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72/12/2025
<br /> (MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<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 terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: Jessica Sharpe
<br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX
<br /> 3697 Mt. Diablo Blvd, Suite 230 A/C No EXt: 360-598-5010 vc,No):360-598-5010
<br /> Lafayette CA 94549 ADDRESS: jessica.sharpe@assuredpartners.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#;6003745 INSURERA:State Compensation Insurance Fund 35076
<br /> INSURED ELMTCON-01 INSURER B: RLI INSURANCE COMPANY 13056
<br /> ELMT Consulting Inc
<br /> 2201 N. Grand Avenue#10098 INSURER C: Continental Casualty Company 20443
<br /> Santa Ana CA 92711 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:149609422 REVISION NUMBER:
<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 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y PMB0001686 2/1/2025 2/1/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea or
<br /> $1,000,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X JECT
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y PMB0001686 2/1/2025 2/1/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> B UMBRELLALIAB X OCCUR Y Y PME0001081 2/1/2025 2/1/2026 EACH OCCURRENCE $2,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION Y 9225307-2025 2/1/2025 2/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> ❑
<br /> OFFICER/MEMBER EXCLUDED? NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Professional Liab;Poll.Incident EEH591968038 2/1/2025 2/1/2026 $4,000,000 Per Claim $4,000,000 Aggr.
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The certificate holder is an additional insured per the attached.
<br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies.
<br /> The following policies are included in the underlying schedule of insurance for umbrella/excess liability:General Liability/Auto Liability.
<br /> City of Santa Ana—Planning and Building Agency,its officers,officials,employees,and volunteers are additional insureds per the attached.General Liability is
<br /> Primary/Non-Contributory per the attached.Insurance coverage includes waiver of subrogation per the attached endorsement(s). 30 days Notice of
<br /> Cancellation per the attached Digitallysigned by Tu
<br /> Tu Tran Tran Nguyen APPROVED
<br /> Nguyen Date:2025.02.20
<br /> 09:43:37-08'00'
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:43 am, Feb 20, 2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana—Planning and Building Department
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> C,
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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