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/-"I ® DATE(MM/DD/YYYY)
<br /> �44C7"M CERTIFICATE OF LIABILITY INSURANCE 09/04/2025
<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.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this 2
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> AOn Risk services Northeast, Inc. -NAME:
<br /> PHONE FAX i
<br /> New York NY Office (AIC.No.Ext): (866) 283-7122 A/C No.): (800) 363-0105 '0
<br /> One Liberty Plaza E-MAIL p
<br /> 165 Broadway, suite 3201 ADDRESS: _
<br /> New York NY 10006 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Great Northern Insurance Co. 20303
<br /> ICF Incorporated LLC INSURERB: ACE American Insurance Company 22667
<br /> 1902 Reston Metro Plaza
<br /> Reston vA 20190 USA INSURERC: continental casualty Company 20443
<br /> INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570115243160 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. Limits shown are as requested
<br /> INSR POLICY EFF POLICY EAP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 35812409 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X❑OCCUR Package - Domestic DAMAGE TO RENTED $1,000,000
<br /> PREMISES Ea occurrence
<br /> X Prod/Comp Ops Incl. MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000 0
<br /> MOTHER
<br /> LAGGREGAATTE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY I X IPE� �X LOC PRODUCTS-COMP/OP AGG $2,000,000 uNi
<br /> : LJ O
<br /> A Y Y 73522955 07/01/2025 07/01/2026 COMBINED SINGLE LIMIT n
<br /> AUTOMOBILE LIABILITY $1,000,000
<br /> Automobile - All states Ea accident
<br /> JXX ANY AUTO BODILY INJURY(Per person) 0
<br /> Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) Ol
<br /> AUTOS ONLY AUTOS R
<br /> HIREDAUTOS X NON-OWNED PROPERTY DAMAGE V
<br /> ONLY AUTOS ONLY Per accident w
<br /> Ol
<br /> UMBRELLA LAB HOCCUR EACH OCCURRENCE ()
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE
<br /> DED RETENTION
<br /> B WORKERS COMPENSATION AND Y 2671754337 07/01/2 02 5 07/01/2026 X I PER STATUTE I OTH-
<br /> EMPLOYERS'LIABILITY ER
<br /> YIN Workers Compensation
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCI DENT $1,000,000
<br /> OFFICER/MEMBER EXCLU DED? 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 E&O - Miscellaneous 652011911 07/01/2025 07/01/2026 Each claim $1,000,000—
<br /> Professional-Primary E&O Includes Cyber Overall policy aggr( $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is requ APPROVED
<br /> Re: Contract # A-2024-119
<br /> By Tu Tran Nguyen at 3:53 pm,Sep 18,2025
<br /> Professional Liability is a Claims Made policy.
<br /> There is no Additional Insured status on the Professional Liability coverage.
<br /> Retroactive Date: 6/25/1999
<br /> The City of Santa Ana, its city council, its officers, officials, employees, and volunteers are included as Additional Insured,
<br /> Tu Tran Digitally signedeyTu
<br /> Tran Nguyen
<br /> Nguyen _Date:2025.09.18
<br /> CERTIFICATE HOLDER CANCELLATION 155335-07'00' �
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> city Of Santa Ana AUTHORIZED REPRESENTATIVE �~
<br /> city of Santa Ana -- Public Works Agency
<br /> Parks, Fleet, Facilities Division �}•
<br /> 20 Ci is center
<br /> Arroyo �� zf, p �i
<br /> 20 Civic Center Plaza, iL2YCCtJ 4 78GL
<br /> Santa Ana, CA 92701 USA
<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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