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DATE(MM/DD/YYYY) <br /> A` "� CERTIFICATE OF LIABILITY INSURANCE 8/14/2024 <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 endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Jennifer Aguirre <br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE .FAX <br /> 3697 Mt. Diablo Blvd., SuiAnaiense#7 <br /> I No EXt: (25-3 - <br /> Lafayette CA 94549 ADDRIESS: CE t!1D s rt rs. <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> 6003745 INSURER A:XL ipe I II D 37885 <br /> INSURED ftwo ARCHRES-04 INSURER B:T ,e Y ve S nl C m O O n Ic 25682 <br /> Architectural Resources Group, Inc. <br /> Pier 9, The Embarcadero, Su' e 107 INSURER C: ravel Casu it and S t f Akenk 31194 <br /> San Francisco CA 94111 INSURER C a <br /> I REP d: <br /> V %_._1 !dLI R'AF: <br /> COVERAGES CERTIFICATE NUMBER2145781566 _ IL NO FdEA: kJ kJ <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HF.%/' 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 6802H186591 9/1/2024 9/1/2025 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR <br /> PREMISES Ea occurrence $1,000,000 <br /> X Contractual Liab MED EXP(Any one person) $10,000 <br /> Included PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> PRO- <br /> POLICY� ECT1:1 LOC PRODUCTS-COMP/OPAGG $4,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y BA1S985277 9/1/2024 9/1/2025 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 /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> C WORKERS COMPENSATION Y UB6Y264914 9/1/2024 9/1/2025 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 /> A Professional Liability& DPR5032672 9/1/2024 9/1/2025 Per Claim/$2,000,000 $2,000,000/Agglmt <br /> Contractors Pollution Legal Included <br /> Liability <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies. <br /> Re: RFQ 23-142. <br /> City of Santa Ana is named as an additional insured as respects general liability as required per written contract. General Liability is Primary/Non-Contributory <br /> per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s). <br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTICE WILL RE DELIVERED IN <br /> City Of Santa Ana ACCORDANCE WITH THE POLICY PRC <br /> Risk Management Division a„.° "F RUManaganentDiMsirnt <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE REVIEWED&APPRCYVEDBY. <br /> Santa Ana CA 92701 °�, 4g;e Aec/44 <br /> ® Risk Management Specialist <br /> ©1988-2015 ACORD <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />