Laserfiche WebLink
iha. ci CERTIFICATE OF LIABILITY INSURANCE <br />�� 1 I/9/2025 <br />n1TB21/2 24 <br />10/21/2024 <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(les) 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 />INS certificate does not confer rights to the certificate holder In lieu of such endorsements . <br />PRODUCER Lockton Insurance Brokers,LLC <br />CA License t101199399 <br />777 S. Figueroa Street, 52nd fl. <br />Las Angeles CA 90017 <br />213-689-0065 <br />CONTACT <br />PHONE AX <br />EH4NL <br />ADDRESS' <br />INSU 8 AFFORDING COVERAGE <br />wMce <br />INSURERA: Travelers PrOPertY Casualty Compan ofAmerica <br />25674 <br />INSURED Willdan Engineering -Anaheim <br />1514460 2401 East KatellaAvenue Suite 300 <br />Anaheim, CA 92806 <br />INSURER 13:Allied World Surplus Lines Insurance Company <br />24319 <br />INSURERC: <br />INSURER ° : <br />INSURER E : <br />INSURER F: <br />COVERAGES GER I IFIrfA I C NUMBER: IKOIIA1511 DFVIQVIM MIIaaGee. vvvasv.jv <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY CY 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 />ILTR <br />TYPE OF INSURANCE <br />O <br />Sum <br />a, <br />POUGYNUM13ER <br />MMIDDPOUCY�F <br />MMIDO EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL UASILRY <br />CLAIMS•MADE 1XI OCCUR <br />Y <br />Y <br />P-630-A1178471-TIL-24 <br />11/9/2024 <br />II/9M25 <br />EACH OCCURRENCE <br />$ 1000000 <br />E SE ocaarerx:e <br />$ 1000 000 <br />X <br />MED EXP (Any oneperson) <br />Emp, Benefits Liab. <br />6 15,000 <br />X <br />I Comr. Liab. Incl. <br />PERSONAL 6 ADV INJURY <br />$ 1 000 000 <br />GENLAGGREGATE LIMITAPPUES PER: <br />POLICY FX] JPER04f F—x] LOC <br />GENERAL AGGREGATE <br />s 2000000 <br />PRODUCTS-COMP/OPAGG <br />s 2 00Q 000 <br />S , <br />OTHER: <br />A <br />AUTOMOBRELIA9ILm <br />I <br />ANYAUrO <br />OWNED SCHEDULED <br />AUTOS ONLY AUT08 <br />AUTOS ONLY NON-OWAUTOS ON D <br />Y <br />Y <br />810-A1161741-24-43-0 <br />11/9/2024 <br />11/9/2025 <br />E.accideot NGLELIM <br />$ 1000000 <br />EMILY INJURY(Perpemon) <br />S i{i�X <br />EMILY INJURY(Pw accident)HIR <br />S 7�'jpCp( <br />PROPERTYDAMAGE <br />(Porn rail <br />S XXXX {XX <br />$xxxxxXX <br />A <br />X <br />UMBRELLA LIAR <br />N <br />OCCUR <br />N <br />N <br />CUP-SY112115-24-43 <br />11/9/2024 <br />I1/9/2025 <br />EACH OCCURRENCE <br />S 3000000 <br />EXCESS UAB <br />CLAIMS -MADE <br />AGGREGATE <br />S 3,000,000 <br />DED <br />RETENTIONS <br />$ xxxxxXX <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />�ICEPoMEMBER EXCLUDED?ECl1i1VE F <br />(Mandatory In NH) <br />ItyyS describe under <br />OEadRIPTION OF OPERATIONS below <br />NIA <br />Y <br />UB-8YO32268-24-43-G <br />ll/9/2024 <br />11/9/2025 <br />PER TH- <br />X S A E <br />E.L. EACH ACCIDENT <br />S 1000000 <br />EL.DISEASE-EAEMPLOY <br />_ <br />4 1000000 <br />E.L. DISEASE -POLICY UNIT <br />$ 1000000 <br />B <br />Arc/Bng. Prof. <br />N <br />N <br />0313-1910 <br />11/1/2024 <br />11/9/2025 <br />Per Claim:$2,000,000 <br />Aggfegate:$2,000,000 <br />DESCRIPTION OF OPERATONS /LOCATIONS I VEHICLES (ACORD 101. Addlllenal Remarks Schodula, may he snacked If we space Is required) <br />The City of Santa Ana and its Council members, officers, employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy <br />provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and Non -Contributory <br />to other insurance available to an Additional Tluured, but Only in accordance With the policy's provisions. Please see noxt page. <br />APPROVED <br />By Cynthia Mora at 5:30 pm, Nov 19, 20 <br />CERTIFICATE HOLDER <br />24 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />18906150 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Risk Management Division <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />na <br />Santa ACA 92701 <br />(9) 11988-2043 ACORD CORPCIRATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />