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® A� 0 CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDNYYY) 2/12/2024 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 certif ca d PRODUCER ssureciPartoers DesiAn Professionals Insur nce S f�9I� V O 0 y Date: 2024. NAME: C arah Fi CA License#OM57256 PHONE 360-fi26-2961 ac No:360-626-2961 E ' sured artners.com _ INSURERS AFFORDING COVERAGE NAICM INSURERA: State Compensation Insurance Fund 35076 —07 1 00 _ INSURED ELMTCON-01 ELMT Consulting Inc 2201 N. Grand Avenue #10098 INSURER B: RLI INSURANCE COMPANY 13056 INSURER c: Continental Casualty Co 20443 Santa Ana CA 92711 INSURER 0 INSURER E : INSURER F v,PATu kl"MBER' 203758975 KEVISIum 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. ILTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MM/DDIYYYY POLICY FXP MMIDD LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR Y Y PMB0001686 2/1/2024 2/112025 EACH OCCURRENCE $1,000,000 OAM GE TO RE ED PREMISES Ea occvnence $100,000 MED EXP(Any one person) $25,000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000.000 POLICY IRI LOC JECT B OTHER: AUTOMOBILE LIABILITY Y Y PM80001686 2/1/2024 2/1/2025 COMBINED SINGLE LIMIT IF, accident $1.000,000 BODILY INJURY (Par parson) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NOWOWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Perawiden[ $ B X UMBRELLAUAB X OCCUR Y PME0001081 2/1/2024 2/1/2025 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 EXCESS LMB CLAIMS -MADE DEO I I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS'LIABILMY YIN ANVPROPRIETOMPARTNEWEXECUTIVE X STATUTE ERH- $ A Y 9225307-2024 2/1/2024 2/1/2025 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1.000,000 OFFICERIMEMBEREXCLUDED'/ ❑ (Mandatory in NH) NIA E.LDISEASE-POUCYUMIT M,000,000Per Claim $1.000.000 $4,000,000 Agg C IfWs,d scribaunder DESCRIPTION OF OPERATIONS below Professional Linn; Pall. Incident EEH591968038 2/1/2024 2/1/2025 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) City of Santa Ana — Planning and Building Agency, its officers, officials, employees, and volunteers are additional insureds per the attached. General Liability is Primary/Non-Contributory per the attached. Insurance coverage includes waiver of subrogation per the attached endorsement(s). 30 days Notice of Cancellation per the attached SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC City of Santa Ana — Planning and Building Agency walrnfuMge sentDMamR 20 Civic Center Plaza AUTHORIZEDREPRESENTAT IE �� REv& m 4APPROVQJ BY Santa Ana CA 92701 ,t . A,, f A eve a ([/y_ Risk Management Specialist 01988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD