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AC RbP CERTIFICATE OF LIABILITY INSURANCE (MMIDDNY 24YY) E THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and con itions of til policy, certain licies ay require an endorsement. A statement on this certificate does not confer rights to the certificate h, dd s PRODUCER reyling Ins. &vkeragel IC CCVe 8�ff�girml—I Su7� j'�\ /�� UUN I AG AME: Sharon Brubaker E FAX �r770.756.rt599 Ac No:770.756.6599 e I .c e VE-MAIL � 1Date. ,F N R AF OI VERAGE NAIC# INSURER A: National Union Fire Ins Co of Pittsburg19445 _ I INSURED NY Psomas INSURER B : 865 South Figueroa Street INSURERC: INSURER D: Suite 3200 Los Angeles CA 90017 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1332236825 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTRR OF INSURANCE ADDLSUBTYPE INSD WVD POLICY NUMBER MMIDDY EFF MM7DDfYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2024 411/2025 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PRFMlSES Ea occurrence $ 500.000 MED EXP (Any are person) $ 25,000 PERSONAL& ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [KPEO LOC GENERAL AGGREGATE 54,000,000 PRODUCTS - COMPIOPAGG S4,000,000 S OTHER: A AUTOMOBILE LIABILITY CA4489706 411/2024 411f2025 COMBINED SINGLE LIMIT Ea aeo[den; S2,000,000 BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS Ix BODILY INJURY (Per accident) S HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ $ UMBRELLA LIAB H. OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE OED RETENTION $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N WCC 15893764 (ADS) WC015593765 (CA) 4/1/2024 4/112024 4/112025 4/112025 X STATUTE ERH EL- EACH ACCIDENT $ 2.000,000 ANYPROPRI ETORJPARTN ERIEXECUTIVE OFFICERlMEMBEREXCLUE MN N f A E.L. DISEASE -EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 3SAN050099; On -Call Environmental Services - CEQA and NEPA, I No. 20-100. City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY I Risk Management Division o .°�,« Meaga10ifD"iswn 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE :.' REVIEWED&APPROVED BY: Santa Ana GA 92702 r A--Z kzv4, a Risk Management Spedalist O 1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD