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CERTIFICATE OF LIABILITY INSURANCE DATE(Mri4YVD1YYYY)
<br /> hill y- 1 06/11/2025
<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 /> CO
<br /> PRODUCER 951-656-2409 951-281-3900 nMAAME CT Patrick McCarrV
<br /> McGarry Insurance Services Lic. OD20867 AL E : 951-656-2409 FAX Na: 951-281-3900
<br /> EMAIL A m pccarry@yahoo.com
<br /> ccar ahoo.com
<br /> INSURERS AFFORDING COVERAGE NAIC A
<br /> Riverside CA 92508 INSURERA: Evanston Insurance Company 35378
<br /> INSURED 310-548-9292 310-548-9195 INSURERB: Security National Insurance Company 19879
<br /> Berg &Associates, Inc. INSURERC: Houston Specialty Insurance Company 12936
<br /> 302 W. 5th Street, Suite 210 INSURERD: StarStane National Insurance Co. 25496
<br /> INSURERE: U.S. Specialty Insurance Company 29599
<br /> San Pedro CA 90731 INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: Ber 2 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 ADD POIJCYEFF POUCYEXP
<br /> LTR TYPE OF INSURANCE POLICY NUMBER WDb MfDD LIMITS
<br /> COMMERCIAL GE N ERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> A DAMAGE T R N D
<br /> CLAILIS_MADE ✓ OCCUR PRFMISES'Ea occurrence $ 100,000
<br /> 3AA868458 03/01/2025 03/01/2026 MED EXP(Any one person) 3 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEH L AGGREGATE U MIT APPLIES PER: GENERAL AGGREGATE s 2,000,000
<br /> ✓ POLICY❑JECT ❑
<br /> G LOG PRODUCTS-CGMPlOP AGG s 2,000,000
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Ea accident $ 1,000,000
<br /> B ✓ ANY AUTO SPP1808450 02 03101/2025 03/01/2026 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 /> Medical $ 5,000
<br /> UMBRELLA LIAB ✓ OCCUR ESB-HS-UCX-0000862-01 03/0112025 03/01/2026 EACH OCCURRENCE $ 4,000,000
<br /> C ✓ EXCESS LIAB CLAINIS-MADE AGGREGATE $ 4,000,000
<br /> DED I I RETENTION$ $
<br /> WORKERS COMPENSATION ✓ STATUTE ERH
<br /> BI AND EMPLOYER$'LIALITY YIN T10251022 03/0112025 03/01/2026
<br /> ANYPROPRIETORIPARTNFR1FXFCUTIVF E.L.EACH ACCIDENT $ 1,000,000
<br /> D OFFICERIM EMS EREXCLUDED? NIA
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> Ues,describe under
<br /> SCRIPTION OF OPERATION$b?Ipav E.L.DISEASE-PQUCY LIMIT $ 1,000,000
<br /> E Professional Liability LISS 25 35470 03101f2025 03101/2026 Liability Per Claim: $1,000,000
<br /> Aggregate Limit: $2,000,000
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be atlached if more space Is required)
<br /> Re; RFP 25-011 On-Call Water Resources Construction Management and Inspection Services
<br /> Digitally signed
<br /> Tu Tran byTuTran
<br /> Nguyen
<br /> NguyenDate:2025,0oo9
<br /> APPROVED
<br /> By Tu Tran Nguyen at 7.26 am,Jun 19,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana
<br /> Attention: Public Works Agency-Jose Medina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 220 S, Daisy Avenue, M-85 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana, CA 92703
<br /> AUTHORIZED REPRESENTATIVE
<br /> Oc 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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