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FATE(MMIDDIYYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 4/l/202629/2025 <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. <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 /> CONTACT <br /> PRODUCER Lock-ton Companies,LLC NAME: <br /> 444 W.47th St.,Ste.900 PHONE FAX <br /> Kansas City MO 641 1 2-1 906 E-MAILo Ext: A/C,No <br /> (816)960-9000 ADDRESS: <br /> kcasuGlockton.com INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED TERRACON CONSULTANTS,INC. INSURER B:The Travelers Indemnity Company of America 25666 <br /> 1312890 10841 S.RIDGEVIEW ROAD INSURER C:AI lied World Assurance Company(U.S.)Inc. 19489 <br /> OLATHE KS 66061 INSURER D:The Travelers Indemnity Company 25658 <br /> INSURER E:L)o dS Of London <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 21 195691 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DDIYYW W MMIDD/ YY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y TC2J-GLSA-9P529930 4/l/2025 4/1/2026 EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 1 000 000 <br /> X CONTRACTUAL LIAB MED EXP(Any one person) $ 25,000 <br /> X XCU COVERAGE PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> POLICY� PE� LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY N y TC2J-CAP-131J3858 4/1/2025 4/1/2026 COMBINED SINGLE LIMIT $ <br /> Ea accident 3,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS XXXXXXX <br /> HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ XXXXXXX <br /> A X UMBRELLA LIAB X OCCUR Y Y CUP-4W208814 4/1/2025 4/1/2026 EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED X RETENTION$ $0 $ XXXXXXX <br /> WORKERS COMPENSATION Y X PER OTH- <br /> B AND EMPLOYERS'LIABILITY UB-1 T88663 A(AOS) 4/l/2025 4/1/2026 STATUTE ER <br /> D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN UB-1 T885681 (AZ,MA,WT) 4/l/2025 4/1/2026 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? F7N N I A <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 CONTRACTORS N Y 0312-6506 4/1/2025 4/1/2027 $10,000,000 EACH <br /> POLLUTION LIAB OCCURANCE/AGGREGATE <br /> E PROFESSIONAL LDUSA2505180 4/l/2025 4/1/2026 $2,000,000 EACH CLATM/$2,000,000 <br /> LIABILITY AGGREGATE. <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERMS)REFERENCED. <br /> RE:AGREEMENT FOR ON-CALL ENVIRONMENTAL AND PLANNING SERVICES RELATED TO CEQA AND NEPA DATED NOVEMBER 12,2024. CITY OF SANTA ANA,ITS <br /> OFFICERS,OFFICIALS,EMPLOYEES,AND VOLUNTEERS ARE ADDITIONAL INSURED ON A PRIMARY AND NON-CONTRIBUTORY BASIS AS RESPECTS TO GENERAL <br /> LIABILITY,AND EXCESS/UMBRELLA LIABILITY IF REQUIRED BY WRTTTEN CONTRACT. WAIVER OF SUBROGATTON APPLIES TO GENERAL,,AUTO,EXCESS/UMBRELLA, <br /> PROFESSIONAL,AND WORKERS COMPENSATION/EMPLOYERS LLABILTTY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. <br /> Tu Tran TuTa'uN9 signed APPROVED <br /> Date:2025.06.03 <br /> Ng uyen m:3s:31-m00' By Tu Tran Nguyen at 7:37 am,Jun 03,2025 <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 21195691 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CITY 69 SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PLANNING AND BUILDING AGENCY <br /> 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVtF/ <br /> SANTA ANA CA 92701 I <br /> t <br /> ©1988- 015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />