ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />DAT8/31/2018 Y)
<br />08/31 /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 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 />Parker, Smith & Feek, Inc.
<br />2233 112th Avenue NE
<br />Bellevue, WA 98004
<br />CONTACT
<br />NAME:
<br />PHONE 425-709-3600 FOX 425-709 7460
<br />A/C Ext: AIC No
<br />L
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Hartford Fire Insurance Co.
<br />INSURED Alta Planning +Design, Inc
<br />711 SE Grand Ave
<br />INSURER B : Hartford Casualty Ins. Co.
<br />INSURER C : Continental Casualty Company
<br />INSURER D :
<br />Portland, OR 97214
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 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 />INSR
<br />LTR
<br />OF INSURANCE
<br />ADDLTYPE
<br />INSR
<br />SUER
<br />POLICY NUMBER
<br />MM DPOLIDY
<br />/YYYY
<br />MMIDDIIYYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />52UUNHB2172
<br />9/1/2018
<br />9/1/2019
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE Ix OCCUR
<br />X
<br />DAMAG O R NTED
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />X $0 Deductible
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />17 POLICY X PE O LOC
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />52UUNHB2172
<br />9/1/2018
<br />9/1/2019
<br />Easacld.ntSINGLELIMIT
<br />11000,000
<br />X ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X NON -OWNED
<br />HIRED AUTOS X AUTOS
<br />X $1,000 COME
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />B
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />52XHUHB1180
<br />9/1/2018
<br />9/1/2019
<br />EACH OCCURRENCE
<br />$ 7,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$ 7,000,000
<br />DED X I RETENTION $ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatoryin NH)
<br />N/A
<br />52WEAA6IPB
<br />�` Stop Gap Liability WA OH
<br />9/1/2018
<br />9/1/2019
<br />X WC STATU- X OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Professional Liability
<br />MICH114135257
<br />9/1/2018
<br />9/1/2019
<br />15,000,000 per claim
<br />$5,000,000 per aggregate
<br />$75,000 per claim deductible
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Project #00-2017-440 - Santa Ana CA Safe Routes to School Plan. City of Santa Ana is additional insured on the general liability policy per the attached
<br />endorsements/forms.
<br />REVIEWED BY: EUNICE HEREDIA (PG I OF
<br />I.tKI Ir II:HIt MVLLI
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05)
<br />The ACORD name and logo are registered marks of ACORD
<br />1 of 8 (TG800)
<br />
|