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AC ® DATE(MWDDIYYYY)
<br /> t�,,,� CERTIFICATE 4F LIABILITY INSURANCE 1
<br /> 00/09/2025
<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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsemeni(s).
<br /> PRODUCER CONTACT N
<br /> Aon Risk Insurance Services West, Inc. NAME; (866) 283-7122 (800) 363-0105 y
<br /> LOS Angeles CA Office AJC,No.Ext; FANG.No,: .A
<br /> 707 wilshire Boulevard EMAIL 0
<br /> Suite 2600 ADDRESS: Z
<br /> LOS Angeles CA 90017-0460 USA INSURERS)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Valley Forge Insurance Co 20508
<br /> Iteris, Inc. INSURERB: The Continental insurance Company 35289
<br /> 1700 Carnegie Avenue
<br /> Suite 100 INSURERe: American Casualty Co. of Reading PA 20427
<br /> Santa Ana CA 92705 USA INSURER0: Lexington Insurance Company 19437
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:670111968503 REVISION NUMBER:
<br /> THIS IS TO CERTIFYTHAT 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. Limits shown are as requested
<br /> Lm TYPE OF INSURANCE I DoBD WVD POLICY NUMBER MMIDD71'YYY LIMITS
<br /> X COMM£NCIAL GENERAL LIABILITY Nllppryy EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence $1,000,000
<br /> MED EXP(Anyone person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000 0
<br /> GENTAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $2,000,000
<br /> X POLICY ❑PRO ❑LOC
<br /> JEOT PRODUCTS-COMPlOPAGG $2,000,000
<br /> OTHER: I In
<br /> h
<br /> A AUTOMOBILE LIABILITY 8018834790 04/01/2025 04/01/2026 COMBINED SINGLE LIMIT 'n
<br /> (Ea acoIdent) $1,000,000
<br /> X ANYAUTO
<br /> BODILY INJURY(Per person) Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) (D
<br /> AUTOS ONLY AUTOS
<br /> HIREDAUTOS NON-OWNS❑ PROPERTY DAMAGE
<br /> ONLY AUTOS ONLY Peraccident
<br /> B x UMBRELLA LIAO X OCCUR 8018834742 04 01/2025 04/01/2026 EACH OCCURRENCE $25,000,000
<br /> EXCESS LIAR CLAIMS-MACE AGGHEGATE $25,000,OQO
<br /> DED I X RETENTIONS10,000
<br /> A WORKERS COMPENSATION AND 8018835079 04/01/2025 04/01/2026 X I PER STATUTE I OTH
<br /> -
<br /> EMPLOYERS'LIABILITY YIN A05 EIR
<br /> ANY PROPHIETORI PARTNER I#:XECU7IVE E.L.EACH ACCIDENT $110001000
<br /> C OFFICERIMEMBEREXCLUDED4 NIA 8018834966 04/01/2025 04/01/2026
<br /> (Mandatory In NH1 CA E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> II yes,describe ondar
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,0GO---�
<br /> D Architects. & Engineers 015136071 04/01/2025 04/01/2026 Each Claim $5,000,000
<br /> Professional Aggregate $5,000,000
<br /> SIR $500,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required)
<br /> RE: On-Call ITIS Agreement. City of Santa Ana, its city Council, officers, officials, employees, and agents are included as
<br /> Additional Insured in accordance with the policy provisions of the general Liability policy, A waiver of Subrogation is granted
<br /> in favor of Certificate Holder in accordance with the policy provisions of the General Liability policy.
<br /> Tu Tran rnglraiy:rg�dep
<br /> Tu Tran Rguyen
<br /> ))ate;1025,06.13
<br /> Nguyen-56s5.a'. APPROVED
<br /> By'Tu Tran"Nguyenaf`8'S6 am Jun 13 2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXP RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS,
<br /> city of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Attn: zed Kekula
<br /> 20 Civic Center Plaza, M-43
<br /> Santa Ana CA 92702 USA
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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