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A`ORO® CERTIFICATE OF LIABILITY INSURANCE DATE/49/2024YY) 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 co itjons oft policy, certain licies ay require an endorsement. A statement on this certificate does not confer rights to the certificate hold PRODUCER reyling Ins. Brokerage/ IIC Aceve I�'t�"�/q�i 6�'11�ali5yl E�SU/ \7�eved o Date: AMEAC Sharon Bruba er E . 770.756.6599 a No770.756.6599 EMAIL r II R A OI VERAGE NAICN INSURER A: National Union Fire Ins Cc of Pittsburg19445 I INSURED Psomas INSURER B: 865 South Figueroa Street INSURER C: INSURER D: Suite 3200 Los Angeles CA 90017 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1332236825 REVISION 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. INSR LTR rypE OF INSURANCE ADDLSUBR POLICYNUMBER POLICY EFF MMIDD/1'Y1'Y POLICY EXP MM/DD LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR GL5268212 4/1/2024 4/1/2025 EACH OCCURRENCE $2.000,000 DAMAGE TO RENTED PREMISES(En occurrence $500,000 MED EXP (Any one person) $ 25.000 PERSONAL &ADV INJURY $2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JECOT LOC GENERALAGGREGATE $4.000,000 PRODUCTS-COMP/OP AGG $4,000,000 $ OTHER: A AUTDMOBILELIASILITY CA4489706 4/l/2024 4/1/2025 COMBINED SINGLE LIMIT Ea accident) $2,000,000 X BODILY INJURY (Par pempn) $ ANYAUTO OWNED SCHEDULED AUTOS ONLYNAUTOS BODILY INJURY Paracculant ( ) $ X HIRED NON-OWNEDPROPERTY AUTOSONLYAUTOS ONLY DAMAGE Per accitlent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC015893764(ADS) WC015893765(CA) 4/l/2024 4/1/2024 4/1/2025 4/1/2025 X I STATUTE ERH- E.L. EACH ACCIDENT $2.000,000 ANYPROPRIETOWPARTNEWEXECUTIVE FN OFFICER/MEMBEREXCLUDEDi NIA E.L. DISEASE - EA EMPLOYEE $2,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 3SAN050099; On -Call Environmental Services - CEQA and NEPA, RFQ No. 20-100. Clof Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds with respects to General & Automobile US ility where required by written contract. The above referenced liability & policies are primary non-contributory where required by written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL RE nEUVEREn IN ACCORDANCE WITH THE POLICY PRC AUTHORIZED REPRESENTATIVE 6JV 11 6-'4'4-_ C © 1988-2015 ACORD RWe MloMgemadDtviefpn REVIEWED & APPROVED BY: A+g:4 Add " Risk Management SpedalBt ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD