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AC"l?" CERTIFICATE OF LIABILITY INSURANCE rATE 3/2712025 <br /> ) <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 CONTACT <br /> Edgewood Partners Insurance Agency PHONE Gre lin Col Specialist FAX <br /> 3780 Mansell Rd. Suite 370 . 770.756.6599 (AIC No:770.756.6599 <br /> Alpharetta GA 30022 naDRess: greylin certs re lin .cam <br /> INSURER(5)AFFORDING COVERAGE NAIC# <br /> INSURER A: National Union Fire Ins Co of Pittsbufg 19445 <br /> INSURED INSURER B <br /> Psomas <br /> 865 South Figueroa Street INSURERC: <br /> Suite 3200 INSURER <br /> Las Angeles CA 90017 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:420765923 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 /> ILTR TYPE Of INSURANCE INSD WVD POLICY NUMBER MMf�DNYYY MMID�lYEYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2025 4/1/2026 EACH OCCURRENCE S2,000,000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence S 500,000 <br /> MED EXP(Any one person) S25,000 <br /> PERSCNAL&ADV INJURY S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S4,000,000 <br /> POLICY® PRO ❑ LOC PRODUCTS-COMPIOPAGG $4,000,000 <br /> OTHER S <br /> A AUTOMOBILE LIABILITY GA4489706 41112025 41112026 COMBINED SINGLE LIMIT $2,000,000 <br /> Ea accident <br /> Ix <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED Ix <br /> NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTIONS S <br /> A WORKERS COMPENSATION WC72113158(AOS) 41112025 411/2026 X ER OTH- <br /> A AND EMPLOYERS'LIABILITY YIN WC72113159(CA) 41112D25 4/1/2026 S PTATUTE ER <br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT s 2,o00,a0o <br /> OFFICERIMEMBEREXCLUDED? FE NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 2,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 32,000,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> 3SAN050099;On-Call Environmental Services-CEQA and NEPA, RFQ No,20-100. <br /> City of Santa Ana,its officers,employees,agents,volunteers and representatives are named as Additional Insureds with respects to General&Automobile <br /> Liability where required by written contract.The above referenced liability policies are primary&non-contributory where required by written contract.Waiver of <br /> Subrogation in favor of Additional Insured(s)where required by written contract&allowed by law. <br /> �auyb"Tu Tran TuTn Ngen APPROVED <br /> bate:�025.0A:02 <br /> 1 t:4fi28-0r00' By Tu Train Nguyen at 11:45 am,Apr 02,2025 <br /> Nguyen <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Planning and Building Agency <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />