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711/6/2025
<br /> E(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<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 /> NAME: Lauren Mayer
<br /> McGriff Insurance Services LLC PHONE FAX
<br /> 9850 NW 41 st Street A/C No Ext: 954-385-6022 vc,No):866-802-8684
<br /> E-MSuite 100 ADDRESS: lauren.mayer@marshmma.com
<br /> Doral FL 33178 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Berkshire Hathaway Homestate Ins Co 20044
<br /> INSURED 132SAFEBLLC INSURER B: Everest Indemnity Insurance Company 10851
<br /> Interwest Consulting Group, Inc.
<br /> 444 N Cleveland Ave; INsuRERc: Bridgeway Insurance Company 12489
<br /> Loveland CO 80538 INSURERD: Lexington Insurance Company 19437
<br /> INSURERE: Great American E&S Insurance Company 37532
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:866768558 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 SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y CF3GL00415251 10/3/2025 10/3/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $300,000
<br /> X 10,000 MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y CF3CA00337251 10/3/2025 10/3/2026 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 LX
<br /> NON-OWNED FIR ERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> Excess per occ/agg $1,000,000
<br /> C UMBRELLA LIAB X OCCUR Y Y 8EA7XL000207904 10/3/2025 10/3/2026 EACH OCCURRENCE $10,000,000
<br /> D 11170903 10/3/2025 10/3/2026
<br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$_ _ $
<br /> A WORKERS COMPENSATION Y SAWC666825 5/12/2025 5/12/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE FN] N/A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER EXCLUDED?
<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 /> E Professional Liability TER5780118 10/3/2025 10/3/2026 Each Claim/Aggregate $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 10/03/2025-10/03/2026-QBE Ins Corp NAIC#39217-Limits-$5,000,000 part of$10,000,000 Excess of$5,000,000.
<br /> Crime coverage—Federal Insurance Company, NAIC 20281-Policy#J06767825 effective 10/3/25-10/3/26; Limit$1,000,000 DED$10,000.Technology Errors
<br /> &Omissions and Cyber Coverage-Allied World Assurance Company US, Inc. NAIC#19489-Policy#03148733
<br /> effective 10/3/25-10/3/26. Each Claim/AGG$3,000,000 DED$100,000.
<br /> RE: RFP#23-142-On Call Environmental and Planning Services.
<br /> The City of Santa Ana, its officers,officials,employees,and volunteers are additional insureds with respects to general and automobile liability,with a written
<br /> contract.Waiver of Subrogation applies to general 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 /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tian Nguyen at 11:56 am,Nov 17,2025 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 /> Planningand Building Agency by Tu Tranlly signed
<br /> 9 9 Y TU Tfdn by Tu Tran
<br /> 20 Civic Center Plaza Nguyen AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92702 Nguyen Date:2025.11.17 f-
<br /> 11:56:49-08'00'
<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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