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AC©RE> CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYYI <br /> �-� 4/7/2025 <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 CONTACT <br /> NAME: Annl Owens <br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE 5t0 272 1465 FAx- - <br /> 3697 Mt. Diablo Blvd., Suite 230 me Not: <br /> Lafayette CA 94549 ADDRess: Cerfs Design Pro ASSuredPartners,Com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License# 6003745 INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED ASCEENV-01 INSURER B:The Travelers Indemnity Company of Connecticut 25682 <br /> Ascent Environmental, Inc. <br /> 455 Capitol Mall Suite 300 INSURERC:Beazley Excess and Syr plus Insurance,Inc. 17520 <br /> Sacramento CA 95814-4405 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:307979695 REVISION NUMBER; <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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> LTR POLICY NUMBER MMfDDNYYY) (MM1DDfYYYYI LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 6806H400124 3/15/2025 3/15/2026 EACH OCCURRENCE $2,000,000 <br /> CLAIMS-MADE ®OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence S 1,000,000 <br /> X Contractual Liab MED FXP(Any one person) $10,000 <br /> Included PERSONAL R.ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY E JECT ❑ LOC PRODUCTS-COMP/OPAGG $4,000,000 <br /> OTHER: S <br /> B AUTOMOBILE LIABILITY Y Y BA4R770955 3/15/2025 3115/2026 CO EaMBINaccidEDSINGLELIM67ent S1,000,000 <br /> xiANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED BODILY INJURY Per accident <br /> AUTOS ONLY AUTOS BODI ( I $ <br /> HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> NoOWned Auto 5 <br /> UMBREI-LALIAB OCCUR EACHOCCURRENCE 5 <br /> EXCESS LAB H CLAIMS-MADE AGGREGATE 5 <br /> DIED I I RETENTIONS $ <br /> A WORKERS COMPENSATION Y U67K512607 3/15/2025 3/1512026 X STATUTE ERH AND EMPLOYERS'LIABILITY YIN - <br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 31.000,000 <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.S 1,000,D00 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> C Professional Liability D392EE250101 311512025 3/15/2026 Per Claim $2,000,000 <br /> Aggregate Limit $4,000,060 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The Named Insured has no company owned autos. <br /> Insured owns no company vehicles;therefore, hired/non-owned auto is the maximum coverage that applies. <br /> Project#20230169.01 -City of Santa Ana—Environmental and Planning Services On-Call <br /> City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers are named as an additional insured as respects general liability and <br /> auto liability as required per written contract.Insurance coverage includes waiver of subrogation per the attached endorsement(s). <br /> AIP!Pp `/ Tu Trar1 Digitally signed by Tu <br /> OV ED Tran Nguyen <br /> Date:2025.04.10 <br /> ey Tu Tran Nguyen at 3:31 pm,Apr 10,2025 Nguyen 15:31:37-07'00' <br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Planning and Building Agency <br /> 20 Civic Center Plaza, M-20 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> d 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />