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A� o® CERTIFICATE OF LIABILITY INSURANCE DATEMMID2�Y) 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(les) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Assured Partners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94649 NAMEACT Bright Albert PHONE 510 272-1449 FAX A/C No: E-MAIL ADORE s: Desl nProCerts AssuredPartners.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Continental Insurance Companv 35289 License#: 6003745 INSURED CANNCOR-02 Cannon Corporation 1050 Southwood Drive INSURERS: Beazley Insurance Company Inc 37640 INSURER C: HARTFORD INSURANCE COMPANY 38288 INSURER D : San Luis Obispo CA 93401 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 1797123285 REVISION NUMRER- 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 CONTRACT OR 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. INTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICYEFF IMMIDDIYYYYI POLICYEXP flMIVDDIYYYY1LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR Y Y 6079204724 9/1/2022 9/1/2023 EACH OCCURRENCE $1.000,000 DAMAGE 10 RENTED PREMISES Ea occurrence $500,000 X MED EXP (Any one person) $15,000 Contractual Liab Included PERSONAL$ ADV INJURY $1.000,000 AGG REGATE LIMIT APPLI ES PER: POLICY PRO- JECT LOG GENERAL AGGREGATE $2,000,000 GEN'L PRODUCTS-COMPIOPAGG $2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accdent $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accInput) $ A X UMBRELLA LIAB X OCCUR Y Y 6079210751 9/1/2022 9/1/2023 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA Y 57WEOL6H1H 9/1/2022 9/1/2023 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below 9 Professional Liability V27737210401 9/1/2022 9/1/2023 $2,000,000 FrClam gregate $2.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Romer" Schedu to, may be attached if more apace Is required) Umbrella Liability policy is a follow -form to underlying General Liability/Auto LiabilitylEmployers Liability. RE: City of Santa Ana on Project #A2019-1174-03 , A-2020-153-03, A-2021-075-03I Cannon #190815 City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as an additional insured as respects general liability as required per written contract or agreement. General Liability are Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s). Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation City of Santa Ana Attn: Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 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 ©1988-2015 All rights reserved_ ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD