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'4 �® CERTIFICATE OF LIABILITY INSURANCE
<br />GA TE
<br />(MMIDDn
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />6/28/2018
<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 have ADDITIONAL INSURED provisions or be endorsed.
<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 />PRODUCER
<br />CONTACT
<br />Rebecca Foster
<br />Edgewood Partners Insurance Center
<br />PHONE FAX
<br />License #OB29370
<br />• 916 576-1524 we No): 916 583-7613
<br />ADDRESS: Rebeeca.Foster@epicbrokers.com
<br />PO Box 13847
<br />INSURERS AFFORDING COVERAGE NAIC#
<br />Sacramento CA 95853
<br />INSURER A: Zurich American Insurance Cc 16535
<br />INSURED VANICONS
<br />INSURERS: Travelers PropCasualtyCo ofAmerica 25674
<br />Vanlr Construction Management, Inc.
<br />4540 Duckhorn Drive, Suite 300
<br />INSURER C: Lloyds 01 London 8$202
<br />INSURERD: Liberty Insurance Underwriters. Inc. 19917
<br />Sacramento CA 95834
<br />INSURER E:
<br />_
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 934472767 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 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 />ILTR
<br />TYPE OF INSURANCE
<br />&Ila
<br />MD SUER
<br />POLICY NUMBER
<br />MMDDIIYEYYV
<br />MWDD YY
<br />UNITS
<br />A
<br />X COMMERCIAL GENERAL ABILITY
<br />GL0102078,102
<br />7/1/2018
<br />7/1/2019
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS -MADE M OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES So occurrence S1,000,000
<br />MED EXP (Any one person) $10,000
<br />PERSONAL BAOV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE $2,000,000
<br />POLICY PET 1-1 LOC
<br />PRODUCTS-COMP/OP AGG $2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BA9332B63A
<br />7/1/2018
<br />7112019
<br />COMBINED SINGLE LIMIT $1,000,000
<br />Ea .,dart)
<br />BODILY INJURY (Per person) S
<br />ANY AUTO
<br />IANY
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident) S
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE S
<br />Per accident
<br />DUMBRELLALIAB
<br />X
<br />OCCUR
<br />100018366103
<br />7/1/2018
<br />7/12019
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $5.000,000
<br />X
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />OED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />ANO EMPLOYERS' LIABILITY YIN
<br />VVC102078302
<br />7/1/2018
<br />7/12019
<br />X I STATUTE ERµ
<br />ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.
<br />EACH ACCIDENT $1,000,000
<br />OFFICER/MEMBEREXCLUDED7 F-1
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE $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 />C
<br />Professional Uat lily,
<br />BN301750M
<br />7/12018
<br />7112019
<br />Each ClaiMAggregate $3,000,000
<br />Claims Mede -Retro Date 01/01/82
<br />Detluctible $100,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace 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 officers, employees,
<br />agents, volunteers and representatives. When required by written contract, additional insured status withprimarycoverage applies to General Liability and
<br />Automobile Liability and waiver of subrogation applies to General Liability, Automobile Liability and Workers' Compensation, all per the attached endorsements.
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<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 />AUTHORIZED REPRESENTATIVE
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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