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DATE(MM/DD/YYYY)
<br /> ACCOR" CERTIFICATE OF LIABILITY INSURANCE 8/13/2025
<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 /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE FAX
<br /> 2050 Main Street A/C No EXt: A/C,No:562-901-4631
<br /> E-MSuite#1250 ADDRESS: CertRequest@ajg.com
<br /> Irvine CA 92614 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:OD69293 INSURERA:Allmerica Financial Benefit Insurance Co 41840
<br /> INSURED INSURER B: Hanover Insurance Company 22292
<br /> Thirkettle Corporation INSURERC: Underwriters at Lloyd's, London 32727
<br /> dba Aqua-Metric Sales Company
<br /> 4050 Flat Rock Drive INSURERD: HanoverAmerican Insurance Company 36064
<br /> Riverside CA 92505 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1260112301 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> D X COMMERCIAL GENERAL LIABILITY Y ZZ3A664940-10 7/1/2025 7/1/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $100,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY❑ PRO ❑
<br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X
<br /> OTHER: Emp Ben. $1,000,000
<br /> A AUTOMOBILE LIABILITY AW3A665023-10 7/1/2025 7/1/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> B X UMBRELLALIAB X OCCUR UH3A664942-10 7/1/2025 7/1/2026 EACH OCCURRENCE $10,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$n $
<br /> A WORKERS COMPENSATION W23A652982-10 7/1/2025 7/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Prof Liab/Tech E&O incl Cyber LH3A665809-10 7/1/2025 7/1/2026 Each Claim/Aggregate $2,000,000
<br /> C Pollution Liability SPEC506-01 11/24/2023 11/24/2026 Each Occurrance $1,000,000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> 'TYPE OF INSURANCE: UMBRELLA LIABILITY, POLICY NUMBER: UH3A664942-10, LIMIT AMOUNT:$10,000,000
<br /> Umbrella Liability Coverage follows form and extends over the GENERAL LIABILITY POLICY#ZZ3A664940-10,AUTOMOBILE LIABILITY POLICY
<br /> #AW3A665023-10,and WORKERS COMPENSATION POLICY#W23A652982-10.
<br /> RE:Advanced Metering Infrastructure(AMI)/Meter Data Management(MDM)system,and related software and services.Agreement:A-2020-231
<br /> City of Santa Ana its officers,employees,agents,volunteers and representatives are included as additional insureds on a primary and non-contributory basis,
<br /> as respects General Liability and Pollution Liability per policy form. Umbrella coverage follows form and extends over the general liability,auto liability,and
<br /> See Attached... ---
<br /> CERTIFICATE HOLDER APPROVEDCANCELLATION
<br /> By Tu Tran JVeguyen at 4:24 pm,Aug 13,2025,
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Digitally signed
<br /> City of Santa Ana Tu Tran byTOT,.n ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Nguyen
<br /> 20 Civic Center Plaza Nguyen 2,003 625.02 0
<br /> Santa Ana CA 92702 AUTHORIZEDR RESENTATIVE
<br /> USA
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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