W
<br />A�rzc� CERTIFICATE OF LIABILITY INSURANCE
<br />ogre�niMmorYYn
<br />1/24/2025
<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(les) must have ADDITIONAL INSURED provi3lons 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 />Partners Insurance Agency
<br />3780 Mansell Rd. Suite 370
<br />Alpharetta GA 30022
<br />'="Edgewood
<br />PHONE T Natalia Ellis
<br />Ne Exm (770) 818-6424 FAX Ng):
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<br />_ INSURERIS)AFFOROINO COVERAGE
<br />Ng106
<br />_
<br />INSURED AKELENGI
<br />Engineering Group, Inc.
<br />7433 N. First Street Suite 103
<br />INsuRERA: RLI Insurance Company
<br />INSURERS:
<br />13056
<br />INSURER C:
<br />Fresno CA 93720
<br />INSURER D: _
<br />INSURER E :
<br />INSURER F:
<br />-- rV,tl 1YV1YlUGICi
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
<br />THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
<br />TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR
<br />TYPBOFINeDRANGE
<br />ADDLSUaR
<br />--
<br />POLICYNUMBER
<br />PMlouyA
<br />7/11/2024
<br />P�DD EW
<br />7/1V2026
<br />LIMITS
<br />EACH OCCURRENCE
<br />$2,000,000
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />Y
<br />Y
<br />PSB0006667
<br />CLAWSWADa � OCCUR
<br />_
<br />PREMISES Ea occu ante
<br />$ i,000,000
<br />MED EXP (Any one amen)
<br />$1 D,000
<br />-
<br />PERSONALSADV INJURY
<br />$2,000,000
<br />PER:
<br />POLICY[jEC LOG
<br />GENERALAGGREGATE
<br />$4000,000
<br />GEN'LAGGREGATELIMITAPPLIES
<br />PRODUCTS-COMP/OP AGG
<br />$4,000000
<br />$
<br />OTHER:
<br />A
<br />Au1'OMo9ILEDA8ILITY
<br />V
<br />V
<br />PSA0402215
<br />7/11I2024
<br />7111l2026
<br />Ee eBCIEsO SINGLE LIMIT
<br />$1,000,000
<br />ED O
<br />BODILY INJURY (Pat person)
<br />$ Y
<br />OWNANY
<br />OWNED SCHEDULED
<br />BODILY INJURY (Pat acdden0
<br />IX
<br />AUTOS ONLY AUTOS
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Por accltlent
<br />$
<br />$
<br />A
<br />X
<br />UMBRELLA LIAS
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />PSE0004274
<br />7/11/2024
<br />7/11/2026
<br />FAC14OCCURRENCE
<br />$2010,o00
<br />AGGREGATE
<br />$2,000,000
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />OEO. X RETENTION$ in nnn
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />Y
<br />PSW0003212
<br />7/11/2024
<br />7/11/2026
<br />X ST TUTE
<br />AND EMPLOYERS'LIABILITY YIN
<br />ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />OFFICANYPRIMERDRD'ARTNERIE%ECUI'IVE.
<br />NIA
<br />(Mandatory In NoREXCLUOEp7
<br />(Mandatory In NH)
<br />At sunder
<br />_
<br />E.L. DISEASE - EA EMPLOYEE
<br />_
<br />$1,000,000
<br />E:L. DISEASE -POLICY LIMIT
<br />$1,ODD000
<br />Oyes,R; TI
<br />DESCRIPON OF OPERATIONS below
<br />A
<br />Professional Liability
<br />RDPOO55118
<br />7/11/2024
<br />7111/2025 1
<br />Per Claim
<br />$2.000.000
<br />AgOregate
<br />$2,000,000
<br />DESCRIPTION OPOPERATIONSILGCATIONS/VEHICLES (ACORD 1Olt Additional Remarks Schedule, maybe attached if more space is required)
<br />The Certificate Holder and/or following are hereby Included as Additional Insureds) on the General Liability policy and Coverage Is provided on a Primary,
<br />Non -Contributory basis Including a Waiver of Subrogation if required by written contract:
<br />Re: On -Call Hydraulic Modeling Services.
<br />Cllyy of Santa Ana, Its City Council, Its officers, officials, ample sea, agents,
<br />and volunteers are named as Additional Insureds with respects to General &
<br />AU amobile Liability where required by written contract.. The above referenced liability are &
<br />policies primary non-contributory where required by written contract.
<br />Waiver of Subrogation In favor of Additional Insureds where required by written contract & allowed by law. Umbrella Follows Form
<br />with resppects to General,
<br />Automobile & Employare Liability Policies Should any of the above described policies be cancelled by the issuing Insurer before the expiratlon date thereof, we
<br />will endeavor to provide 30 days' Written notice (except 10 days for nonpayment of premium) io the Certificate Holder. Separation
<br />General Liability Policy. of Insureds applies to the
<br />..rnurwnrc nvwcrc APPROVED CANCELLATION
<br />By Tu Traa N9dyen at 2:55 pm, Feb 03, 2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE
<br />City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Jaime Arias
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />$A_ ,
<br />01988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Tu Tran D11gTten Nlgnedby i
<br />Nguyen Data. 2025,02.03
<br />14:56:19-09'00'
<br />
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