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O �®
<br />ACC�Z
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE IYYYY)
<br />�V
<br />11/10/20250/2025
<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
<br />CONTACT
<br />NAME: Jan Mitchell
<br />Marsh Risk & Insurance Services
<br />CA License #0437153
<br />AICONNo, Ext : 602 337 6295 F4Ic, No
<br />E-MAIL janet.k.mitchell@marsh.com
<br />ADDRESS: 1
<br />633 W. Fifth Street, Suite 1200
<br />Los Angeles, CA 90071
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Zurich American Insurance Cc
<br />16535
<br />CN 101 600557-TKG-GAUW-25-26 ALL
<br />INSURED The Kleinfelder Group, Inc
<br />INSURER B : American Guarantee & Liability Ins Cc
<br />26247
<br />770 First Avenue, Suite 400
<br />INSURER C : See Additional Page for Participating Carriers
<br />San Diego, CA 92101
<br />INSURER D
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: LOS-002804244-11 REVISION NUMBER: 8
<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
<br />LTR
<br />OF INSURANCE
<br />ADDLSUBRTYPE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDIYYYYI
<br />POLICY EXP
<br />iMMIDDIYYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />y
<br />y
<br />GLO6124594-04
<br />04/01/2025
<br />04/01/2026
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE X� OCCUR
<br />RENTEDDAMAGE TO
<br />Ea occrre...
<br />FIR SES(E..";
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 15,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY PE� LOC
<br />PRODUCTS - COMP/OPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />y
<br />y
<br />BAP 6124595-04
<br />04/01/2025
<br />04/01/2026
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L
<br />$
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />SXS 6124597-04
<br />04/01/2025
<br />04/01/2026
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? N❑
<br />(Mandatory in NH)
<br />NIA
<br />y
<br />WC6124596-04
<br />04/01/2025
<br />04/01/2026
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Env. Contractor Poll/Prof E&O
<br />FINPA2550033
<br />04/01/2025
<br />04/01/2026
<br />Each Claim
<br />2,000,000
<br />Claims -Made Policy
<br />Aggregate
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />On -Call Water Engineering Services. Santa Ana, its officers, agents, employees, volunteers and representatives are included as additional insured where required by written contract with respects General Liability
<br />and Auto Liability. This applicable where required by written contract and subject to policy terms and conditions.. General Liability policy evidenced herein is Primary and Non -Contributory to other insurance
<br />available to Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder where required by written contract.
<br />Tu Tran T�Ta'�YN9
<br />YebY
<br />Nguyen °5zi30zo800z
<br />APPROVED
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Attn: Heidi Chou,
<br />215 S. Center St., M-85
<br />Santa Ana, CA 92701
<br />CANCELLATION
<br />By Tr. Tian Nguyen`att3:22 25
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<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
<br />
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