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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 4/25/2025
<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: AJG Service Team
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE FAX
<br /> 300 Madison Avenue A/C No Ext: 212-994-7020 A/c,No:
<br /> E-M28th Floor ADDRESS: GGB.WSPUS.CertRequests@ajg.com
<br /> New York NY 10017 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Liberty Insurance Corporation 42404
<br /> INSURED WSPGLOB-01 INSURERB:Zurich American Insurance Company 16535
<br /> WSP USA Inc.
<br /> f/k/a WSP USA Environment& Infrastructure Inc. INSURERC:
<br /> One Penn Plaza INSURERD:
<br /> New York NY 10119 INSURERE:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1371879347 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 GL09835819-12 5/1/2025 5/1/2026 EACH OCCURRENCE $3,500,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $3,500,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $3,500,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $14,000,000
<br /> POLICY PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $7,000,000
<br /> X
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY Y Y AS7-621-094060-035 5/1/2025 5/1/2026 COMBINED SINGLE LIMIT $5,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED FIR ER DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION Y WA7-62D-094060-015 5/1/2025 5/1/2026 X PER OTH-
<br /> A AND EMPLOYERS'LIABILITY Y/N WA7-62D-095609-075 5/1/2025 5/1/2026 STATUTE ER
<br /> A ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A WC7-621-094060-915 5/1/2025 5/1/2026 E.L.EACH ACCIDENT $2,000,000
<br /> OFFICE R/M EMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> THIRTY(30)DAYS NOTICE OF CANCELLATION.
<br /> NPDES Inspection and Database Management and As-Needed Services.The City of Santa Ana, its officers,officials,employees,agents,volunteers and
<br /> representatives are included as Additional Insureds with respect to the General Liability and Auto Liability policies as required by written agreement, pursuant to
<br /> and subject to the policy's terms,definitions,conditions and exclusions.The coverage provided by the General Liability and policy is primary and any other
<br /> coverage shall be excess only,not contributing.Waiver of Subrogation applies to Additional Insureds with respect to the General Liability,Automobile Liability
<br /> and Workers Compensation/Employers Liability policies as required by written agreement,pursuant to and subject to the policy's terms,definitions,conditions
<br /> and exclusions.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 11:41 am, May 12,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza AUTHORIMDUPRESENTATIVE
<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 />
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