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ACS DR CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/16/2015 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(ies) must 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 Dealey, Renton & Associates DRA License 0020739 P. O. Box 110550 Santa Ana CA 92711 -0550 CONTACT NAME: PH(A/C ONE Nn Est). 714 -427 -6810 E -MAIL ADDRESS: FAX (A/C. Not: 714 - 427 -6818 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Travelers Indemnity Co. of Connecti 25682 INSURED VA Consulting Inc 46 Discovery, Suite 250 Irvine CA 92618 VACONSULT INSURER B :Travelers Property Casualty Co of A 25674 INSURER c :Travelers Casualty & Surety Co. Ame 31194 INSURER D • INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 409713280 REVISION 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DDIYYYY) POLICY EXP (MMIDD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY Y Y 6804848L258 APPROVED 11/24/2014 11/24/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE PREMSESO(EaEoccurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSO INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: G GRE GENERAL AGGREGATE $2,000,000 POLICY %( JEo LOC PRODUCTS - COMP/OP AGG 52,000,000 OTHER: $ B AUTOMOBILEUAM/ATY Y , Y 13Ad9081-54g .11124)2014 11)2412015 accident) SINGLE LIMIT S1,COD,OCO X X ANY AUTO BODILY INJURY (Per person) $ AUT OWNED HIRED AUTOS X SCHEDULED NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y CUP4184T151 11/24/2014 11/24/2015 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y UB7665Y535 11/24/2014 11/24/2015 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability Claims Made 105950591 6/16/2015 6/16/2016 $2,000,000 Per Claim $2,000,000 Annual Aggr. DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) General Liab. excludes claims arising out of the performance of professional services. Umbrella policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. Re: Master Agreement for Public Works Capital Improvement Project. The City of Riverside and its officers and employees and agents are Additional Insured on General & Auto Liability coverage as per written contract. (CG D3 82 09 07) Coverage afforded the additional insured is primary and non - contributory as respects to general liability. Waiver of Subrogation included in Work Comp. CERTIFICATE HOLDER CANCELLATION 30 Days notice /10 Days nonpay City of Riverside Risk Manager City Hall 3900 Main Street Riverside CA 92522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACTH RIZED REPRESENTATIVE ?.- © 1988-2014 ACORD CORPORATION. All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD