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DATE(MM/DD/YYYY)
<br /> A` "� CERTIFICATE OF LIABILITY INSURANCE 8/16/2024
<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 CN A O MENTACT
<br /> : 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 /> Lafayette CA 94549 ADDRESS: Cert DesignPro ssured Partners.coin
<br /> _ 4 R DV n I AIC#
<br /> 01 If
<br /> License#:6003745 INSURERA Tra elers Casualty,and Surety Co of America 31194
<br /> INSURED ATRANENG-09 INSURER B.TrPvcrevemaualty Company of America 25674
<br /> Transtech Engineers, Inc.
<br /> 909-595-8599 INSURER ;:l Travelers In e n't Co a y of Connec'cut 25682
<br /> 13367 Benson Ave INSURF t D: H G A Y 288
<br /> Chino CA 91710-30A c e v e O INsu1.ER E:
<br /> IN`JRER F:
<br /> COVERAGES CERTIFICATE NUMBER:855612170 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 I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y 6805H737478 12/31/2023 12/31/2024 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE OCCUR
<br /> PREMISES Ea occurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> Included PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY� ECT � LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y BA3R067451 12/31/2023 12/31/2024 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 PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X NoOwnedAutos $
<br /> B X UMBRELLALIAB X OCCUR Y Y CUP4F17434A 12/31/2023 12/31/2024 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$n $
<br /> D WORKERS COMPENSATION Y 57WEGAA508A 9/1/2024 9/1/2025 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> ❑
<br /> OFFICER/MEMBER EXCLUDED? NIA
<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 /> A Professional Liability 107328311 12/31/2023 12/31/2024 Per Claim $2,000,000
<br /> Aggregate Limit $4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies. Professional Liability is E&O Liability.
<br /> The Umbrella Policy is follow form to its underlying Policies:General Liability/Auto Liability/Employers Liability.
<br /> RE:All Operations of the Named Insured City of Santa Ana,its officers,officials,employees,and volunteers are named as an additional insured as respects
<br /> general liability and auto liability as required per written contract. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage
<br /> includes waiver of subrogation per the attached endorsement(s).
<br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice will be sent to holder
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICE WILL RI= DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PRC
<br /> Risk Management Division a„.° "�F RUManagernentDiMslrnt
<br /> 20 Civic Center Plaza AUJWRIZEDREPRES TATIVE a�' REVIEWED&APPRCYVmBY.
<br /> Santa Ana CA 92702 I °�. 4gi e Aecv44
<br /> ®, Risk Management Specialist
<br /> ©1988-2015 ACORD
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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