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<br />ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br />`---'' 1 211 41201 8
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />PRODUCER
<br />Leoends Environmental Ins. Services
<br />Suite 250
<br />Aliso Viejo, CA 92656
<br />INSURED
<br />Rincon Consultants, Inc.
<br />210 N Ashwood Ave
<br />Ventura, CA 93033
<br />PHONE
<br />(AIC, No, Ext): (949) 297-5537 52011 _ �a , Nep(949) 297-5960
<br />EMAIL
<br />ADDRESS: Elizabeth.Leach@ioausa.com
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />— INSURER(S) AFFORDING COVERAGE _
<br />NAIC;
<br />INSURER Act -rum & Forster Specialty Insurance Company
<br />44520
<br />INSURER B: Trumbull Insurance Company
<br />,27120 _
<br />INSURER C:.Star$tone National Insurance Company
<br />25496.
<br />INSURER r:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER -
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE AODL SUaR POLICY NUMBER POLICY EFF POLICY EXP
<br />I TR INSD WVD M LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
<br />$ 3.000'005
<br />CLAIMS -MADE X OCCUR X EPK125280 12117/2018 12/1712020 DAMAGETORENTEDence)
<br />_$. 50'000
<br />10,000
<br />MED EXP (Any one person)
<br />_ B
<br />3'000'000
<br />PERSONAL S ADV INJURY
<br />$
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
<br />_$ 4'000'000
<br />POLICY X JECT LOC PRODUCTS - COMP/OP AGG
<br />$ 4'000'000
<br />Deductible
<br />50,000
<br />OTHER!
<br />$
<br />B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br />_ (Ea accident)
<br />1,000,000
<br />$
<br />X ANY AUTO X 72UUNPT4318 12/17/2018 12/17/2019 BODILY INJURY (Per person)
<br />$ _
<br />OWNED SCHEDULED
<br />AUTOS ONLY _AUTOS BODILY INJURY(Peraccidenf_$
<br />X HIRED X NON -AWNED PROPERTY DAMAGE
<br />AUTOS ONLY AUTOS ONLY Per accident
<br />_$
<br />$
<br />A UMBRELLA LIAR X OCCUR EACH OCCURRENCE
<br />5'000'000
<br />-t$
<br />X EXCESS LIAB CLAIMS -MADE EFX111982 12/1712018 12117/2019 AGGREGATE
<br />I$ 5'000'000
<br />DED X RETENTION$ 10'000
<br />S
<br />C WORKERS COMPENSATIONPER 0TH-
<br />ANDEMPLOYERS' LIABILITY _X STATUTE—_ ER
<br />YIN
<br />ANY PRIRIMEM OR/PARTNDED? GUTIVE T10180329 02/0112018 02/01/2019
<br />1,000,000
<br />EXCLUDED? N NIA _ EL EACH ACCIDENT
<br />$
<br />MEandatoM a NMS
<br />1,000,000
<br />( ry E.L. DISEASE - EA EMPLOYEE
<br />$
<br />es. ION antler
<br />1,000,000
<br />DESCRIPTIf
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT
<br />$
<br />A Professional Liab EPK125280 12117/2018 12/17/2020 Per Claim
<br />3,000,000
<br />A Professional Liab EPK125280 12117/2018 12/17/2020 Aggregate
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Re: Agreement N-2018-060
<br />*Professional Liability is written on a Claims Made basis. When required by written contract, the General Liability and Pollution Liability Limits
<br />are on a Per
<br />Project basis while dedicated; the Professional Liability is on a Per Policy basis. Professional Liability Deductible $50,000 Each Claim.
<br />The City of Santa Ana its officers, employees, agents, volunteers and representatives are included as additional insureds for General Liability and Auto
<br />Liability with respect to work performed for them by the Named Insured as required by written contract, per Blanket Additional Insured endorsement EN0147-
<br />1111, EN0320-0211, EN0321-0211 & HA99160312. Liability Coverage is Primary and Non -Contributory as required by written contract, per endorsement EN0147
<br />SEE ATTACHED ACORD 101
<br />City of Santa Ana - Public Works Agency
<br />Attn: Water Resources Department
<br />20 Civic Center Plaza, M-21, P.O. Box 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 />Iz/t'l/Ig, PAg� I V -F 40
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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