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AC RO©� CERTIFICATE OF LIABILITY INSURANCE F��C7123/2025'
<br /> ID DlYYYY
<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 /> RISK MANAGEMENT SERVICES, INC. NAME: CASIE L CROCXRR
<br /> P.D. BOX 5D310 CAICPHONE E (602) 840-3234 IAIC,No:
<br /> E-MAIL
<br /> PHOENIX AZ 85076 ADDRESS: CASIE.CROCKER®THERISKPEOPLE.COM
<br /> INSURERS AFFORDING COVERAGE NAIC q
<br /> INSURER A: INDIAN HARBOR INS CO 36940
<br /> INSURED INSURER B:NATIONAL CASUALTY CO 11991
<br /> ENERGY EXPERTS INTERNATIONAL
<br /> INSURER C:HDI GLOBAL SPECIALTY BE
<br /> 555 TWIN DOLPHIN DR, STE 150 INSURER D:TWIN CITY FIRE INS CO 29495
<br /> REDWOOD CITY CA 94065 INSURER E:
<br /> (650) 593-4261
<br /> INSURER F
<br /> COVERAGES cc CERTIFICATE NUMBER:CERT ID 34048 (61) REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICES 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 POLICYNUMBER MMIDDNYYY MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY
<br /> EACH OCCURRENCE $ 1,004,000
<br /> CLAIMS-MADE T OCCUR Y Y US00156227LI25A 06/ / / /01 2025 08 01 2D26 PREMISEDAMAGESO RENTED
<br /> - S Ea occurrence) $ 300,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY ECT ❑ LOG PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE UABILITY EOMBIINdE�DtSINGLELIMIT g 11000,000
<br /> * ANYAUTO Y Y U500156227LI25A 08/01/2025 08/01/2026 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULER BODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ( )
<br /> HIRED NON-OWNED PROPERTYDAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident $
<br /> A UMBRELLALIAB X OCCUR US00156228LI25A 08/01/2025 08/01/2026 EACH OCCURRENCE $ 4,000,000
<br /> X EXCESS LAB CLAIMS-MADE
<br /> AGGREGATE $ 4,004,000
<br /> DE❑ RETENTION$ $
<br /> WORKERS COMPENSATION PER OTT-
<br /> B AND EMPLOYERS'LIABILITY YIN Y WCC340211A 08/01/2025 06/01/2026 X STATUTE ER
<br /> ANYPROPRI ETOR/PARTNERIEXECUTI V E
<br /> OFFICERIMEMBEREXCLUDED? �N NIA E.L EACH ACC lDENT $ 1,000,000
<br /> (Mandatory 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 /> C PROF LIAB-CLAIMS MADE FRS-H-P-PL-00012256-02 04/13/2025 04/13/2026AG/CL $ 5,000,D0p
<br /> D CYBER 59MB0744730-25 03/01/2025 03/01/20260CC/AGG DED $25,000 $ 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> CONSULTANTS. CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED
<br /> AS A➢DL INSURED WITH RESPECTS TO THE GL £ AUTO PER WRITTEN CONTRACT. COVERAGE IS PRIMARY NON-
<br /> CONTRIBUTORY. WAIVER OF SUBROGATION APPLIES WITH RESPECST TO THE GL, AUTO & WC. 30-DAY NOTICE OF
<br /> CANCELLATION APPLIES. INSURED DOES NOT OWN ANY AUTOS.
<br /> Tr 1 Tr�n Digitallysignedby
<br /> l.1 To Tran Nguyen
<br /> Nguyen Date:23zoiaa3 APPROVED
<br /> By Tu Tran Nguyen at 12:17 pm,Sep 03,2025
<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 /> ATTN: HEIDI CHOU (M-85)
<br /> 215 S. CENTER ST AUTHORIZED REPRESENTATIVE
<br /> SANTA ANA, CA 92703 // rr
<br /> I
<br /> O 1999-2015 ACORD CORPORATION, All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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