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A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDfYYYY)
<br /> 1 213 012 02 4
<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: It 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 /> Edgewood Partners Insurance Agency pAMP JerryN.. Ula
<br /> FAX
<br /> 3780 Mansell Rd. Suite 370 fAJC N. r.ti.770-220-7699 INC,No:
<br /> Alpharetta GA 30022 FA D less: re lin certs re lin .com
<br /> INSURERS AFFORDING COVERAGE NAIL#
<br /> INSURER A:Starr Surplus Lines Insurance Company 13604
<br /> INSURED PGHWONG INSURER B:National Union Fire Ins Co of Pittsburg19445
<br /> 182 Wong Engineering, Inc,
<br /> INSURER C:New Ham shire Insurance Company 182 2nd St. Suite 5flfl 23841
<br /> San Francisco CA 94105 INSURER D:The Continental Insurance Company 35289
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1102851498 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 MMIDDIYYYYI (MMJDD/YYYYI LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y GL3823655 12/18/2024 8/1/2025 EACHOCCURRENCE $2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE OCCUR PREMISES Ea occurrencel $500,00C
<br /> MED EXP{Any one person) $25,000
<br /> PERSONAL e.ADV INJURY $2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $4,000,000
<br /> POLICY O JE [X]LOG
<br /> PRODUCTS-COMPIOPAGG $4,000,000
<br /> OTHER, $
<br /> B AUTOMOBILE LIABILITY Y Y CA3134742 12/18/2024 8/1/2025 COMBINED SINGLE LIMIT
<br /> Ea accident $2,000,Q00
<br /> IX
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY Per accident AUTOS ONLY AUTOS { } $
<br /> HIREDNON-OWNED
<br /> AUTOS ONLY EX
<br /> AUTOS ONLY PROPBftTY DAMAGE $
<br /> Per accident
<br /> D X UMBRELLA LIAB X OCCUR 7094976134 12/18/2024 81112025 EACH OCCURRENCE S 10,000,000
<br /> EXCESS LIAR CLAIMS-MADE
<br /> AGGREGATE $70,000,000
<br /> DIED X I RETENTION$1 a non $
<br /> B WORKERS COMPENSATION Y WC13545914(AOS) 12/18/2024 8/1/2025 X
<br /> C AND EMPLOYERS'LIABFLITY YIN WC135 SEATUTE EERH
<br /> ANYPROPRIETOPJPARTNERIEXECUTIVE 45915(CA) 12f18f2024 8/1/2025
<br /> OFFICERIMEMBEREXCLUDED?
<br /> N f A _E.L.EACH ACCIDENT $2,000,000
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $2.000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000.000
<br /> A Professional Liability 1000633873241 12/18/2024 1211812025 Per Claim 10,000,000
<br /> incl_Pollution Liability Aggregate 10,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Re: Agreement#A-2022-120-1000 East Santa Ana Blvd.,Ste.220,Santa Ana 92701.The City of Santa Ana,its officers,employees,agents,volunteers&
<br /> representatives are named as Additional Insureds with respects to General,Automobile Liability where required by written contract.The above referenced
<br /> liability policies with the exception ofworkers compensation and professional liability are primary&non-contributory where required by written contract.Waiver
<br /> of Subrogation is applicable where required by written contract&allowed by law.Should any of the above described policies be cancelled by the issuing insurer
<br /> before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)will be provided to the Certificate Holder, Umbrella
<br /> Follows Form with respects to General,Automobile&Employers Liability Policies.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELI By Cynthia Mora at 1:41 pm, Jan 1.3, 2025
<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 /> Risk Management Division
<br /> 20 Civic Center Plaza,4th Floor AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 F
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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