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ACORO® DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 06/01/2026
<br /> L
<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 w
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED Q
<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 w� p y, 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). m
<br /> PRODUCER CONTACT -O
<br /> NAME:
<br /> AOn Risk Insurance Services West, Inc. PHONE FAX
<br /> Denver CO Office (A IC.No.Ext): (866) 283-7122 (A c.No.): 800-363-0105
<br /> 200 Clayton Street, Suite 800 E-MAIL 2
<br /> Denver Co 80206 USA ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Endurance American Insurance Company 10641
<br /> Arcadis U.S., Inc. INSURER B: Hartford Fire insurance Co. 19682
<br /> 630 Plaza Drive
<br /> Suite 200 INSURERC: Hartford Underwriters Insurance Company 30104
<br /> Highlands Ranch CO 80129 USA INSURERD: Property & Casualty Ins Co of Hartford 34690
<br /> INSURER E: Twin City Fire Insurance Company 29459
<br /> INSURERF: Hartford Casualty Insurance Co 29424
<br /> COVERAGES CERTIFICATE NUMBER: 570120381479 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 INDICATED.
<br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
<br /> HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> Limits shown are as requested
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y 20ECSOL5969 06/01/2026 06/01/2027 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR SIR applies per policy ter s & condl ions DAMAGE TO RENTED $1'000'000
<br /> PREMISES(Ea occurrence)
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000 Or,
<br /> n'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY [E]PRO M LOC PRODUCTS- $2,000,000 p
<br /> JECT
<br /> N
<br /> OTHER: o
<br /> r`
<br /> B AUTOMOBILE LIABILITY Y Y 20 UEN OL5968 06/01/2026 06/01/2027 COMBINED SINGLE LIMIT
<br /> ADS (Ea accident) $1,000,000
<br /> C X ANY AUTO 20 UEN OL5973 06/01/2026 06/01/2027 BODI LY I NJURY(Per person) G
<br /> OWNED
<br /> SCHEDULED HI BODI LY INJURY(Per accident) Z AUTOS ONLY AUTOS N
<br /> HIREDAUTOS NON-OWNED PROPERTY DAMAGE cc
<br /> ONLY AUTOS ONLY (Per accident) O
<br /> 'C
<br /> d1
<br /> F X UMBRELLA LIAB OCCUR 20XHUOL5972 06/01/2026 06/01/2027 EACH OCCURRENCE $1,000,000 t.7
<br /> X
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED I X RETENTION $10,000
<br /> D WORKERS COMPENSATION AND Y 20WNOL5971 06/01/2026 06/01/2027 X PER STATUTE ORTH-
<br /> EMPLOYERS'LIABILITY
<br /> YIN ADS JE
<br /> AFFICER EMBER EXCLUDED' N/A
<br /> N/A 20WBROL5970 06/01/2026 06/01/2027 E.L.EACH ACCIDENT $1,000,000
<br /> E OFFICER/MEMBER EXCLUDED? N
<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 $1,000,000
<br /> G Contractors Pollution Liabili+ Y P00101061EO26A 06/01/2026 06/01/2027 Each Claim $2,000,000aims Made Prof-Poll Lia Annual Aggregate $2,000,000
<br /> R applies per policy ter s & condi Jons
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 161,Additional Remarks Schedule,may be attached if more space is required)
<br /> For Professional Liability and Pollution Liability coverage, the Aggregate Limit is the total insurance available for claims
<br /> presented within the policy period for all operations of the insured. The Limit will be reduced by payments of indemnity and
<br /> expense. Contractual Liability for insured Contracts is included, subject to the policy terms, conditions and exclusions. RE:
<br /> Protect & Task Number: A-2022-023-03. city of Santa Ana, its officers, officials, employees and volunteers are included as
<br /> Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General
<br /> Liability and Automobile Liability policies evidenced herein are Primary and Non-Contributory to other insurance available to
<br /> Additional Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of City o
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> ByTu Tran Nguyen at 10:11 am,Jun 10,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. _
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Attn: zed Kekula
<br /> 20 Civic Center Plaza, M-43 An r Far
<br /> Santa Ana CA 92701 USA e�No/ C✓_.Y
<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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