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AC a� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 11/9/2026 11/20/2025 <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(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,LLC CONTACT <br /> NAME: <br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX <br /> CA license#OF15767 AIC o NC No: <br /> E-MAIL <br /> 61 10 E Union Ave.,Ste. (f1O ADDRESS: <br /> Denver CO 90237 INSURER(S)AFFORDING COVERAGE NAIL# <br /> denver-certs(q'lockton.com INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED Willdan Engineering INSURER B:Allied World Surplus Lines Insurance Company 24319 <br /> 1508060 13191 Crossroads Parkway North, INSURER C: <br /> Suite 405 INSURER D: <br /> City of Industry,CA 91746 <br /> trlsuRER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 22639851 REVISION NUMBER: x xxxxxx <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 ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD POLICY NUMBER MMlbb MIDDlYYYY LIMITS <br /> A COMMERCIAL GENERAL LIABILITY Y Y P-630-A1178471-TIL-25 11/9/2025 11/9/2026 EACH OCCURRENCE $ 1 000 000 <br /> CLAIMS-MADE ®OCCUR DAMAGE TO RENTE <br /> PREMISES Ea occurrencel 1 000 000 <br /> X Emp.Benefits Liab. MED EXP(Any one person) $ 15,000 <br /> X . COntir.Liab.Incl. PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> FPOLICY�JECT Fx_1 LOC PRODUCTS-COMPIOP AGG s 2,000,000 <br /> OTHER: S <br /> A AUTOMOBILE LIABILITY y y 810-AI 1 61 74 1-2 543-G 11/9/2025 11/9/2026 COMBINED SINGLE LIMIT <br /> Ea accident $ 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> xxxxxy <br /> �X <br /> OWNED SCHEDULED BODILY INJURY Per accident xxxXx�.X <br /> AUTOS ONLY AUTOS ( ) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ xxxxx <br /> $ xxxxxxx <br /> UMBRELLA LIAB OCCUR NOT APPLICABLE <br /> EACH OCCURRENCE $ xxxxxxx <br /> I EXCESS LIAB CLAIMS-MADE AGGREGATE $ xxxxxxx <br /> p DED RETENTION$ $ xxxxxXx <br /> AWORKERS COMPENSATION y X STATUTE ORH <br /> AND EMPLOYERS'LIABILITY YIN UB-8Y032268-25-43-G 11/9/2025 11/9/2026 <br /> ANY PROPRIETOR)PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1 000 0OO <br /> OFFICERiMEMBER EXCLUDED? F NIA - <br /> (MandatoryinNH) E,L.DISEASE-EA.EMPLOYEE $ 1 <br /> If yes,describe under 000 000 <br /> DESCRiPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1.000J)100 <br /> g Prof Liab—Are/Eng N Y 0313-5950 11/9/2025 11/9/2026 Per Claimi$2,000,000 <br /> Aggregate:$2,000,000 <br /> DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedute,may be attached if more space is required) <br /> RE:2025-CB On-Call Engineering Services RFP No.23-025 A-2023-075-I0.City of Santa Ana,its officers,officials,employees and volunteers are included as Additional Insured(s)in accordance <br /> with the provisions of the General Liability and Automohile Liability policies.including with respect to liability arising out of Contractor's ongoing and completed operations and Automobile Liability <br /> policy,if required by written contract.General Usability and Automobile Liability policies evidenced herein are Primary and Non-Contributory to other insurance available to an Additional insured,but <br /> only in accordance with the provisions of the policies.(Continued) <br /> Tu Tran a Tu I"q APPROVED <br /> Nguyen <br /> Nguyen�mp25,2.m gy Tu Tran Nguyen at 12:00 Pat,Dec 08,1025 <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 22639851 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn:12oXy Lopez Manzano AUTHORIZED REPRESENTATIVE <br /> 20 Civic Center PIaza(M-22) <br /> Santa Ana,CA 92702-1988 <br /> (D 1 988-20-N ACORO CORPURATION, All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />