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AcoR,D® CERTIFICATE OF LIABILITY INSURANCE
<br />2/l/2026
<br />DATE{MMIDDIYYYYj
<br />1 2/13/2025
<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(les) 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 />DBA Lockton Insurance Brokers, LLC in CA
<br />CA license #OF15767
<br />81 l0 E Union Ave., Ste. 100
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />C a ExII; (A!C No):
<br />E-MAIL
<br />ADDRESS:
<br />Denver CO 80237
<br />INSURER 5 AFFORDING COVERAGE NAIC #
<br />INSURER A: Crum & Forster Specialty Insurance Co
<br />44520
<br />denver-
<br />INSURED Rincon Consultants, Inc.
<br />1462719 180 N Ashwood Ave.
<br />INSURER S : Hartford Fire Insurance Company
<br />19682
<br />INSURER C : Crum and Forster Insurance Company
<br />42471
<br />INSURER D : Palomar Excess and Surplus Insurance Co.
<br />16754
<br />Ventura CA 93003
<br />INSURER E : Starstonc National Insurance Company
<br />25496
<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 />OF INSURANCE
<br />ADDLTYPE
<br />INM
<br />SUER
<br />POLICY NUMBER
<br />MMIDPOLIDY
<br />IYYYY
<br />MM ODIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE U OCCUR
<br />Y
<br />Y
<br />EPK-15091I
<br />2/1/2025
<br />2.r112026
<br />EACH OCCURRENCE
<br />s 4,000,000
<br />DAMAGE TO RENT ED
<br />PREMISES Ea occurrence
<br />$ 100 000
<br />X
<br />MED EXP (Any one person(
<br />$ 10,000
<br />SIR: S50,000
<br />X
<br />P&T
<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 � JE T LOG
<br />PRODUCTS - COMP/OP AGG
<br />$ 4 000 000
<br />$
<br />OTHER:
<br />g
<br />AUTOMOBILE
<br />LIABILITY
<br />��
<br />Y
<br />72UENOL5481
<br />?
<br />2/I/2025
<br />2/1/2026
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1 000 000
<br />X
<br />BODILY INJURY (Per person)
<br />$ XXXXXXX
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />racc
<br />BODILY INJURY (Per
<br />$ XXXXXXX
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$ XXvXXX
<br />XXr
<br />Corm)./Coll. Ded
<br />$ 1,000
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />N
<br />N
<br />EFX-127832
<br />2/1/2025
<br />2/t/2026
<br />EACH OCCURRENCE
<br />$ 10.000.000
<br />D
<br />EXCESS LFAB
<br />CLAIMS -MADE
<br />CEEXP-25-0000094-00
<br />2/l/2025
<br />2/l/2026
<br />X
<br />AGGREGATE
<br />$ 10,000,000
<br />DEE) I X I RETENTION $ 10,000
<br />S XXXXXXX
<br />E
<br />E
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICERlMEMBER EXCLUDED? FN
<br />N ! A
<br />Y
<br />T10250329 AOS)
<br />T10251427 �FL)
<br />2/1/2025
<br />2/l/2025
<br />21/2026
<br />2/l/2026
<br />PER OTH-
<br />X. STATUTE ER
<br />E,L, EACH ACCIDENT
<br />$ 1,000 000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, dascdbe under
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />ContractorsPollutlonLiab
<br />N
<br />N
<br />EPK-150911
<br />2/1/2025
<br />2/1/2026
<br />54,000,000/$4,000,000
<br />E&O Liab.
<br />$4,000,000 ea. oce./$4,000,000 agg,
<br />Retro Date: 12/9/1994
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER. APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED.
<br />Effective 2/l/2024-8/l/2025, Cyber LiabiIily $5M Limit, 525k Retention, Carver: HCC; Policy #H24NGP224923-01, 35M x $5M Limit, Carrier: Catvus, Policy 4CXS-107946155-00. The City of
<br />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 endorsement issued or
<br />approved by the insurance carrier. Waiver of Subrogation applies per attached endorsement(s) or policy language. Insurance provided to Additional Insured(s) is primary and non-contributory as per the
<br />attached endorsement or policy language. Excess policy follows General Liability, Auto Liability and Employers Liability form. Notice of Cancellation applies per the applicable policy language or
<br />endorsements.
<br />Tu Tran Digiran Nguygned6yTu APPROVED
<br />Ten
<br />Ng.y
<br />Da1e:2o15n2.13
<br />Nguyen 0:51:42-0a�oo By Tu Tran Nguyen of 10:51 am, Feb 13, 2025':
<br />16059509
<br />City of Santa Ana
<br />Attention: Planning and Building Department
<br />20 Civic Center Plaza, M-20
<br />Santa Ana CA 9270I
<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 REFIRESENTATIVE
<br />01
<br />TION. All rights resPrvPd_
<br />ACORD 25 (2016103)
<br />The ACORD name and logo are registered marks of ACORD
<br />
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