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
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