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l�� ® DATE(MMIUU/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 06112)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 /> 0
<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, M
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 2
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT W
<br /> Aon Risk Insurance Services West, Inc. NAME' v
<br /> Denver co Office (AIC.PHO No,Ext): (866) 263-7122 FAX
<br /> No.): 600-363-0105 G1
<br /> 200 Clayton Street, Suite 800 E-MAIL
<br /> Denver CO 80206 USA ADDRESS: 0
<br /> INSURER(S)AFFORDING COVERAGE NAIC A
<br /> INSURED INSURER A: Hartford Accident & Indemnity Company 22357
<br /> Arcadis U.S., Inc. INSURERB: Twin City Fire insurance Company 29459
<br /> 630 Plaza Drive
<br /> suite 200 INSURERC: Hartford Fire Insurance Co. 19682
<br /> Highlands Ranch Co 80129 USA INSURER Du Hartford Underwriters Insurance Company 30104
<br /> INSURER E: Hartford Casualty Insurance Cc 29424
<br /> INSUHER F: Endurance American insurance Company 10641
<br /> COVERAGES CERTIFICATE NUMBER:570113152937 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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMlODIYYYY LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY ECSOL
<br /> EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE [X]OCCUR SIR applies per policy terms & condix iDns AMA RENTED
<br /> PREMISES Ea occurrence) $110001000
<br /> X Contractual Liability MED EXP(Any one persun) 110,000
<br /> PERSONAL&ACV INJURY $1,000,000
<br /> Ce
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,0Q0
<br /> POLICY PRO El LOC
<br /> JECT PRODUCTS-COMPIOPAGG $2,000,000 12
<br /> OTHER: p
<br /> ti
<br /> C AUTOMOBILE LIABILITY 20 UEN OL5968 06/01./202506/01/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> AOS Ea accident
<br /> D X ANYAUTO 20 UEN OL5973 06/01/2025 06/01/2026 BODILY INJURY(Par person) Z
<br /> OWNED SCHEDULED HI BODILY INJURY(Per accident)— AUTOS ONLY 45
<br /> AUTOS
<br /> HIREDA T0$ NON OWNED PROPERTY DAMAGE U
<br /> ONLY AUTOS ONLY Per accident)
<br /> i
<br /> E X UMBRELLA LIAR X OCCUR 20XHUOLS972 06/01/2025 06/01/2026 EACH OCCURRENCE $5,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION 510,000
<br /> A WORKERS COMPENSATION AND 2OWNOL5971 06/01/2025 06/01/2026 X PER STATUTE OTH-
<br /> EMPLOYERS'LIABILITY YIN AOS ER
<br /> ANY PROPRIETOR f PARTNER I EXECUTIVE E,L.EACH ACCIDENT $1,000,000
<br /> B OFFICERWEMBEREXCLUDED? NIA 20WBROL5970 06/01/2025 as/ol/zaz6
<br /> (Mandatory in NH) MA, WI E,L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E,L-DISEASE-POLICY LIMIT $1,000,0Q0—
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Severability of interests applies as if each Named insured were the only Named insured and separately to each insured against EN
<br /> whom claim is made or 'suit` is brought. RE: Project & Task Number: 30264444, RFP No. 24-122. City of Santa Ana, its City
<br /> council, officers, officials, employees, agents, and volunteers are included as Additional Insured in accordance with the
<br /> policy provisions of the General Liability and Automobile Liability policies, General Liability policy evidenced herein is
<br /> Primary and Non-Contributory to other insurance available to ar Additional Insured, but only in accordance with the policy's
<br /> provisions. A waiver, of Subrogation is granted in favor of City of Santa Ana, its city Council, officers, officials,
<br /> employees, agents, and volunteers in accordance with the policy provisions of the General Liability, Automobile Liability and
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> city Of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Attn: Cesar Rodriquez
<br /> 20 Civic Center Plaza, M-43
<br /> Santa Ana CA 92701 USA
<br /> ©1988-2015 ACO�.Q_C_QF1I?Ql3A1ION-All riahts reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACOR A
<br /> Tla PPROVED
<br /> Tu Tran Cu rain Nguyen by
<br /> Oa "5.6b.12 By Tu Tran!Nguyen of 2:32 pm,Jun 9Z,2025
<br /> Nguyen 1433:19-07'pp'
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