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<br /> '4coRo CERTIFICATE OF LIABILITY INSURANCE DATE F (M/
<br /> 6/1120lYYYY)
<br /> 025
<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 BYTHE 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 License#DC36861 C TACT
<br /> E:
<br /> Alliant Insurance Services,Inc. PHONE FAX
<br /> 560 Mission St 6th FI Arc,IN Ext):(415)946-7500 AIC,No}:
<br /> San Francisco,CA 94105 EJ%AIL
<br /> AD RES
<br /> ENSURER 5 AFFORDING COVERAGE NAIC 9
<br /> INSURER A:Charter Oak Fire Insurance Company 25615
<br /> INSURED INSURER a:Travelers Property Casualty Company of America 25674
<br /> Jensen Hughes,Inc. INSURER C:Starr Surplus Lines Insurance Company 13604
<br /> 8830 Stanford Blvd.,Suite 300 INSURER D
<br /> Columbia,MD 21045
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE IN p WVQ POLICY NUMBER fMMIDQIYYYY1LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 1,000,000
<br /> EACH OCCURRENCE $
<br /> CLAIMS-MADE OCCUR X X P-630-9W377045-COF-25 611/2025 6/112026 PREM 3ETOES REaNTE cro ence $ 1,000,00D
<br /> MED EXP(Any oneperson) $ 5,DDD
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000
<br /> POLICYLK JECT ❑ LOC PRODUCTS-COMPIOPAGO $ 2,000,000
<br /> OTHER:
<br /> COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY Ea accident $ 9,000,000
<br /> X ANY AUTO X X BA-9R228458-25-43-G 6/1/2025 6/1/2026 BODILY INJURY Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident 3
<br /> AUTOS ONLY AUOTO ONLQ PerOac.,nt AMAGE 3
<br /> 3
<br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,0OD,D00
<br /> EXCESS LIAR CLAIMS-MADE CUP-9R228956-25.43 61112025 6/112026 AGGREGATE $ 1,DO0,fl00
<br /> DED I X I RETENTIONS 0 $
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE X UB-2Y365586-25-43-G 611l2a25 6l112026 1,00fl,0D0
<br /> OFFICERIMEMBE EXCLUDEG7 NIA E.L.EACH ACCIDENT $
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 1,000,000
<br /> ss,describe under
<br /> DESCRIPTION OF OPERATIONS below 1,000,000
<br /> E.L.DISEASE-POLICY LIMIT _$
<br /> C Professional Liab. X 1000600146251 61112025 6/1/2026 Per Clalm/Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATION51 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Re:City of Santa Ana ADA Self-Evaluation and Transition Plan JH Project#1JKI00100
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are included as additional insured with respect to general liability
<br /> and auto liability policies on a primary and non-contributory basis when required by written contract per the attached endorsement.A waiver of subrogation
<br /> in favor of City of Santa Ana,Its City Council,officers,officials,employees,agents,and volunteers applies to general liability,auto liability,professional
<br /> liability,and workers'compensation policies when required by written contract per the attached endorsement.
<br /> APPROVED
<br /> By Tu Tran Nguyen at 3:08 pm,Jun If,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City Of Santa Ana Digitallysigned THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> TU Tran byTuTran ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTN:PWA PFFR Nguyen
<br /> 20 Civic Center Plaza M-11 Nguyen Date:2025,06.11
<br /> Santa Ana,CA 92701 15:08:30-07'00' AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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