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Digitally signed by Francine R.
<br />Francine R.
<br />Villareal
<br />Villareal Date: 2021.09.1610:46:49
<br />-OTOO'
<br />4i o CERTIFICATE
<br />DAT11//1o12°'a "
<br />OF LIABILITY INSURANCE
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND OONFERS 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. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endoramlent(s).
<br />PRODUCER
<br />Aon Risk Services Southwest, Inc.
<br />TX Office
<br />5555 San Felipe
<br />Suite 1500
<br />CONTACT
<br />NAME'
<br />FACX . No:(800) 363-0105
<br />.,o:(866) 283-7122Houston
<br />EMAIL
<br />ADDRESS,
<br />Houston TX 77056 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICa
<br />INSURED
<br />Atlas Technical Consultants, Inc.
<br />SCST, LLC
<br />INSURERA: Steadfast Insurance Company
<br />26387
<br />INSURES B: Zurich American Ins Co
<br />16535
<br />INSURENC:
<br />13215 Bee Cave Parkway
<br />Building a, suite 230
<br />Austin TX 78738 USA
<br />INSUREID:
<br />INSURmE:
<br />INSUflEtF:
<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 ANYCONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 13YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEENREDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSO
<br />WVO
<br />POLICYNUMBEfl
<br />MIDO/VYIMWDDNYWI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILRY
<br />CLAIMS -MADE ❑X OCCUR
<br />GPL021708505
<br />-.PREMISES
<br />EACH OCCURRENCE _
<br />_ $2,000,005
<br />A TED
<br />Ea occunence
<br />$100, 000
<br />IAED£XP(Any one p mnn)
<br />-- - - $5,000
<br />-
<br />-
<br />-
<br />-PERSONAL B ADV INJURY
<br />$2,000,000
<br />GEN'LAGGREGATE LIMMAPPLIES PER:
<br />POLICY X PRO-X LOC
<br />�JECT
<br />GENERAL AGGREGATE -
<br />-- _ $6,000,000
<br />-.
<br />_- -
<br />PRODUCTS--COMP/OPAGG
<br />-
<br />-$4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />BAP 0217109-05
<br />11/13/202011/13/2021
<br />COMBINED SINGLELIMIT
<br />Caacrocern
<br />$2,000,000
<br />BODILY INJURY (Per person)
<br />X ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOs NONOWNEDPROPERTY
<br />ONLY AUTOS ONLY
<br />BODILY INJURY (Per actltlenQ
<br />DAMAGE
<br />Per eccidenl
<br />UMBRELLA LIMB
<br />OCCUR
<br />EACHOCCURRENCE
<br />EXCESS LIM
<br />U
<br />CLAIMS -MADE
<br />AGGREGATE
<br />DIED
<br />RETENTION
<br />B
<br />WORKERS COMPENSATIONAND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICERRaEMSER E%CLUOEO?
<br />(Mandatory In NH)
<br />If Yes, descdbe under
<br />OE SCRIPTIONOFOPERATIONSbelow
<br />N/A
<br />WCOZ1711105
<br />11/13 202U
<br />11 13 2021
<br />X I PER STATUTE
<br />E
<br />EACH ACCIDENT
<br />E.L.19
<br />$1, 000,000
<br />E.L DISEASE EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />E&O-PL-Primary
<br />GPL02170850S
<br />CLAIMS MADE
<br />11/13/2020
<br />11/13/2021
<br />Each Incident
<br />Aggregate
<br />$1,000,000
<br />$2,000,000
<br />DESCRIMON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addmanal Remarks Schedule, may bemmched IT more apace Is lectured)
<br />City,of Santa Ana, officers, agents, employees and volunteers are included as Additional Insured in accordance with the policy
<br />provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-contributory to other
<br />insurance available to City of Santa Ana, but only in accordance with the policy's provisions. should General Liability,
<br />Automobile Liability and Workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions
<br />will govern how Notice of Cancellation may be delivered to certificate Holders in accordance with the policy provisions.
<br />CERTIFICATE HOLDER CANCELLRTION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702 USA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRAT DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />AUTHORREDIEPRESENTATIVE
<br />©1988-2015 ACORD COI
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />RkJcMancgminDMa(mt
<br />u (� p
<br />4 REVIEWED&APPRttW®BY:
<br />F - • 1 rMiry.(iN1 Tom. V4L{NIEFL
<br />Risk Management Analyst
<br />
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