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Z&KCONS-01 GLADYSCARRILLO <br /> CERTIFICATE OF LIABILITY INSURANCE DAT 711 si218/2DIYYYY) <br /> 025 <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 an <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement s). <br /> PRODUCER CONTACT Ashly James <br /> NFP Property&Casualty Services,Inc. PHONE FAX <br /> 1551 North Tustin Avenue (Atc,No,Ext:(623)278-4358 AIc,No);(623)278-4358 <br /> Suite 500 E-MAIL SS,ashly.james@nfp.com <br /> Santa Ana,CA 92705 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED INSURER B:Travelers Indemnity Company of Connecticut 25682 <br /> Z&K Consultants,Inc. INSURER C:HDI Global Specialty SE A1340J <br /> 22295 Jessamine Way INSURER D:James River Insurance Company 12203 <br /> Corona,CA 92883 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXPLTR imm LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE [X] OCCUR 6802J978123 5118/2025 5118/2026 DAMAGE TO RENTED 1,000,000 <br /> PREMISES E currence <br /> MED EXP(Any oneperson) 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 <br /> NPOLICY❑ JECT LOO PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> OTHER: <br /> B MBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY CO Ea accl en 1,000,000 <br /> X ANY AUTO X X BA6W812054 5/18/2025 6118/2026 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident <br /> H�RFQ r $ <br /> NON-OWNED PROPERTY DAMAGE <br /> A E%ONLY AUTOS ONLY Per accident <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE CUP-7W800864-25-47 6118/2025 5/18/2026 AGGREGATE 5,000,000 <br /> DEL) I X I RETENTION$ 0 Products-Comp 51000,000 <br /> A WORKERS COMPENSATION X I PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN T ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE X U89K77696A 5/18/2025 5/18/2026 1,000,000 <br /> FFfCF�IMFMBFR EXCLUDED? <br /> NIA E.L.EACH ACCIDENT $ <br /> Mandatory in NH} F.L.DISEASE-EA EMPLOYEE 1,D0D,DDD <br /> If yes,describe under 1 000 DD0 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> C Professional Liab FRS-H-P-PL-00013375-02 7/10/2025 7/10/2026 See Description <br /> D Excess Liability P0000009250 7/10/2025 7/10/2026 See Description <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES `ACORD 101,Additional Remarks Schedule may be attached If more space Is required) <br /> E&O1Professional Liability I Policy Number.FRS-H-P-PL-00013375-02 I Effective&Expiration Dates:711 012025-7110120261 Limits:General Aggregate:$ <br /> 2,000,000 Each Claim:$1,000,000 Deductible$15,000 each claim I Deductible Aggregate$45,000 1 retroactive date:full prior acts <br /> Excess E&OlProfessional Liability I Policy Number:POOOOOO9250 I Effective&Expiration Dates:7/10/2025-W1012026 I Limits:Each Claim:$1,000,000.General <br /> Aggregate$1,000,000 I Retro Date:9126/2023 <br /> Certificate Holder Is named Additional Insured as respects to General Liability.This insurance is primary and non-contributory with any other insurance of the <br /> SEE ATTACHED ACORD 101 <br /> APPROVED _ __ <br /> CERTIFICATE HOLDER gy Tu Trarr Nguyen at 10,118 am,Aug 07,2025 CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL IRE DELIVERED IN <br /> y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn:Public Works Agency-Jose Medina <br /> 220 S.Daisy Avenue,M-85 <br /> Santa Ana,CA 92703 AUTHORIZED REPRESENTATIVE <br /> r Digitally signed <br /> I U Train'.byT -Nn <br /> G Nguyen <br /> Ngnyen a` % w�..1/ <br /> IV C!'1� <br /> Ll E'l1 bate:2625.08.07 <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. 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