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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 9/18/2025
<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 CONTACT
<br /> NAME: Maurice Thornton
<br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX
<br /> 3697 Mt. Diablo Blvd Suite 230 A/C No Ext: 510-272-1476 (A/C,No):
<br /> E-MLafayette CA 94549 ADDRESS: DesignProCerts@AssuredPartners.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:6003745 INSURERA:Travelers Casualty and Surety Co of America 31194
<br /> INSURED AKMCONS-01 INSURERB: Hartford Casualty Insurance Company 29424
<br /> AKM Consulting Engineers, Inc. INSURERC: Hartford Underwriters Insurance Company 30104
<br /> 553 Wald Street
<br /> Irvine CA 92618-4627 INSURERD:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:660255473 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 /> C X COMMERCIAL GENERAL LIABILITY Y Y 57SBWBE3FCJ 9/20/2025 9/20/2026 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $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� PECOT- LOC PRODUCTS-COMP/OP AGG $4,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y 57SBWBE3FCJ 9/20/2025 9/20/2026 COMBINED SINGLE LIMIT $2,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED FIR ERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> C X UMBRELLA LIAB X OCCUR Y Y 57SBWBE3FCJ 9/20/2025 9/20/2026 EACH OCCURRENCE $3,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $3,000,000
<br /> DED X RETENTION$1 n nnn $
<br /> B WORKERS COMPENSATION Y 57WEGZS0250 9/20/2025 9/20/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTEI 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 /> A Professional Liability Y 105344511 9/20/2025 9/20/2026 Per Claim $2,000,000
<br /> Aggregate Limit $4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies.
<br /> The following policies are included in the underlying schedule of insurance for umbrella/excess liability:General Liability/Auto Liability/Employers Liability.
<br /> RE: On-Call Construction Management and Inspection Services/#A-2023-168-01 /RFP#23-122.
<br /> The City of Santa Ana, its officers,officials,employees,and volunteers are named as additional Insured for General Liability and Non-Owned and Hired Auto
<br /> Liability as required by written contract.General Liability is Primary and Non-Contributory and a Severability of Interests Clause applies per policy form wording.
<br /> Insurance coverage includes waiver of subrogation per the attached endorsement(s).A Waiver of Subrogation in favor of City of Santa Ana, its City Council,
<br /> officers,officials,employees,agents,and volunteers on the Professional Liability coverage applies per the policy wording. 30 Day Notice of Cancellation.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION 30 Day Notice of Cancellation
<br /> By Tu Tran Nguyen at 2:31 pm, Oct 01,2025
<br /> 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 Digitallysigned ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Public Works Agency Tu Tran by Tu Tran
<br /> 20 Civic Center Plaza, M-36 Nguyen AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701 Nguyen Date:2025.10.01
<br /> 14:32:33-07'00' %t/�Q
<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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