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A EP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br /> l 1/9/2025 10/21/2024
<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 pollcy(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 Lockton Insurance Brokers,LLC NCONTACT
<br /> AME:
<br /> CA License#0B99399 PHONE FAX
<br /> 777 S.Figueroa Street,52nd H, MANe I=xn: (A/C.No):
<br /> IL
<br /> Los Angeles CA 90017 ADDRESS:
<br /> 213-689-0065 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Property Casualty Company of America 25674
<br /> INSURED Willdan Engineering-Anaheim INSURER B:Allied World Surplus Lines Insurance Company 24319
<br /> 1514460 2401 East Katella Avenue Suite 300 INSURER C:
<br /> Anaheim,CA 92806 INSURER D:
<br /> INSURER a:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 18906150 REVISION NUMBER: XXXXXXX
<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 ADDL SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD_vivo POLICY NUMBER JMM/DDIYYYY) IMMIDD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY y y P-630-AI178471-TIL-24 11/9/2024 11/9/2025 EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TRENTED
<br /> CLAIMS-MADE I X I OCCUR PREMISES(Ea occurrence) $ 1,000,000
<br /> X Emp,Benefits Liab. MED EXP(Any one person) $ 15,000
<br /> X Conti.Liab.Incl, PERSONAL&ADV INJURY $ 1,000,Q00
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X Of I xi LOG PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY y y 810-A1 16 1 74 1-24-43-G 11/9/2024 11/9/2025 (Ea accld DtSINGLE LIMIT $ 1,000,000
<br /> x ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ XXXX��XX
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY ' AUTOS ONLY (Per accident) $ XXXXXXX
<br /> $ XXXXXXX
<br /> A X UMBRELLA LIAR X OCCUR N N CUP-SY 112115-24.43 11/9/2024 11/9/2025 EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $ 3,000,000
<br /> DEC RETENTION$ $ XXXXXXX
<br /> WORKERS COMPENSATION _
<br /> A AND EMPLOYERS'LIABILITY Y/N Y UB-8Y032268-24-43-G 11/9/2024 11/9/2025 X PER ERH
<br /> OFFICER/MEM ER EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $ 1,000,000
<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 /> B Arc/Bng.Prof. N N 0313-5950 11/9/2024 11/9/2025 Per Claim:$2,000,000
<br /> Aggregate:$2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> The City of Santa Ana and its Council members,officers,employees,agents,volunteers and representatives are included as Additional Insured in accordance with the policy
<br /> provisions of the General Liability and Automobile Liability policies.General Liability and Automobile Liability policies evidenced herein are Primary and Non-Contributory
<br /> to other insurance available to an Additional Insured,but only in accordance with the policy's provisions,Please see next page.
<br /> APPROVED
<br /> By Cynthia Mora at 5:30 pm, Nov 19, 2024
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 18906150 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza AUTHORIZEb REPRESENTATIVE Fel
<br /> Santa Ana CA 92701 ,, �. --.
<br /> ...„„...._:
<br /> ©1988-2045 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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