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as <br />A CERTIFICATE OF LIABILITY INSURANCE <br />I <br />DTmW2020 <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(les) 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 />this certificate does not confer rights to the certificate holder in lieu of such endor s m�pant a . <br />PNOOVCEe <br />Aon Risk services southwest, Inc. <br />Houston TX Office <br />NAIVE T <br />R. C86fi) 2&3-7122 I. xe.): (800) 363-0105 <br />Be*F <br />5555 San Felipe <br />Suite 1500 <br />Houston TX 77056 USA <br />INet1RE (3)AFFORONOCOVERAOE <br />NAIC9 <br />IMSOREo <br />INSURERA: Zurich American Ins Co <br />16535 <br />1WGUSA Holdings, Inc. <br />and its subsidiaries and Affiliates <br />17325 Katy Freeway <br />Houston TIC 77084 USA <br />IxsURERB: ACE American insurance Company <br />22667 <br />INSURER c: AIG Specialty Insurance Company <br />P Y P Y <br />26883 <br />INSURERB: American xnternational Group UK Ltd <br />AA1120187 <br />INSURER E: <br />INSWRERF: <br />COVERAGES CERTIFICATE NUMBER: 570082940956 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />Limas snows an as requested <br />Ilp <br />TYPE OF wSUM <br />U <br />III NUMBER <br />( Y PYY) <br />t <br />IMAVO YVI <br />wmS <br />A <br />% <br />COMYERCML OINENLLIABNI}Y <br />GL0484608 0077/01/2020 <br />O 10112021 <br />EACH OCCURRENCE <br />1100 <br />CIAIMS.MAOE OCCUR <br />PREWSESIEa¢cwlance) <br />$100.00 <br />MEDEXPIAnwmameonl <br />S51000 <br />PERSONAL& AW INJURY <br />55,000.00 <br />GEm AGGREGATE LIMIT APPLIES PER <br />GENERALAGOREGATE <br />SS.000,000 <br />PoLICY �% jER ❑LOC <br />PRODUCTS-LOMPgPAGG <br />S5,000, 000 <br />OTHER <br />B <br />AUTO MOBILE LMAIUnf <br />ISA H25301900 <br />07/01/202007/01/2021 <br />COMBINED SINGLE SINGLE LIMIT <br />lEa asgmq <br />$2,000, 000 <br />BODILY INJURY(Per Damn) <br />% ANYAUTO <br />BOOBY INJURY(Pe.e �O " <br />pVNEO SCHEOUIEO <br />AUTOS ONLYAV(� <br />PROPERTY DAMAGE <br />HIREOAUI03 1ldIAVNFD <br />OyY AUTOS ONLY <br />�etclXMAll <br />MBRELLA LMB <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />4-7 <br />EXCESS LIAR <br />CWME.MAOE <br />RETENTION <br />a <br />a <br />wORNERe COMPENBATION AND <br />EYROYERS LIAaILRY YIN <br />EXECUTIVE ORICEWME,WER A FFOPWEHORIRUI N <br />IMenabnbxN) <br />N/A <br />WLRC67455708 <br />work Comp- ADS <br />sCFc67455745 <br />Work Camp- WI <br />07 01/2020 <br />Q]/Q1/jQ20 <br />07/ 1/2021 <br />Q]/01/j0j1 <br />% PERSTATUTE <br />EL EACHACCIDENT <br />51, 000, 00 <br />EI. dSFASEFAEMPLOYEE <br />$1,000, 0D <br />OESLRIPIIOx OF OPERATIONS>Nw <br />EI dSEASE-0OLICV LIMIT <br />51,000.000 <br />D <br />Archit&Eng Prof <br />IPSDEF2000726 <br />07/01/202 <br />07/01/2021 <br />Aggreagate Limit <br />S5,00 ,000 <br />Claims Made- Prof. Liab. <br />Any One Claim <br />s5,000,000 <br />SIR applies per policy terns <br />& Oundi <br />ions <br />OESOOPTIONOFOPERAIM)Nal LOCAMNSIVENICLIs(ACOR01B1.ACA lRxanae Stl,MWe, may Ee eMSAMXmon apmbIpWIW) <br />SEE ATTACHED ADDENDUM FOR ADDITIONAL NAMED INSURED AMEC COMPANIES. RE: NPDES Inspection and Database Management and As -Needed <br />services City of Santa Ana, its Officers, employees, agents and representatives are Additional Insured on the General Liabilit <br />policy as required by written contract. General Liability policy is Primary and Non -Contributory where required by written <br />conrract. <br />RE RIIEWM D & MPPRpOV oD <br />CERTIFICATE HOLDER <br />of THE ABOVE DESCRIBED POUCHU1 BE CANCELLED BEFORE THE EXPIRATION <br />NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLRY PROVISION& <br />CiFRANCTNL: R. VILLARtAl <br />ty of Santa Ana <br />Risk Management Division AUTHOI REPRISINTATIVE <br />20 Civic Center Plaza R4 <br />Santa ana cf. 92702 USA `J- <br />(D1988-2015 ACORD CORPORATION. All rights reserved <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />