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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 />