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Aac b CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE /VVVY) <br />3/13/203(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 />AssuredPartners Design Professionals Insurance Services, LLC <br />3697 Mt. Diablo Blvd Suite 230 <br />Lafayette CA 94549 <br />CONTACT LIES $binllZu-F001(BS <br />NAME, S Shimizu-Fo <br />. FAx <br />A/c No <br />nuoale : CertsDesi nPro AssuredPartners.com <br />INSURERS AFFORDING COVERAGE <br />NAICk <br />INSURER A: XL Specialty Insurance Co. <br />37885 <br />ense#: 600374,5 <br />INSURED PSOMASO-01 <br />PSOMAS <br />INSURER B <br />INSURERC: <br />865 S. Figueroa Street, Suite 3200 <br />Los Angeles CA 90017 <br />INSURERD: <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1470899578 IPHPVV Id rJ11MnCC. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILNSRTR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD YY <br />POLICYEXP <br />MMIDD YYVY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />DAMAGE RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES I occurrence <br />$ <br />VIED EXP (Any one person) <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT C- ElOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OP AGO <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea coldent <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Par accident <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY Y/rJ <br />ANWROPRIETOWPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />I PER OTH- <br />STATUTE I I ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If Dyyes, describe under <br />DESCRIPTION un OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional I&Poll. Uab <br />Claims -Made Form <br />Reim Date: 10/15/1947 <br />Y <br />DPR5033899 <br />10/15/2024 <br />10/15/2025 <br />Per Cli <br />Aggregate Limit <br />$2,000,000 <br />$$ 2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Additional Insured Status is not available on Professional Liability Policy. <br />2SAN041800 - City of Santa Ana On -Call Water Resources Engineering Services. <br />City Of Santa Ana <br />20 Civic Center Plaza, PO Box 1988 <br />Santa Ana CA 92702 <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 />REPRESENTATIVE <br />ACVHU ZO tZU1b/US) <br />1988.2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />reserved. <br />