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�� � DATE "UUDIYYYY)
<br />A ORCy CERTIFICATE OF LIABILITY INSURANCE s13o/2017
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />IMPORTANT: If the certificate
<br />IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on
<br />If SUBROGATION
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />CONTACT Rebecca Foster
<br />NAME:
<br />PRODUCER
<br />Edgewood Partners Insurance Center PHONE .916 576-1524 F'� .916 583-7613
<br />License#OB29370 M=Rebecca.Foster@epicbrokers.com
<br />PO Box 13847 NAIC p
<br />Sacramento CA 95853 INSURER 5 AFFORDING COVERAGE
<br />INSURERA:Zurich American Insurance Co 16535
<br />VANICONS
<br />INSURERB:Travelers Prop Casualty Co of America 25674
<br />INSURED
<br />Vanir Construction Management, Inc.
<br />INSURERC:Lloyds of London 85202
<br />INSURERD:LIbe Ins Underwriters, Inc.
<br />4540 Duckhorn Drive, Suite 300
<br />INSURER E:
<br />Sacramento CA 95834
<br />INSURER F :
<br />D
<br />c,11..Isl K11 11111=0 -
<br />COVERAGES CERTIFICATE NUMBEK: IODVLOVrG ••--•--•-•--•-------
<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 />AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />POLICY EFF POLICY EXP LIMITS
<br />INSR
<br />LTR TY PE OF INSURANCE INSO MD POLICY NUMBER MMIDDIYYYY MMIDD/YYYY
<br />A COMMERCIAL GENERAL LIABILITY GLO102078401 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000
<br />X DA AGE RENT D S1,000,000
<br />PREMISES Eaoccunenw
<br />CLAIMS -MADE ❑X OCCUR
<br />MEDEXP(Anyone erson) $10,000
<br />PERSONAL B ADV INJURY 37,000,000
<br />GENERAL AGGREGATE $2,000,000
<br />GENL AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS. 52,000,000
<br />PR0. El LOC -
<br />POLICY ECT 5
<br />OTHER:
<br />B AUTOMOBILE LIABILITY BA9332B63A 7/1/2017 7/1/2018 Ea accident $1,000,000
<br />BODILY INJURY (Per person) S
<br />X ANY AUTO
<br />OWNED SCHEDULED BODILY INJURY accident) S
<br />AUTOS ONLY AUTOS PROPERTY DAMAGE S
<br />HIRED NON -OWNED Per accident
<br />AUTOS ONLY AUTOS ONLY
<br />S
<br />D
<br />UMBRELLA UAB
<br />X
<br />100018366102
<br />7/1/2017
<br />7/1/2018
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $5,000,000
<br />OCCUR
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />5
<br />A
<br />DED RETENTIONS
<br />WORKERS COMPENSATION
<br />WC102078301
<br />7/1/2017
<br />7/1/2018
<br />X STAH
<br />STATUTE ER
<br />E.L. EACH ACCIDENT 51,000,000
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOF/PARTNER/EXECUDVE
<br />OFFICER/MEMBER EXCLUDED'! ❑
<br />NIA
<br />E.L. DISEASE - EA EMPLOYE $1,000,000
<br />(Mandatory In NH)
<br />If DMIResrnbe OFF
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />C
<br />Professional Liabili �'
<br />BN3017501
<br />7/1/2017
<br />7/1/2018
<br />Each Claim 83,000,000
<br />Aggregate 83,000,000
<br />Claims Made
<br />Deductible 8100,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Re marks Schedule, may be attached if mom 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 />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 />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 />AUTHORIZED REPRESENTATIVE
<br />©1
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />All rights
<br />
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