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o0 CERTIFICATE OF LIABILITY INSURANCE DATE{MMf60lYYYl7 <br /> �.� 2/1/2027 1/29/2026 <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,LTC CONTACT <br /> NAME: <br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX <br /> CA license#01 I5767 AIC o No:AfC <br /> EMAIL <br /> 8110 F Union Ave.,Ste.100 ADDRESS: <br /> Denver CO 80237 INSURER s AFFORDING COVERAGE NAIC# <br /> denver-certs(�'t,lockton.com INSURER A:Westchester Stirplus Lines Insurance Co 10172 <br /> INSURED Rincon Consultants,Inc. INSURER B:Hartford Fire Insurance Company an 19682 <br /> 1462718 2060 Knoll Drive INSURER c:Palomar Excess and Surplus Insurance Co. 16754 <br /> Ventura CA 93003 INSURER D:Starstone National Insurance Company 25496 <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 RFDUCED BY PAID CLAIMS. <br /> IY EXP <br /> LTR TYPE OF INSURANCE ��gp Wyp POLICY NUMBER _ MM DD EFF MM1DICDrr1rYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY y Y G49969191 002 2/t/2026 211/2027 EACH OCCURRENCE $ 4,000,000 <br /> CLAIMS-MADE OCCUR OAM GET TED <br /> PREMISES Ea occurrence $ 100,000 <br /> X SIR:$50,000 MED EXP(Any one person) $ 10,000 <br /> X P&I PERSONAL&ADV INJURY $ 4,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 <br /> POLICY[X]jECOT- LOC PRODUCTS-COMPIOP AGG s 4 000,000 <br /> OTHER: 5 <br /> $ AUTOMOBILE LIABILITY y y 72UENOL5481 2YI12026 2A/2027 COMBINED SINGLE LIMIT 5 <br /> COT' <br /> 11000,000 <br /> Ix <br /> ANY AUTO BODILY INJURY(Per person) 5 yOWNED SCHEDULED BODILY INJURY(Per accident) 5 �XXX}�X <br /> AUTOS ONLY AUTOSAUTOS ONLY HIRED X AUTO ONLY PeOractidenOAMAGE $ XXXXXXX <br /> Comp./Coll.Ded 5 1,000 <br /> A UMBRELLA LIAR �( OCCUR N N G48968193 002 2/1f2026 2/1/2027 EACH OCCURRENCE $ I 0J)00.000 <br /> C X EXCESS LIAR CLAIMS-MADE CEEXP-26-0000752-00 2/12026 2/1/2027 AGGREGATE $ 10000000 <br /> BED X RETENTIONS 10,000 $ rxxXxxxx <br /> WORKERS COMPENSATION I PER OTH- <br /> * AND EMPLOYERS'LIABILITY y T10260329 AOS) 2/l/2026 2/1/2027 X� STATUTE ER <br /> O ANY PROPRIETORIPARTNERlEXEcuTIVE Y/N NIA <br /> T10201427((FL) 2/l/2026 2/1/2027 <br /> OFFICERIMEMBER EXCLUDED? E.L.EACH ACCIDENT $ 1,000,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> yes,describe under D $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> A Contractors Pollution Liab N N G48968181 002 2/1/202.6 2/1/2027 S41V/S4M <br /> E&O Liab. S4M Ea.occ./$4M Agg. <br /> Metro Date: 12/9/1994 <br /> I_ Cyber See Attachment See Attachment <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Sanla 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 endorsemen(s)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 /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 16059509 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Aria ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention: Planning and Building Department <br /> 20 Civic Center Plaza,M-20 <br /> AUTHORIZED REPRESENTATIVE + <br /> Santa Ana CA 92701 <br /> ©1988 2N-5 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />