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ACORCP CERTIFICATE OF LIABILITY INSURANCE DAT1/24/2O2r5 Y) <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 /> Edgewood Partners Insurance Agency PHONE Natalja Ellis FAX <br /> 3780 Mansell Rd. Suite 370 IA/C.No.Eat):_(770)818-6424 (A/C,No): <br /> Alpharetta GA 30022 ADDRESS: gTylingcerts@greyfing.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:RLI Insurance Company 13056 <br /> INSURED AKELENGI INSURER B: <br /> Akel Engineering Group, Inc. <br /> 7433 N. First Street Suite 103 INSURER C: <br /> Fresno CA 93720 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:136995742 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. <br /> INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER I(MMIDD/YYYYLAMMIDD/YYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y PSB0005567 7/11/2024 7/11/2025 EACHOCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY X jE 0 LOC PRODUCTS-COMP/OP AGG $4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY Y Y PSA0002219 7/11/2024 7/11/2025 COMBINED SINGLE LIMIT $1,000,000 <br /> (Ea accident) <br /> X 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 /> A X UMBRELLA LIAB X OCCUR Y Y PSE0004274 7/11/2024 7/11/2025 EACHOCCURRENCE $2,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 <br /> DED X RETENTION$1 n nnn $ <br /> A WORKERS COMPENSATION Y PSW0003212 7/11/2024 7/11/2025 X STATUTE OTH- <br /> AND EMPLOYERS'LIABILITY Y f N STA ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE. E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/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 /> A Professional Liability RDP005511B 7/11/2024 7/11/2025 Per Claim $2,000,000 <br /> Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> The Certificate Holder and/or following are hereby included as Additional Insured(s)on the General Liability policy and coverage is provided on a Primary, <br /> Non-Contributory basis including a Waiver of Subrogation if required by written contract: <br /> Re:On-Call Hydraulic Modeling Services. <br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are named as Additional Insureds with respects to General& <br /> Automobile Liability where required by written contract.The above referenced liability policies are primary&non-contributory where required by written contract. <br /> Waiver of Subrogation in favor of Additional Insureds where required by written contract&allowed by law.Umbrella Follows Form with respects to General, <br /> Automobile&Employers Liability Policies Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof,we <br /> will endeavor to provide 30 days'written notice(except 10 days for nonpayment of premium)to the Certificate Holder.Separation of Insureds applies to the <br /> General Liability Policy. <br /> CERTIFICATE HOLDER APPROVED CANCELLATION <br /> By Tu Tran Nguyen at 2:55 pm,Feb 03,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Risk Management Division <br /> Attn: Jaime Arias <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92702 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Tu Tran Digitally signed by <br /> Tu Tran Nguyen <br /> Date: <br /> 3 <br /> Nguyen 114:5619-08'00' <br />