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�c R CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DplYYYY)
<br /> 11/9/2025 5/30/2025
<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 Lockton Companies,LLC CONTACT
<br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX
<br /> CA license#OF15767 E-MAIL Afc No
<br /> 8110 E Union Ave„Ste. 100 ADDRESS:
<br /> Denver CO 80237 INSURERS AFFORDING COVERAGE NAIC#
<br /> deiiver-certs@loekton.com INSURER A:Travelers Property Casualty Company of America 25674
<br /> INSURED Willdan Engineering INSURER B:Allied World Surplus Lines Insurance Company 24319
<br /> 1506576 13191 Crossroads Parkway North, INSURER C:
<br /> Suite 405 INSURER D:
<br /> City of Industry,CA 91746
<br /> INSURER E;
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 21895645 REVISION NUMBER: XXXXXXX
<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 EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MMIDDNYYY MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY y Y P-630-A1I78471-TIL-24 11/9/2024 11/9/2025 EACH OCCURRENCE $ 1000000
<br /> DAMAGE TUI
<br /> IFNTEp
<br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 1,000,000
<br /> X Emp.Benefits Liab., „_..,. MED EXP(Any one person) $ 15,000
<br /> X Contr.Liab.Incl. PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 060 00Q
<br /> POLICY� PE 0 N LOG PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY y y 810-A1 16 1 741-24-43-G 11/9/2024 11/9/2025 COMBINED SINGLE LIMIT $
<br /> Ea accident 1 000 000
<br /> X ANY AUTO 1 BODILY INJURY(Per person) $ XXXXXXX
<br /> AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) $ XxXXXxx
<br /> HIRED NON- WNED PRO A TOS ONLY AU OS ONLY Poi, den DAMAGE $ X,XXXXXx
<br /> $ xxxxxxx
<br /> A X UMBRELLA LIAR X OCCUR N N CUP-8Y112115-24-43 11/9/2024 11/9/2025 EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000
<br /> DED I I RETENTION$ $ XXXXXXx
<br /> ER
<br /> A AND EMPLOYERS'LIABILITY WORKERS COMPENSATION YIN X s
<br /> Y UB-8Y032268-24-43-G 11/9/2024 1119/2025 TATUTE I I oRrH
<br /> ANY
<br /> PROPRIETOPJPARTNE
<br /> DFFICFRlMFMB RFXGtUD�D7ECUTIVEFN N!A E.L.EACH ACCIDENT $ 1.000000
<br /> (Mandatory in NH) F.L.DISEASE-EA EMPLOYEE $ 1 000 000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS Wow E.L.DISEASE-POLICY LIMIT $ 1 000 000
<br /> B Prof Liab—Arc/Eng N Y 0313-5950 11/9/2024 11/9/2025 Per Claim:$1,000,000
<br /> Aggregate;$2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> RE:2025-CN On-Call Water Resources Construction Management and Inspection Services RFP 25-011.The Cily,its City Council,its officials employees,agents,and volunteers are are included as
<br /> Additional Insured(s)in accordance with the provisions of the General Liability andAutomobile Liability policies.The General Liability and Automobile Liability policies evidenced herein are
<br /> Primary and Non-Contributory to other insurance available to an Additional Insured,but only in accordance with the provisions of the policies.Umbrella Liability follows form over General Liability,
<br /> Auto Liability and Employers Liability as per the policy language.**CONTINUED ON NEXT PAGE**
<br /> Dlly TU Tra n' bbyT�T ngned Nguyen APPROVED
<br /> {�F
<br /> I V g uye n Date;2025.06,02 By Tu Tran Nguyen at 8:34 am,Jun 02,2025
<br /> 08:34:48-07,00'
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 21895645 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: Public Works Agency—Jose Medina
<br /> 220 S, Daisy Avenue,M-85
<br /> AUTHORIZED REPRESENTATIVE
<br /> SautaAna,CA 92703
<br /> 01988-20 ACOR CORPMATiON. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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