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ACC> CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDfYYYY) 11%. � 1 3/26/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Sandy Peters AssuredPartners Design Professionals Insurance Services, LLC PHONE Ext: 626-696 1901 FAX 3697 Mt. Diablo Blvd Suite 230 Arc No Lafayette CA 94549 ADo�RIEss: DesignProCerts@AssuredPartners.com INSURERS AFFORDING COVERAGE NAIC N License#:6003745 INSURER A:Continental Casualty Company 20443 INSURED RMAGROU-01 INSURER B: RMA Group 12130 Santa Margarita Court INSURERC: Rancho Cucamonga CA 91730 INSURER D: INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER:997148547 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR D WVD POLICY NUMBER MMIDDIYYYY MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE r7l OCCUR PREMISES Ea occurrence $ VIED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ - POLICYL�j JECTPRO r7l LOG PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY JPer person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS { ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR -EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANYPROPRIETORIPARTNFRIEXECUTIVE F.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability& Y MCH591960456 1011/2024 101112025 1 Per Claim13,000,000 3,000,000/Agq Pollution Liability included Claims Made Form DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) AM Bests Rating:AIXII or greater. Professional Liability its Errors and Omissions Liability(E&O). Blanket Waiver of Subrogation attached applies as required per written contract. Additional Insured Status is not available on Professional Liability Policy.CANCELLATION: 30 day notice will be sent to the certificate holder, Project#00-240285-0,Construction Inspection&Testing Services-18-6491 Well No.29 Improvements. APPROVED By Tu Fran Nguyen at 2.20 pm,May 19,2025 CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza; Ross Annex AU RIZEDREPRES ATIVE Santa Ana CA 92701 � Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD