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77/15/2024 <br />E (MM/DDYYY) <br />A� " CERTIFICATE OF LIABILITY INSURANCE /Y <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(ie ) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the polici certain policies may require an endorsement. A statement on <br />this certificate does not confer hts to the certificate !alder in lieu of such end r_sem • • ' <br />PRODUCER CONTAC' <br />NAME: <br />Risk Strategies Comppany PHONE <br />500 N Brand Ste. 1600 A/C No E 81 -857-5010 A/C, No : 818-274-0325 <br />Glendale, CA 91203 ADDRESS • if— An <br />L-IN RE (S) F RA E%# <br />www.risk-strategies.com INSURI .A: P, -)mar Excess and Sur lus Insurance Co 16754 <br />INSUREDceve SU _R B : P O. nSU c C n 20338 <br />Aspen Environmental Gro In.LA • <br />5020 Chesebro Rd., Suit e 27847 <br />Agoura Hllls CA 91301 s< EKD The H ver m '_--'ns nce 36064 <br />su • • <br />_I INSURER F : <br />rnVFRAC.FS CFRTIFICATF NIIMRFR- sane <9Ar RFVISION NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED EtL,W 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />�/ <br />COMMERCIAL GENERAL LIABILITY <br />/ <br />�/ <br />EVPP-24-0000066-00 <br />7/1/2024 <br />7/1/2025 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE Iv] OCCUR <br />PREM SESOEa occurrDence <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />PERSONAL & ADV INJURY <br />$ 1 ,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$2,000,000 <br />PRO - <br />POLICY ✓� ECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />1� <br />Deductible <br />$2,500 <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />EVAP-24-0000001-00 <br />7/1/2024 <br />7/1/2025 <br />(CEO, a.ideDtSINGLE LIMIT <br />$ 1,000,000 <br />✓ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY ✓ AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />V <br />$ <br />Comp ded $1, QD Collision ded $ <br />,000 <br />A <br />UMBRELLA LAB <br />�/ <br />OCCUR <br />EVEP-24-0000024-00 <br />7/1/2024 <br />7/1/2025 <br />EACH OCCURRENCE <br />$4,000,000 <br />AGGREGATE <br />$4,000,000 <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />OFFICER/MEMBER EXCLUDED? ECUTIVE ❑Y <br />N /A <br />✓ <br />WVE 5056103 04 <br />7/1/2024 <br />7/1/2025 <br />�/ SPER TATUTE OERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 000 000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 ,000,000 <br />A <br />Professional Liab. Retro Date:7-27-95 <br />EVPP-24-0000066-00 <br />7/1/2024 <br />7/1/2025 <br />1,000,000 Per Claim Ded $25,000 <br />A <br />Pollution <br />EVPP-24-0000066-00 <br />7/1/2024 <br />7/1/2025 <br />1,000,000 per occurrence Ded $2,500 <br />C <br />Business Personal Property <br />FZ3 J410328 01 <br />7/1/2024 <br />7/1/2025 <br />Limit: $679,800 Ded: $1,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Project Name: City of Santa Ana On Call <br />Project Number: 3627 <br />The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy when required by written <br />contract with respect to liability arising out of work or operations performed by or on behalf of the Consultant including materials, parts, or <br />equipment furnished in connection with such work or operations. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />Planning and Building A ency ACCORDANCE WITH THE POLICY PRC <br />20 Civic Center Plaza (M-20) RAMougmumtDMs;Dn <br />PO Box 1988 F REVIEWED & APPROVED BY: <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE i <br />A�z <br />RSC Insurance Brokerage — J Risk Management Specialist <br />© 1988-2015 ACORD <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />80932498 124-25 GL, Auto, Umbl, Prof. Liab & WC I Alba De La Cerda 7/15/2024 9:45:41 AM (PDT) I Page 1 of 8 <br />