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A CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(M
<br />mM 0IYYYY)
<br />a Darza,a
<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(les) must have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />SME'
<br />Aon Risk Insurance Services West, Inc.
<br />Los Angeles CA Office
<br />707 Wilshire Boulevard
<br />Suite 2600
<br />�A1c.Ne.Eall: (866) 283-7122 FAX (800) No., (800) 363-0105
<br />Ed L
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAICN
<br />Los Angeles CA 90017-0460 USA
<br />INSURED
<br />INSURERA: Travelers Property Cas CO of America 25674
<br />willdan Homeland Solutions
<br />2401 E. Katella Avenue, Ste. 220
<br />Anaheim CA 92806 USA
<br />INSURER B: Lexington insurance Company 19437
<br />INSURER C:
<br />NJSURER D
<br />NBUZ E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570074077543 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. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />g
<br />POLICY PROVISIONS.
<br />POUCYNUMSER
<br />MMIDDIYYYY
<br />Mwo
<br />LIMIT
<br />Attn: Clerk of the Council
<br />OMMERCIAL GENERAL LIABILITY
<br />20 Civic center Plaza (M-30)
<br />Santa Ana CA 92701 LSA
<br />P 1 TIL
<br />EACH OCCURRENCE 51,000,000
<br />CLAIMS -MADE ❑X OCCUR
<br />J1E].pxcyee
<br />PREMISES Ea occunanca S1,000,000
<br />MED EXP(Any one penon) 515,000
<br />Beneraa Uaba,
<br />% Conramual Labs, mw6ce,
<br />PERSONAL& ADV INJURY 51,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE $2,000,000
<br />X POLICY ❑�Ea ❑ LOC
<br />PRODUCTS-COMPA)PAGG $2,000,000
<br />OTHEP:
<br />A
<br />AUTOMOBILE LIABILITY
<br />P -810 -71365332 -TIL -18
<br />i/09/2016
<br />11/09/2019
<br />COMBINED SINGLE LIMIT $1,000,000
<br />Es actitlenl
<br />BODRYINJURY(Per person)
<br />% ANYAUTO
<br />BODILY INJURY (Per accident)
<br />OWNED SCHEDULED
<br />AUTOS ONLYAUTOS
<br />HINEDaur09 NON-0WNEO
<br />ONLY AUTOSONLY
<br />PROPERTY DAMAGE
<br />Paracc.Z
<br />UMBRELLA LAB
<br />OLCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DEO1 IRETENTION
<br />A
<br />WORKERS COMPENSATION AND
<br />EMPLOYER9'LIABILIIY IN
<br />ANY PROPRIETOR) PARTNER/ EXECUTIVE
<br />OFRCERIMEMBER EXC.UDEDT N
<br />(Mandate, in NHl
<br />NIA
<br />P1U69155881918
<br />11 9 1
<br />ll 2019
<br />PER OTH-
<br />% STATUTE
<br />E.L. EACH ACCIDENT 51,000,000
<br />E.L. DISEASEEA EMPLOYEE 51,000,000
<br />BYea. dezrnbe unser
<br />OE SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY UW 51,000,000
<br />B
<br />Archit&Eng Prof
<br />028174912
<br />11/09/2018
<br />11/09/2019
<br />Aggregate $2,000,000
<br />SIR applies per policy ter
<br />s &condi
<br />ions
<br />Per claim $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101. AddiBonal RamaAa 9chatlele, may he amchad R mem space Is require,)
<br />RE: Grant Management.
<br />city of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in
<br />accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and
<br />Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available t0 an Additional
<br />Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of certificate Holder
<br />in accordance with the policy provisions of the General Liability, Automobile Liability and workers' Compensation policies.
<br />CERTIFICATE HOLDER CANCELLATION >'
<br />9)1988-2015 ACORD CORPO ON. AI Ights reserved.
<br />ACORD 25 (2016109) The ACORD name and logo are registered marks of ACORD
<br />a75a
<br />SHOULD ANY OF THE MOVE DESCRIBED POLICIES BE
<br />CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED
<br />IN ACCORDANCE 'MIH THE
<br />POLICY PROVISIONS.
<br />City Of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Clerk of the Council
<br />20 Civic center Plaza (M-30)
<br />Santa Ana CA 92701 LSA
<br />9)1988-2015 ACORD CORPO ON. AI Ights reserved.
<br />ACORD 25 (2016109) The ACORD name and logo are registered marks of ACORD
<br />a75a
<br />
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