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BROI IRRA-01
<br />TBENSON
<br />.d►�o�zo' CERTIFICATE OF LIABILITY INSURANCE
<br />Dare(mmloDrcvyY)
<br />112/2024
<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 terns and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certifir.Dt glde7 in lieu of Such end i emen s .
<br />yi
<br />PRODUCER
<br />Ames & Gough
<br />00_Cyee9,j� o�rive�Ce��d®Acevedo
<br />%%�f''a99rr��1j((11R{((60✓✓���� AAL2ZQ,.• A Date: 2024
<br />(AIC,
<br />N , Em): (703) 827-2277 (AI�c, NoI:(703) 827-2279
<br />AJ%Ls: admin@amesgough.com
<br />04 05 10 •I B FFORDING COVERAGE NAIC#
<br />INSURERA:Charter Oak Fire Insurance Company A++
<br />25615
<br />INSURED
<br />Ardurra Group, Inc.
<br />INSURER B: Phoenix Insurance Company A++ XV
<br />25623
<br />INSURER C :Travelers Property Casualty Company of America
<br />25674
<br />INSURER D: National Fire & Marine Insurance Company
<br />20079
<br />4921 Memorial Highway
<br />Suite 300
<br />Suit
<br />Tampa, FL 33634
<br />INSURER E :
<br />INSURER F:
<br />REVIAIr1N NM IIRFR-
<br />l.VVCKAVCD aMo .Proc,wmuu.. ------
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />T.A
<br />X
<br />OOMMERCIALGENERALLIABIL[Y
<br />CLAIMS-MADEFvrl OCCUR
<br />Contractual Llab.
<br />630-SX487435
<br />111/2024
<br />1NI2025
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />PREMISES fEa ORENTED ce
<br />$ 1,000,000
<br />X
<br />MED EXP An one rson
<br />$ 15,000
<br />PERSONAL &ADV INJURY
<br />1,000,000
<br />GEN•L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY ❑ JET LOG
<br />GENERALAGGREGATE
<br />S 2,000,000
<br />PRODUCTS -COMPIOPAGG
<br />$ 2,000,000
<br />B
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea [
<br />S 1,000,000
<br />BODILY INJURY Per emon
<br />$
<br />X ANY AUTO
<br />810-5X558309
<br />111/2024
<br />11112025
<br />BODILY INJURY Per accident
<br />$
<br />AOWNED NOES ONLY SCHEDULED
<br />p
<br />AUTOS ONLY AUTNOS ONLY
<br />PerOacgtlen DAMAGE
<br />$
<br />$
<br />C
<br />X
<br />UMBRELLA LIAR
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />CUP-5X642114
<br />1/112024
<br />111/2025
<br />EACH OCCURRENCE
<br />$ 15,000,000
<br />AGGREGATE
<br />15,000,000
<br />DED I X I RETENTIONS 10,000
<br />C
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEAECUTIVE
<br />`Mandala�ry In NE) EXCLUDED?
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Professional Liab.
<br />NIA
<br />DB-5X489557
<br />42-EPP-306878-06
<br />111/2024
<br />1/112024
<br />111/2025
<br />1/112025
<br />X PEAT E ORH
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE -EA EMPLOYE
<br />1,000,000
<br />$
<br />E.L. DISEASE -POLICY OMIT
<br />Per Claim/Aggregate
<br />$ 1,000,000
<br />10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />RE: RFP #23-122, On -Call Environmental Planning Services (CALIFORNIA)
<br />Umbrella Liability coverage sits excess over General Liability, Automobile Liability and Employers' Liability coverage.
<br />The City of Santa Ana, CA, Its Officers, Employees, Agents, and Representatives are included as additional insured with respect to General Liability,
<br />Automobile Liability, and Umbrella Liability when required by written contract. General Liability includes Additional Insured coverage for Completed
<br />Operations as required by written contract. General Liability, Automobile Liability, and Umbrella Liability are primary and non-contributory over any existing
<br />insurance and limited to liability arising out of the operations of the named insured and when required by written contract. General Liability, Automobile
<br />SEE ATTACHED ACORD 101
<br />City of Santa Ana, CA
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THERED
<br />ACCORDANCE WITH THE POLICY PRC
<br />AUT�HORRED REPRESENTATIVE
<br />'4C
<br />Risk MxruganadDlWtlon
<br />REVIEWED&APPROVEDBY:
<br />q, A+ fx Aawk
<br />• Risk Management Specialist
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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