiver of subrogation applies to General Liability, Automobile Liability and
<br />Workers' Compensation, all per the attached endorsements.
<br />CFRTIFICATE HOLDER CANCELLATION
<br />@ 1988-2014 ACORD CORPORATION. AI1'tights res(ey�e
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD (q16
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE
<br />WILL BE
<br />DELIVERED IN
<br />City Clerk of the City Council
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (M-30)
<br />PO Box 1988
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702-1988
<br />@ 1988-2014 ACORD CORPORATION. AI1'tights res(ey�e
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD (q16
<br />
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