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A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYYY) 3/29/2024 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. olicy, certain licies may require an endorsement. A statement on If SUBROGATION IS WAIVED, subject to the terms and conditions of tk0tNTA this certificate does not confer rights to the certificate h dd s PRODUCER :C Sharon Brubakerkllarftl�t yling Ins. Brokerage/ IC E FAX ceveNo770.756.6599 euc No): 770.756.6599 /..` E-MAILDate. r li rt e i .c M I F�Suft7yeved o ' N R AF DI VERAGE NAIC# 1INSURERB: r INSURERA: National Union Fire Ins Co of Pittsburg19445 _ INSURED Psomas 865 South Figueroa Street INSURERC: Suite 3200 INSURERD: Los Angeles CA 90017 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:1332236825 REVISION NUMBER: 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. INSR LTR OF INSURANCE ADDLTYPE INSD WVDUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM /DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2024 4/1 /2025 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE PREM SESOEa occurrence) rrence $ 500,000 _7TED MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY CA4489706 4/1/2024 4/1 /2025 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY(per.. UMBRELLALIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC015893764 AOS) WC015893765 (CA) 4/1/2024 4/1/2024 4/1 /2025 4/1 /2025 XOTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? F-F] N I A E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 3SAN050099; On -Call Environmental Services - CEQA and NEPA, RFQ No. 20-100. City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PRC Risk Management Division �N RAMuogemenfDhblon 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE it REVIEWED Sr APPROVED BY: Santa Ana CA 92702A ' g `et1. 7 -- Risk ManacJennentSpecialist © 1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD