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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />6/4/2024 <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 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 endorsementfsl. <br />PRODUCER <br />Greyling Ins. Brokerage/EPIC <br />3780 Mansell Road, Suite 370 <br />Alpharetta GA 30022 <br />INSURED <br />Woodard & Curran, <br />12 Mountfort Street <br />Portland, ME 04101 <br />COVERAGES <br />The <br />Brubaker <br />REVISION NUMBER: <br />THIS IS TO REDD M B LICY PERIOD <br />IIIPiFEO IG0�7BC <br />INDICATED.CNOTIFY TWITHS N IN ANTH RBI <br />ME ',TERVibR.. . TIO FAN N REOSPECT TOHE <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUR'.NC' AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH JW'. MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE ADDL SUBR POLICY OFF POLICYEXP <br />LTR POLICYNUMBER MMIOD MMIDD LIMITS <br />C <br />X <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE � OCCUR <br />GL396D965 <br />4/1/2024 <br />4/12025 <br />EACH OCCURRENCE <br />$ZDKOOO <br />DAMAGE TO RENTED <br />PREMISES Ea cournucal <br />$500,000 <br />MEO EXP (Any one person) <br />$ 25,000 <br />PERSONAL &ADV INJURY <br />$2.000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JEa LOC <br />GENERALAGGREGATE <br />$4,000,000 <br />PRODUCTS-COMP/OP AGO <br />$4,000,000 <br />$ <br />OTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />CA4629109 <br />4/1/2024 <br />4/1/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$2,000.000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY .AUTOS <br />BODILY INJURY Per amitlent) <br />( <br />$ <br />X <br />HIRED [I NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />8 <br />B <br />UMBRELLALIAB <br />X <br />OCCUR <br />7063893898 <br />2/23/2024 <br />4/1/2025 <br />EACH OCCURRENCE <br />$1,000,000 <br />X <br />AGGREGATE <br />$1,000,000 <br />EXCESS LIM <br />CLAIMS -MADE <br />DE0 I X I RETENTION$ n,n <br />$ <br />C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />WC382401 85 (ADS) <br />WC36240184(CA) <br />4/1/2024 <br />4/1/2024 <br />4/1/2025 <br />4112025 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$2,000.000 <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />$2,000,000 <br />(Mandatory in NH) <br />If yes, descdbe under <br />E.L. DISEASE -POLICY LIMIT <br />$Z000,000 <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Uability <br />incl. Pollution <br />AEH114135520 <br />2/23/2024 <br />2/23/2025 <br />Per Claim <br />Aggregate <br />2,000,000 <br />2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Project: Agreement to Provide On -Call Sewer System Hydraulic Modeling Support Services. <br />The City of Santa Ana, its officers, officials, employees, and volunteers are named as Additional Insureds With respects to General Liability where required by <br />written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. The above referenced liability <br />policies are primary & non-contributory where required by written contract. Should any of the above described policies be cancelled by the issuing insurer <br />before the expiration date thereof, we Will endeavor to provide 30 days' written notice (except 10 days for nonpayment of premium) to the Certificate Holder. <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 PRC <br />City of Santa Ana RIAMawganmtDmaten <br />20 Civic Center Plaza M-85 a' <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE REVIEWED&APPROVED t1Y: <br />® Risk Management specialist <br />©1988-2015 ACORD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />