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i ) ® AC" o CERTIFICATE OF LIABILITY INSURANCE DATE (MMMENYTTY) 01/23/2024 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. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). OD$$$$$$UCEE��R./'� Digitally sign n pip WRa Inc. A IS tan Associates cevedo _ T AICNNO Ext: (8 413-1481 FNC No: (805)586-8514 ss: com a DD BeLayne@isustanton RER(S AFFORDING COVERAGE NAIC N 25 Thousand Oaks Blvd Lite 292 "') (� Dat�� 4•� s e yG73V6 WSURERA: Crum ,Forsler,A(XIII)-CRC 44520 INS R%—— Envicom Corporation INSURER B: California Automobile -Mercury,A(XIV) 38342 INSURER : Employers Compensation,A-(XI) 11512 INSURER D: 4165 Thousand Oaks Blvd Ste 290 INSURER E: INSURER F: Westlake Village CA 91362 COVERAGED ---- ___. THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE 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. I�TR TYPE OF INSURANCE x COMMERCIAL GENERAL LIABILITY ❑X OCCUR INSD MD POLICYNUMBER POLICY FF MMIDDNYYY POLICY EXP MMIDDNM LIMITS EACH OCCURRENCE $ 2,000,000 =92MM RENTED PREMISES Ea occunence $ 100,000 MED EXP Anv one pesoN $ 5,000 A CLAIMS -MADE X Deductible: $5,000 per Doc Y EPK-143897 05/17/2023 05117/2024 PERSONALBADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000,000 GEWL AGGREGATE LIMITAPPUES PER: ❑ PRO- ❑ LOC POLICY JECT PRODUCTS -COMPIOPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccident $ 1,000,000 BODILY INJURY (Par person) $ ANYAUTO BODILY INJURY (Peraaltlent) $ B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NONAWNED X AUTOS ONLY AUTOS ONLY BA040000085701 12/05/2023 12/05/2024 PROPERTYDAMAGE Peracdtlent $ Hired/borrowed $Included UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $--------- -- EXCESS LIAR CLAIMS -MADE ---------------- ----- PER X STATUTE ER $ DED RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ ' C AND EMPLOYER& LIABILITY YIN ANY PROPRIETOREXCL DED? CUTIVE El EXCLUDED? in NH) (Mantlalary In NH) (Mandator, If Yes, desctlbe under DESCRIPTION OF OPERATIONS below NIA EIG4690451-03 02/04/2024 02/04/2025 E.L. DISEASE -EA EMPLOYEE 1,000.000 $ E.L. DISEASE -POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY(E&O) DED: $5,000 PER CLAIM EPK-143897 05/17/2023 05/17/2024 POLICYAGGREGATE EACH CLAIM 3,000,000 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) Project: The City of Santa Ana's RFQ 23-142 Certificate Holder named as Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PR01 cm. RiakMmagelnadD6ddorl 20 Civic Center Plaza is REVIEWED & APPROVED BY: AUTHORIZED REPRESENTATIVE ,� /� 1 A.'u RuY44 Santa Ana CA 92701 aCt�` 4G l Risk Management Spedalist 01988.2015 ACC ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD