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Francine R. Digitally signed by Francine R. Villareal Villareal Date: 2022.02.02 10:10:38 -08'00' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/29/2021 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 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 Aon Risk Services Northeast, Inc. Aon Risk services Northeast, Inc. CONTACT NAME: PHONE 866-283-7122 FAX (800) 363-0105 (A/C. No. Ext): A/C. No.: E-MAIL NY NY Office One Liberty Plaza ADDRESS: 165 Broadway, suite 3201 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Hartford Fire Insurance co. 19682 Bureau Veritas North America, Inc. 1940 East Deere Street, suite 210 Santa Ana CA 92705 USA INSURERB: Trumbull Insurance company 27120 INSURER C: Allianz Global Risks Us Insurance co. 35300 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090931752 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY USLOO159322 01 01 2022 01 01 2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ECT F"LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY 10 AB s41202 01/01/2022 01/01/2023 COMBINED SINGLE LIMIT Ea accident $1,000,000 ADS BODILY INJURY( Per person) A X ANYAUTO 10 AB s41203 01/01/2022 01/01/2023 BODILY INJURY (Per accident) OWNED SCHEDULED HI AUTOS AUTOS ONLY HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE CLAIMS -MADE ]jaB TENTION B WORKERS COMPENSATION AND 10WNs41200 01/01/2022 01/01/2023 X I PER STATUTE I OTH EMPLOYERS' LIABILITY Y/N See State Policy Addendum E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/ PARTNER/ EXECUTIVE N OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 D ESCdescribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Archit&Eng Prof USF00248022 01/01/2022 01/01/2023 Each claim $1,000,000 claims Made Aggregate $2,000,000 SIR applies per policy terns & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The Architects & Engineers policy includes coverage for Professional Liability and contractors Pollution Liability. city of Santa Ana, officers, agents, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. city of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 civic center Plaza, 4th Floor Santa Ana CA 92701 USA Ire,//g ©1988-2015 ACORD C ACORD 25 (2016/03) The ACORD name and logo are registered marks ofACORD `w cF RiskManagmentDivisiun REVIEWED & APPROVED BY.- v ` --� M504anagementAnalyst