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ACC> b® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMI0214YY)
<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
<br />McGriff Insurance Services LLC
<br />2200 N. Commerce Parkway
<br />Suite 200 a oADD
<br />Weston FL33326
<br />ie Aceved
<br />CONTACT
<br />NAME: Lauren Mayer
<br />PxoNE . 954-385-6022 ac No:866-802-8684
<br />EMAIL
<br />ESS, la— r,mrfOm
<br />�S
<br />.
<br />G .,:,An
<br />INSUREPA: S t I I 20044
<br />INSURED 132SAFEBLLC
<br />Consulting Group, Inc.
<br />444 N Cleveland Ave;
<br />444 Cl
<br />INSURER B: Everest Indemnity Insurance Company 10851
<br />INSURERC: Everest Premier Insurance Company 16045
<br />INSURER D: Bridgeway Insurance Companv 12489
<br />Loveland CO 80538
<br />INSURER E: Great American E&S Insurance Com an 37532
<br />lnsuRERF: Lexington Insurance Company 19437
<br />COVERAGES CERTIFICATE NUMBER: 621072679 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
<br />LTR
<br />rypE OF
<br />ADDL
<br />SUSR
<br />POLICY NUMBER
<br />POLICYEFF
<br />MM/DD
<br />POLICY EXP
<br />MMIDDYYYY
<br />LIMITS
<br />B
<br />GENERAL LIABILITY
<br />Y
<br />Y
<br />CF3GL00415241
<br />10/3/2024
<br />10/3/2025
<br />EACH OCCURRENCE
<br />$1,000.000
<br />TXCOMMERCML
<br />CWMS-MADE OCCUR
<br />DAMAGETORENTED
<br />PREMISES Ea occurrence
<br />$300,000
<br />MED EXP (Myone person)
<br />$10,000
<br />00
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY [K] jEa LOG
<br />GENERALAGGREGATE
<br />$2,000,000
<br />PRODUCTS-COMP/OP AGO
<br />$2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />CF3CA00337241
<br />10/3/2024
<br />10/3/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLYNAUTOS
<br />I
<br />BODILY INJURY Per accident
<br />( )
<br />$
<br />HIRED NON -OWNED
<br />AUTOSONLYAUTOS ONLY
<br />PROPERTY DAMAGE$
<br />Per accident)
<br />Excess per occ/a
<br />$1,000,000
<br />D
<br />UMBRELLA LIAR
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />Y
<br />Y
<br />8EA7XL000207903
<br />011170903
<br />10/3/2024
<br />70/3/2024
<br />10/3/2025
<br />10/3/2025
<br />EACH OCCURRENCE
<br />$10.000,000
<br />X
<br />AGGREGATE
<br />$10,000,000
<br />OEO I X I RETENTION$ n
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />Y
<br />SAWC561586
<br />5/12/2024
<br />5/12/2025
<br />X IPER
<br />STATUTE ERx
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANYPROPRIETORIPARTNEWEXECUTIVE
<br />OFFICER/MEMBEREXCLUDED9 F
<br />N/A
<br />E.L. DISEASE -EA EMPLOYE
<br />$1,000,000
<br />(Mandatary in NH)
<br />If yes, descnbe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />OESCRI PTION OF OPERATIONS below
<br />E
<br />Professional Liability
<br />TER5325879
<br />10/3/2024
<br />10/3/2025
<br />Each Claim/Aggregate
<br />10,000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Excess policy # 140002058 effective 10/03/2024-10/03/2025 - QBE Ins Corp NAIC #39217 - Limits- $5,000,000 partof $10,000,000 Excess of $5,000,000.
<br />Cyber Coverage - Coalition Insurance Company NAIC # 29530 - Policy #C4LRS025767CYBER effective 10/3/24 - 10/3/25. AGG $3,000,000 DED $100,000.
<br />RE: RFQ 23-142 - On Call Environmental and Planning Services.
<br />The City of Santa Ana, its officers, officials, emplo�Bea, and volunteers are additional insureds with respects to general and automobile liability, with a written
<br />contract. Waiver of Subrogation applies to genera and automobile liability and workers compensation in favor of the additional insureds, with a written contract.
<br />Coverage is primary and non-contributory for the additional insureds. Notice of Cancellation is 30 days, except 10 days for non-payment.
<br />City of Santa Ana;Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF. NOTICE WILL RE nELIVEREO IN
<br />ACCORDANCE WITH THE POLICY PRC
<br />MAMenagmust[DYielon
<br />z` ,I REVIEWED&APPROVEDBY:
<br />A+Jr A1441td
<br />Risk Management Specialist
<br />OF
<br />©1988-2015 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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