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N-2018-060 RINCCON-01 LUELFA CERTIFICATE OF LIABILITY INSURANCE OAT5/9/2 DIYYYY) 5/snola THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OE67768 Legends Environmental Ins. Services 130 Vantis Suite 250 c NMTA E:CT Elizabeth Leach PHONE FAX INC, No, Ext): (949) 297.5537 52011 (AIC, No:(949) 297-5960 nbo"fess: Elizabeth.Leach@ioausa.com Aliso Viejo, CA 92656 INSURERS AFFORDING COVERAGE NAIC If INSURER A: Crum & Forster Specialty Insurance Company 44520 EPK114155 INSURED INSURER B: Trumbull Insurance Company 27120 INSURERC:StarStone National Insurance Company 25496 RIncon Consultants, Inc. INSURER D: 210 N Ashwood Ave Ventura, CA 93033 INSURER E INSURER F. COVERAGES CERTIFICATE NUMBER- REvrcrnm NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD SUBR WAD POLICY NUMBER POLICY EFF 0912212016 POLICY EXP_LIEL 0912272018 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FA] OCCUR X Transportation Poll. X EPK114155 EACH OCCURRENCE $ 3,000,000 DAMAGE TO RENTEDPREMISES (Ea occurrence) $ 50 ,000 MED EXP (my one erson $ 10+000 PERSONAL &ADV INJURY $ 3+000+000 GEN -L AGGREGATE LIMIT APPLIES PER: POLICYEX JEOT [] LOC Contractors Pollution Liability X OTHER: GENERALAGGREGATE $ 4,000+000 PRODUCTS-COMPIOPAGG 4+000+000 Deductible 2,500 B AUTOMOBILE LIABILITY COn MBINED S Ea cid INGLE LIMIT 1,000000 X ANY AUTO OWNED SCHEDULED AUTOS ONLYAUTOS X 72UUNPT4318 1211712017 12717/2018 BODILY INJURY PerPerson) $ BODILY Per accident $ lINJURY PryAUOB eaectlrient AMAGE $ XT X XBT.pONEE ONLY AOSS R69Coll Ded AUMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5+000+000 X EXCESS LIAB CLAIMS -MADE EFX108624 09/2212017 09/2212016 AGGREGATE 5+000+000 DED I X I RETENTION$ 10,000 C WORKERS ND EMPLOYERS' COMPENSATION YIN AApNN�Y PROPRIETggOEERIPARTNERIEXECUTIVE (Ma15ER/MstoryEM NH) EXCLUDED? �N S yes, desomm under DESCRIPTION OF OPERATIONS below NIA 710180329 0210112016 02101/2019 X STATUTE ERH E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1+000+000 E.L. DISEASE - POLICY LIMIT 1,000,000 A Professional Liab.* FPK114155 09122120161 09/2212018 Per Claim 3,000,000 A Professional Liab.• EPK114155 0912212016 09/2212018 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, mabe attached If more space is required) "Professional Liability and Transportation Pollution Liability are written on a Claims Blade basis. When required by written contract, the General Liability and Pollution Liability Limits are on a Per Project basis while dedicated; the Professional Liability is on a Per Policy basis. Professional Liabilty Deductible $10,000 Each Claim. Re: Agreement N-2018-060 The City of Santa Ana its officers, employees, agents, volunteers and representatives are included as additional insureds for General Llability and Auto Liability with respect to work performed for them by the Named Insured as required by written contract, per Blanket Additional Insured endorsement EN0147- SEE ATTACHED ACORD 101 City of Santa Ana - Public Works Agency Attn: Water Resources Department 20 Civic Center Plaza, M-21, P.O. Box 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE 3-1'71/ Si OAg eP / ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1/ V v Io