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ACa CERTIFICATE OF LIABILITY INSURANCE ❑ATE(MwDDfYYYY) <br /> kh�_ 05114/2025 <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 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 /> Marsh Risk&Insurance Services NAME: Jail Mitchell <br /> CA License 40437153 PAIL N E . 602 337 6295 A!C No <br /> 633 W.Fifth Street,Suite 1200 E-MAIL <br /> Los Angeles,CA 90071 ADDRESS: janet.k.mitchell@marsh.com <br /> INSURERS AFFORDING COVERAGE NAIC q <br /> CN101600557-TKG-GAUW-25-26 INSURER A: Zurich American Insurance Cc 16535 <br /> INSURED The Kleinfelder Group,Inc INSURER a: American Guarantee&Liability Ins Co 26241 <br /> 770 First Avenue,Suite 4W INSURER C: See Additional Page for Pa ici a in <br /> San Diego,CA 92101 <br /> INSURER D <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: LOS-002806542-13 REVISION NUMBER: 10 <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 ADOL SUBR POLICY EFF POLICY EXP <br /> LTR POLICYNUMBER (MMIDDIYYYYI IMMIDDfYYYY1LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GLO 6124594-04 D4101/2025 0410112026 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTS❑ <br /> PREMISES Ea occurrence $ 1,000,000 <br /> MED EXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO LOG PRODUCTS-COMPIOP AGG $ 2.000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY BAP 6124595-04 04I0112025 04101/2026 COMBINED SINGLE LIMIT $ <br /> Ea accident 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS ONLY AUTOS ( ) <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> B X UMaRELLALIAS X OCCUR SXS 6124597-04 04/01/2025 D4101/2026 EACH OCCURRENCE $ 2,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION WC6124596-04 04/0112025 04/0112026 X STATUTE OERH <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANYPROPRIETORfPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/M EMBER EXCLUDED? N 1 N I A <br /> (Mandatory in NH) F.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C Env.Contractor Poll/Prof E&O FINPA2550033 04/01/2025 04/01/2026 Each Claim 2,000,00C <br /> Claims-Made Policy Aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Re:On-Call Engineering Services per Agreement(A-2023-064-02) <br /> City of Santa Ana,its officers,agents,employees,volunteers and representatives are included as additional insured where required by written contract with respect to General Liability and Auto Liability.This <br /> insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. Waiver of subrogalion Is <br /> applicable where required by written contract and subject to po#icy terms and conditions. <br /> Tu Tran Digitally signed by <br /> Tu Tran Nguyen APPROVED <br /> Date:2025.e5.14 <br /> Nguyen 14:46:27-07'00' g Tu Tran Nguyen Y 5 ] at7:46 pm,May 14,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Attention:Public Works Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CIPIDesign Engineering ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92701 M-36 <br /> AUTHORIZED REPRESENTATIVE <br /> O 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />