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75/6/2025
<br /> E(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<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: Sandy Peters
<br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX
<br /> 3697 Mt. Diablo Blvd Suite 230 A/C No Ext: 626-696-1901 (A/C,No):
<br /> E-MLafayette CA 94549 ADDRESS: CertsDesignPro@AssuredPartners.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:6003745 INSURERA:Travelers Property Casualty Company of America 25674
<br /> INSURED PROJPAR-01 INSURER B:The Travelers Indemnity Company of Connecticut 25682
<br /> Project Partners, Inc.
<br /> 949 852-9300 INsuRERc: US Specialty Insurance Company 29599
<br /> 23195 La Cadena Drive, Suite 101 INSURERD: HARTFORD INSURANCE COMPANY 38288
<br /> Laguna Hills CA 92653 INSURERE:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1815172875 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 POLICY NUMBER MM/DD MM/DD
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y 680OJ543236 4/18/2025 4/18/2026 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> Included PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $4,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y BA6R856630 4/18/2025 4/18/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED FIR ERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X NoOwnedAutos $
<br /> A X UMBRELLALIAB X OCCUR Y Y CUP8833Y649 4/18/2025 4/18/2026 EACH OCCURRENCE $1,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED X RETENTION$n $
<br /> D WORKERS COMPENSATION Y 57WEGBR7GTF 4/18/2025 4/18/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER 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 /> C Professional Liability USS2535612 4/18/2025 4/18/2026 Per Claim $2,000,000
<br /> Aggregate Limit $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> AM Best's Rating for all policies listed is:A/XII or greater. Insured owns no company vehicles;therefore, hired/non-owned auto is the maximum coverage that
<br /> applies.The following policies are included in the underlying schedule of insurance for umbrella/excess liability:General Liability/Auto Liability/Employers
<br /> Liability
<br /> Re: RFP#24-001, Proposals for On-Call Engineering,Technical and Administrative Staff Support Services,Agreement#A-2024-120-01
<br /> The City of Santa Ana, its officers,employees,agents,volunteers and representatives are named as additional insured as respects general and auto liability as
<br /> required per written contract.General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the
<br /> attached endorsement(s).
<br /> SEVERABILITY OF INTERESTS
<br /> See Attached...
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION 30 Da Notice of Cancellation
<br /> By Tu Tran Nguyen at 11:54 am,May O6,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Tu Tran Digitally signed by THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Tu Tran Nguyen ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana Nguyen Date:2025.05.06
<br /> Attn: Emily Ho 11:55:00-07'00'
<br /> Public Works Agency—Administrative Services Div. AUIUQRIZED REPRESEbLTATIVE
<br /> Santa Ana CA 92702
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
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