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ACOR" CERTIFICATE OF LIABILITY INSURANCE 2/l/2027
<br />DATE(MMIDDIYYYY)
<br />1/28/2026
<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
<br />CONTACT
<br />NAME:
<br />DBA Lockton Insurance Brokers, LLC in CA
<br />CA license #OF15767
<br />8110 E Union Ave., Ste. 100
<br />PHONE FAX
<br />(A/C,No Ext : A/C, No
<br />E-MAIL
<br />ADDRESS:
<br />Denver CO 80237
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Westchester Surplus Lines Insurance Co
<br />10172
<br />denver-ceps@lockton.com
<br />INSURED Rlncon Consultants, Inc.
<br />1462718 2060 Knoll Drive
<br />INSURER B : Hartford Fire Insurance Company
<br />19682
<br />INSURER C : Palomar Excess and Surplus Insurance Co.
<br />16754
<br />INSURER D : Starstone National Insurance Company
<br />25496
<br />Ventura. CA 93003
<br />INSURER E: --- SEE ATTACHMENT ---
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 16059509 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDIYYW
<br />POLICY EXP
<br />W MMIDD/YY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />y
<br />Y
<br />G489681 81 002
<br />2/l /2026
<br />2/l/2027
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />SIR: $50,000
<br />X
<br />P&I
<br />PERSONAL & ADV INJURY
<br />$ 4,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />POLICY � PE� LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />y
<br />y
<br />72UENOL5481
<br />2/1/2026
<br />2/1/2027
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$ XXXXXXX
<br />ANY AUTO
<br />BODILY INJURY (Per accident)
<br />$ XXXXXXX
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$ XXXXXXX
<br />HIRED X NON -OWNED
<br />ONLY AUTOS ONLY
<br />Com ./Coll. Ded
<br />$ 1,000
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />N
<br />N
<br />G48968193 002
<br />2/1/2026
<br />2/1/2027
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />O
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />CEEXP-26-0000752-00
<br />2/l /2026
<br />2/l/2027
<br />X
<br />AGGREGATE
<br />$ 10,000,000
<br />DED I X I RETENTION $ 10,000
<br />$ XXXXXXX
<br />D
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? F7N
<br />(Mandatory in NH)
<br />N I A
<br />y
<br />T10260329 (AOS)
<br />T1 0261427 (FL)
<br />2/l /2026
<br />2/l /2026
<br />2/l/2027
<br />2/l/2027
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Contractors Pollution Liab
<br />N
<br />N
<br />G48968181 002
<br />2/1/2026
<br />2/l/2027
<br />$4M/$4M
<br />E&O Liab.
<br />$4M Ea. occ./$4M Agg.
<br />Retro Date: 12/9/1994
<br />E
<br />Cyber
<br />See Attachment
<br />See Attachment
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana and Community Development Agency and their officers, employees, agents and volunteers are an Additional Insured to the extent provided by the policy language or
<br />endorsement issued or approved by the insurance carrier. Waiver of Subrogation applies per attached endorsement(;) or policy language. Insurance provided to Additional Insured(s) is primary and
<br />non-contributory as per the attached endorsement or policy language. Excess policy follows General Liability, Auto Liability and Employers Liability form. Notice of Cancellation applies per the
<br />applicable policy language or endorsements.
<br />APPROVED
<br />By Tu Tran Nguyen at 8:41 am, Feb 11, 2026
<br />16059509
<br />City of Santa Ana
<br />Attention: Planning and Building Department
<br />20 Civic Center Plaza, M-20
<br />Santa Ana CA 92701
<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 />AUTHORIZED REPRIESENTATNE
<br />CI 1988-20=.5 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />f�12ATION. All rights reserved
<br />
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