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A`QRD® CERTIFICATE OF LIABILITY INSURANCE DATE YY) <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 /> ACT <br /> PRODUCER. CONT <br /> NAME: Sand Peters <br /> AssuredPartners Design Professionals insurance Services, LLC PHONE FAX <br /> 3697 Mt, Diablo Blvd Suite 230 o Ext: 626-696-1901 vc No: <br /> Lafayette CA 94549 E-MAIL Desi gnProCerts AssuredPartners.com <br /> INSURER 5 AFFORDING COVERAGE NAIC N <br /> License#:6003745 INsuRERA: Continental Casualty Company 20443 <br /> INSURED RMAGROU-01 <br /> INSURER B <br /> RMA Group <br /> 12130 Santa Margarita Court INSURERC: <br /> Rancho Cucamonga CA 91730 INSURERD: <br /> INSURER E: <br /> _ INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:984786799 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 I ADDI.SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE IN D WVD POLICY NUMBER MMIDD MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE F1 OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY JECT PRO- a LOC PRODUCTS-COMPIOP AGG $OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per aecidenl) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> f $ <br /> UMBRELLAUAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE I ER <br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ <br /> OFFICERIMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liability& Y MCH591960456 10/1/2024 10/1/2025 Per Claim13,000,000 3,000,0001Agg <br /> Poliution Liability included <br /> Claims Made Form <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) <br /> AM Bests Rating:A/XII or greater. Professional Liability is Errors and Omissions Liability(E&O). Blanket Waiver of Subrogation attached applies as required <br /> per Written contract. Additional Insured Status is not available on Professional Liability Policy.CANCELLATION:30 day notice Will be sent to the certificate <br /> holder. <br /> Project#00-241639-0,22-1388 ARPA Neighborhood Street Lights <br /> Insurance coverage includes Waiver of subrogation per the attached endorsement(s), <br /> APPROVED <br /> By Tu Train}Nguyen at 2:24 pm,May 19,262! <br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana <br /> 20 Civic Center Plaza; Ross Annex <br /> Santa Ana CA 92701 Au RIZED REPRES ITATIVE <br /> l <br /> 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />