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.ate Vic' CERTIFICATE OF LIABILITY INSURANCE
<br />ATE(MMIDD/YYYY)
<br />r
<br />2/18/2025
<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 />PRODUCER
<br />Risk Strategies Company
<br />2040 Main Street, Suite 450
<br />Irvine, CA 92614
<br />CONTACT
<br />NAME- Sherry Young
<br />_
<br />PHONE FAX
<br />Ext): 949-242 923%
<br />E--M AILIle.
<br />E-M
<br />_ADDRESS. sVOunisk-strategles.com
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC #
<br />wwW.risk-strategies,com CA DOI License No. OF06675
<br />......."" _"...
<br />INSURER A: Travelers Prq arty Casualty CD of America
<br />25674
<br />INSURED
<br />n c.o
<br />1 Peters
<br />1 Peters Canyon Rd., Ste 130
<br />Irvine CA 92606
<br />INSURER B : Travelers Indemnity Co of Connecticut
<br />- -
<br />25682
<br />INSURER Hartford Casualt Insurance Company
<br />_.----y
<br />29424
<br />INSURERD: Arch Insurance. Company
<br />-
<br />11150
<br />INSURER E :
<br />INSURER F :.._--
<br />COVERAGES CERTIFICATE NUMBER: a,i4g1nar, Rr-Vlfilnm NIIMI2CR•
<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 />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />MM DDIMY
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />/
<br />COMMERCIAL GENERAL LIABILITY
<br />✓
<br />�/
<br />6809H717919
<br />5/1/2024
<br />5/1/2025
<br />EACH OCCURRENCE
<br />$2000000
<br />CLAIMS -MADE MOCCUR
<br />DA A ENT'D
<br />PREMISES Ea occurrence
<br />$ 1 000
<br />MED EXP (Any one person)
<br />,000
<br />$ 1 Q 000
<br />--------
<br />-----
<br />PERSONAL &. ADV INJURY
<br />$ 2 000 000
<br />GENT
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE_
<br />_
<br />$ 4,000,000
<br />POLICY ] JEO
<br />LOC
<br />PRODUCTS - COMP/OP AGO
<br />$ 4 000 000
<br />_..
<br />$ --
<br />OTHER
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />✓
<br />✓
<br />BA7R248947
<br />5/1/2024
<br />5/1/2025
<br />COMBINED SINGLE. LIMIT
<br />JEa accident}
<br />$ 1 000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />--
<br />BODILY INJURY (Per accident)
<br />S
<br />HIRED NUN -OWNED
<br />AUTOS ONLY ✓ AUTOS ONLY
<br />✓
<br />PRUPERTY DAMAGE
<br />accident}
<br />$
<br />"-(Par
<br />A
<br />✓
<br />UMBRELLA LIAB
<br />✓_LIAB
<br />OCCUR
<br />CUP71<299343
<br />5/1/2024
<br />5/1/2025
<br />EACH OCCURRENCE
<br />$g pOQ QpQ
<br />AGGREGATE
<br />$ 9,000,000
<br />EXCESS
<br />CLAIM,SWADE
<br />DED I ✓ REiENTION$0
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />/
<br />72WEGAX2CTE
<br />5/1/2024
<br />5/1/2025
<br />✓ IP
<br />STATUTE ERH
<br />AND EMPLOYERS' LIABILITY YIN
<br />E.L. EACH ACCIDENT
<br />$ 1000,000
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />N / A
<br />_.
<br />E.L. DISEASE - EA EMPLOYEE
<br />.."."_
<br />$ OQg,g
<br />(Mandatory in NH) �SC
<br />describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1 000 000
<br />D SCRIPT OF OPERATIONS below
<br />D
<br />Professional Liability
<br />✓
<br />PAAEP0162701
<br />11/12/2024
<br />11/12/2025
<br />Per Claim: $3,000,000
<br />Aggregate: $3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Effective 02/14/2025; as respects the Professional Liability policy, a specific additional limit of $0 per claim & $1,000,000 aggregate applies
<br />to the Architectural Services Santa Ana Downtown Parking Lot Structures Improvements project. City of Santa Ana, its City Council, its officers,
<br />officials, employees, agents and volunteers are named as additional insureds and primary/non-contributory clause applies to the general and auto
<br />liability policies and a waiver of subrogation in favor of the additional insureds applies to the general, auto, work comp and professional
<br />liability policies, 30-day notice for non -renewal and cancellation, 10-day notice for non -pay applies. Professional Liability Ded: $35,000 per claim.
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<br />TLITran
<br />�9 +Yen
<br />Nguyen w2025.02.1B14J122
<br />CERTIFICATE HOLDER CANCELLATION Bar Tu Tran Niguyen at : b Fob 1
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Parks, Fleet & Facilities Services
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza M-11
<br />Santa Ana CA 92701
<br />AUTHORIZED REPRESENTATIVE"
<br />RSC Insurance Brokerage
<br />U 1988-2015 ACORD CORPORATION. All rights reserved,
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />939817%5 I 24 2�, tAL A kTL-M" PL I Sherry Y.unq 1 2/_8120 t2: 35:48" Elm (PST) € P-le 1 nC 1,0
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