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Client#: 25181 Francine R. Digitally signed by Francine R. Villareal PSOMA llareal Date: 2020.10,07 172U7U>'00' ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDr/YYY) 03/26/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME, Katie Krasner GraylingIns. Brokerage/EPIC nlc°NO Eae:770.552.4225 Ltq866,550.4082 3780 Mansell Road, Suite 370 EomiesS: Katie.Kresner@greyling.com Alpharetta, GA 30022 INSUREIIS)AFFORDING COVERAGE NAICIf INSURER A: National Union Fire Ins. Co. 19445 INSURED Psomas INSURER a INSURER C: 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER D:INSURERE: _ INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 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 CONTRACTOR 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 rypE OF INSURANCE ADDLSUBR NSR MD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMRL LIMITS A X COMMERCIALGENERALL[ABILITY GUMMS-MAOE n OCCUR GL5268212 D410112020 04/01/2021 $1,000,000 OEAACCHHOOCCCURRENCE PREMISES EaEaNcTu,Dno. $500 000 MEDEXP(Anycnepemor) $25,000 PERSONAL& ADV INJURY $1,000,000 GENLAGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPIOPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CA4489706 4/01/2020 04/01/2021 EOaBINEDSINGLELIMIT 2,000,000 X BODILY INJURY (Pat person) $ ANY AUTO X AUTOS ONLY AUrrOSULED HIRED ONLY X No WNED AUTOS AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA WB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ It A ON AND EMPLOYERSN A TI OY AND KERS EMPLOYERS' LIABILITYYIN ANY PROPRIETORIPARTNEREDEDCUTNE OPFICERIMEMBEREXCL? NIA WC015893764(AOS) WC015893765(CA) 4101120200410=021 4/0112020 0410112021 X PER OTH- EL EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under OrOF OPERATIONS below E.L. DISEASEPOLICYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attaehed if more space Is required) 2SAN051200; Engineering Design Services for Rehabilitation of City Well 29, Agreement No. A-2017.338. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General Liability where required by written contract. The above referenced liability policies with the exception of workers compensation are primary & non-contributory where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the (See Attached Descriptions) City of Santa Ana Risk Management Division 20 Civic Center Plaza,4th floor Santa Ana, CA 92702-0000 ACORD 25 (2016103) 1 of 2 #S2088244/M2087819 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dd/6! 01988-2015 ACORD ( The ACORD name and logo are registered marks of ACORD RWL MvMgement Df if e(ml REVIEWED&APPROVEDBY: `assEllEll Risk Management Analyst