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Ago CERTIFICATE OF LIABILITY INSURANCE DATE025 YYYY)
<br /> `� 0312512512D25
<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 MARSH USA LLC, Marsh I U.S.Operations
<br /> 155 N.WACKER,SUITE 1200 IA PH ON o t 966-966-4664 A1c No: 212-948-0770
<br /> CHICAGO,IL 60661 E-MAIL
<br /> ADDRESS: Chicago.CeHRequest@marsh.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A: Liberty Mutual Fire Insurance Company 23035
<br /> INSURED ADS Corp. INSURER B: NIA I
<br /> 3100 Sanders Road INSURER C: Libeq Insurance Corporation 42404
<br /> Suite 301
<br /> Northbrook,IL 60062 INSURER D: Indian Harbor Insurance n 36940
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CHI-010840767-02 REVISION NUMBER: 17
<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 POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DDIYYYY) (MMIDDIYYYYI LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY TB2-661-0D4088-755 01/01/2025 01/01/2026 EACH OCCURRENCE S 2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence S 1,000,000
<br /> MED EXP(Any one person) S 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY E PRO ❑ LOC
<br /> JECT PRODUCTS-COMPIOP AGO S 4.000,000
<br /> OTHER: S
<br /> A AUTOMOBILE LIABILITY AS2-681-0D4088-035 01101/2025 01/01/2026 CO. BINEDt SINGLE LIMIT $ 2,000,000
<br /> A1NY AUTO BODILY INJURY(Per person) S
<br /> AUTOS ONLY AUTOS
<br /> X OWNED SCHEDULED BODILY INJURY(Per accident) s
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X
<br /> $
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $
<br /> DED RETENTIONS $
<br /> C WORKERS COMPENSATION VVA7-68D-004088-515(AOS) 01/01/2025 01/01/2026 X SPER
<br /> TATUTE ERH
<br /> AND EMPLOYERS'LIABILITY
<br /> C Y 1 N ANYPROPRIETCPJPARTNERlEXEcuTIVE WC7-681-004088-015(WI) 01/01/2025 01101/2026
<br /> O ❑N
<br /> NIA E.L.EACH ACCIDENT $ 2,000,000
<br /> FFICERIMEMBEREXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 2,000,000
<br /> If yes,describe under 2,000,D00
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Professional and Contractors PECO02263318 12/3112024 12/31/2025 Each Claim/Aggregate 2,000,000
<br /> Pollution Liability Retro Date:04/01/2007 SIR 200,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:"ADS Corp.Located at:340 The Bridge Street,Suite 204,Huntsville,Al 35806"is an affiliate of IDEX Corporation
<br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers is/are included as additional insured(except workers'compensation)where required by written contract. This insurance
<br /> is Primary and Non-Contributory over any existing insurance and limited to liability arising out of the operations of the Named Insured and where required by written contract. Waiver of subrogation is applicable
<br /> where required by written contract and subject to policy terms and conditions. TU Tr an n Digitally signed by
<br /> Tu Tran Nguyen APPROVED
<br /> Date:20`0.7- "
<br /> Nguyen 25:14 0
<br /> -e� e
<br /> By Tu Tran Nguyen of 12:24 pm,Mar 27,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Attn:PublicWorksAgency-Water Resources THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 20 Civic Center Plaza M-85 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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