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MIDDNM <br /> '`# R�0 CERTIFICATE OF LIABILITY INSURANCE DATE <br /> III 1 9`312a2 ) <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 /> gara <br /> NAME: Allison AssuredPartners Design Professionals Insurance Services, LLC PHONE sonExo- 626-2o07 FAArc No <br /> 3697 Mt. Diablo Blvd., Suite 230 E-MAIL <br /> Lafayette CA 94549 ADDRESS: CertsDesiqnPro@.AssuredPartners.com <br /> INSURERS AFFORDING COVERAGE NAIC 9 <br /> License#:6003745 INSURER A:XL Specialty Insurance Company 37885 <br /> INSURED ARCHRES-04 INSURER D:The Travelers Indemnity Company of Connecticut 25682 <br /> Architectural Resources Group, Inc.Pier 9, The Embarcader0, Suite 107 INSURER e:Travelers Property Casualty Company of America 25674 <br /> San Francisco CA 94111 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:307594198 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMI11DDf Y_YY MM D�fYYYY LIMITS <br /> LTR <br /> B X COMMERCIAL GENERAL LIABILITY Y Y 6802H186591 9/1/2025 9/112026 EACH OCCURRENCE $2.000,000 <br /> CLAIMS-MADE ®OCCUR DAM RENTED <br /> 'PREMISES <br /> i Ea occurrence $1,000,000 <br /> X Contractual Liab MED EXP(Any one person) $10,000 <br /> Included PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY®JER0. LOG PRODUCTS-COMPlOPAGG $4,000,000 <br /> OTHER: I $ <br /> B AUTOMOBILE LIABILITY Y Y BAIS985277 9/112025 9/112026 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> IANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE 5 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> C WORKERS COMPENSATION Y UB6Y264914 91112025 911/2026 X PER OR EMPLOYERS'LIABILITY Y f N STATUTE ER <br /> ANYPROPRIETOP(PARTNFPJFXECUTIVE ❑ N 1 A E.L.EACH ACCIDENT $1,000.000 <br /> OFFICERIMEMBER EXCLU DED7 <br /> (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> A Professional Liability& DPR5047708 9/1/2025 911/2026 Per Claim!$2,000,000 $2,000,0001Agg Imt <br /> Contractors Pollution Legal Included <br /> Liability <br /> DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies. <br /> Re:RFQ 23-142, <br /> City of Santa Ana is named as an additional insured as respects general liability as required per written contract.General Liability is Primary/Non-Contributory <br /> per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s). <br /> Digitally signed <br /> Tu Tram ")'y non APPROVED <br /> Nguyen <br /> N g uy e n Date:23-07'00' By Tu Tran Nguyen at 10:47 am,Se 05,2025 <br /> 16:te:20-0roo� P <br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of 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 n <br /> 0 1 988-201 5 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />