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la. R CERTIFICATE OF LIABILITY INSURANCE gcot#: 2B329T/ <br />DATE(MMIDD <br />5/4/2022 YYJ <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. 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 endorsement(s). <br />PRODUCER <br />Lockton Companies, LLC <br />3657 Briarpark Dr., Suite 700INC.No)- <br />Houston, TX 77042 <br />CONTACT 886-828-8365 <br />NAME:PHONE <br />FAX <br />ADDRESS <br />INSURERS AFFORDING COVERAGE <br />NNC# <br />INSURER A: Ace American Insurance Co. <br />22667 <br />INSURED <br />GROUP 4 ARCHITECTURE RESEARCH PLANNING <br />INSURER B <br />INSURER C: <br />211 LINDEN AVE <br />SOUTH SAN FRANCISCO, CA 94080-3710 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: RFVLS1nN NI IMRFw- <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 />ILTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MWDD <br />LIMITS <br />COMMERCIAL GENERAL LIABILQY <br />CLAIMS -MADE OCCUR <br />FACH OCCURRENCE <br />$ <br />DA GE TO RENTED <br />PREMISES Ea occuo noe <br />$ <br />MED EXP (Any one rson) <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY 0 P" r LOG <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea ecddent <br />$ <br />BODILY INJURY (Par parson) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />B001LY INJURY Peraccident <br />( ) <br />$ <br />HIRED AUTOSNIN_OAUTOS ED <br />AUTOS <br />PROPERTY DAMAGE <br />Per psdent <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />occ, <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />-MADE <br />E. <br />RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />A <br />ANY OFFICERIMEMER EXCLUDED?ECUTIVE ❑NIA <br />X <br />C70152502 <br />10/112021 <br />10i1/2022 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1.000.000 <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 1.000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks SchadUlB, may be attached if more space is required) <br />Notice to Othars Endorsement Included <br />Santa Ana Unney, Project#22575.01. Santa Ana Main Library Renovation <br />WAIVER OF SUBROGATION IN FAVOR OF City of Santa Ana WHEN REQUIRED BY WRITTEN CONTRACT. <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92792 <br />ACORD 25 (2016103) The ACORD name and logo are registered <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />ease naoogart0¢ UM91 W 1 <br />y�,s"eel."4•-' REVIEWED&APPROv®BY. <br />Risk Management Spedalist <br />