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DAM (MMIODrYYYY)
<br />q DRU® CERTIFICATE OF LIABILITY INSURANCE 6/30/2017
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />THISCERTIFICATEIS ISSUED AS A MATTER OF INFORMATION
<br />OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND
<br />A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />holder is an ADDITIONAL INSURED, the policy(tes) must have ADDITIONAL INSURED provisions or be endorsed.
<br />IMPORTANT: If the certificate
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement s .
<br />cc Rebecca Foster
<br />NAME:XAg.
<br />PRODUCER
<br />Edgewood Partners Insurance Center PHONE .916 576-1524 FAX Not. 916 583-7613
<br />License#OB29370
<br />,Rebecca.Foster@epicbrokers.com
<br />PO Box 13847
<br />Sacramento CA 95853 INSURERS AFFORDING COVERAGE
<br />Sacramento
<br />INSURER A:Zurich American Insurance Cc 16535
<br />VANICONS
<br />INSURER B:TravelersPro Casual Co of America 25674
<br />INSURED
<br />Vanir Construction Management, Inc.
<br />INSURER C:LIo ds of London 85202
<br />INSURERD:LibertIns Underwriters, Inc.
<br />4540 Duckhorn Drive, Suite 300
<br />INSURER E:
<br />Sacramento CA 95834
<br />INSURER F:
<br />o�na/nal All Ifti
<br />COVERAGES CERTIFICATE NUMBER: IDOUIOV 1 c •��-•—• -•- •--•- --
<br />BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
<br />OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
<br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />EXCLUSIONS
<br />INSft POLICY EFF POLICYEXP LIMITS
<br />TYPE OF INSURANCE INSD VIVO POLICY NUMBER MWDDNYYY MMmDNYYY
<br />LTR
<br />A COMMERCIAL GENERAL LIABILITY GLO102078401 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000
<br />X DAMAGET RENTED51,000,000
<br />PREMISES accounts on
<br />CLAIMS -MADE [X OCCUR
<br />MED EXP (Any one person) $10,000
<br />PERSONAL&ADV INJURY $1,000,000
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />[i] PRI-Ej LOC PRODUCTS - COMP/OP AGO $2,000,000
<br />POLICY
<br />JECTOTHER:
<br />B AUTOMOBILE LIABILITY BA9332B63A 7/1/2017 7/1/2018 Ea accident $7,000,000
<br />BODILY INJURY (Per person) S
<br />X ANVAUTO
<br />OWNED SCHEDULED BODILY INJURY (Per accident) 5
<br />AUTOS ONLY AUTOS PROPERTY DAMAGE $
<br />HIRED NONOWNED Per accitlent
<br />AUTOS ONLY AUTOS ONLY
<br />S
<br />X
<br />100018366102
<br />7/1/2017
<br />7/1/2018
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $5,000,000
<br />D
<br />UMBRELLA LIAB
<br />OCCUR
<br />X
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />S
<br />A
<br />DED RETENTIONS
<br />WORKERS COMPENSATION
<br />WC102078301
<br />7/1/2017
<br />7/1/2018
<br />X STATUTE ES
<br />R
<br />E.L. EACH ACCIDENT 51,000,000
<br />AND EMPLOYERS' LIABILITY YIN
<br />/EX
<br />ANY PROPRIETORIPARTNERECUTIVE
<br />E.L. DISEASE - EA EMPLOYE $1,000,000
<br />OFFICERMEMBER EXCLUDED'! ❑NIA
<br />(Mandatory In NH)
<br />If Yes, tlescdbe under
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Professional Liability
<br />BN3017501
<br />7/1/2017
<br />7/1/2018
<br />Each Claim $3,000,000
<br />Aggregate $3,000,000
<br />Claims Made
<br />Deductible $100,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, AddiOonal Remarks Schedule, may be attached if more space is required)
<br />No. 16-143 Re -Use Plan and Feasibility Study for the Santa Ana Jail (R100037). Additional Insured: The City of Santa Ana, its
<br />Re: RFQ
<br />employees, agents, volunteers and representatives. When required by written contract, additional insured status with primary
<br />officers,
<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 />A
<br />City of Santa Ana
<br />City Clerk of the City Council
<br />20 Civic Center Plaza (M-30)
<br />PO Box 1988
<br />Santa Ana CA 92702-1988
<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 />AUTHORRED REPRESENTATIVE
<br />ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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