|
A�©a r
<br /> ATE(MM)DDIYYYY)
<br /> III CERTIFICATE OF LIABILITY INSURANCE 1l2212026
<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 /> NAME: Sand Peters
<br /> AssureclPartners Design Professionals Insurance Services, LLC PHONE I'm
<br /> 3697 Mt, Diablo Blvd Suite 230 ;626-696-1901 A c Na
<br /> EMAIL
<br /> Lafayette CA 94549 ADDRESS: CertsDesignPro@AssuredPartners.com
<br /> INSURERS AFFORD,ING COVERAGE NAIC#
<br /> License#:5003745 INSURER A:Travelers Casualty and Surety Co of America 31194
<br /> INSURED TRANENG-09 INSURERS:Travelers Property Casualty Company of America 25674
<br /> Transtech Engineers, Inc.
<br /> 909-595-8599 INSURER C:The Travelers Indemnity Company of Connecticut 25682
<br /> 13367 Benson Ave INSURERD:Hartford Casualty Insurance Company 29424
<br /> Chino CA 91710-3009 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1655749798 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 SEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDLSUBTYPE OF INSURANCE INSD WVD POLICYNUMBER POLICY EFF POLICY EXP
<br /> LTR MMIDDIYYYY) JMMfDIDIYYYYI LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y 6805H737478 12131/2025 12/31/2026 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> Included PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $2,000,000
<br /> POLICY� JECT FX I LOC PRODUCTS-COMPYOP AGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y BA3RD67451 12/31/2025 12131I2C26 COMBINED SINGLELIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO $ODILY INJURY(Per person) $
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X NoOwnedAutos $
<br /> B X UMBRELLA LIAB X OCCUR Y Y CUP4F17434A 12/31/2025 12/31/2026 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DEn I X i RETENTION$ $
<br /> D WORKERS COMPENSATION Y 57VVEGAA508A 9/112025 91112026 X PER
<br /> CRH
<br /> AND EMPLOYERS'LIABILITY Y 1 N
<br /> ANYPROPRIETORIPARTNER,'EXECLLTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERIMEMBER EXCLUDED? NIA
<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 /> A ProfessianalLlability 107328311 12/31/2025 1213112026 Per Claim $2,000,000
<br /> Aggregate L€mit $4,000,000
<br /> APPRO VEs
<br /> DESCRIPTION OF OPERATIONS)LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) 8y Charlene R.Muro at 4:42 pm,Feb 11,2026
<br /> Insured owns no company vehicles;therefore,hiredlnon-owned auto is the maximum coverage that applies.
<br /> The following policies are included in the underlying schedule of insurance for umbrellalexcess liability:General Liability/Auto Liability/Employers
<br /> Lability/Employee Benefits Liability.
<br /> RE:All Operations of the Named Insured.
<br /> The City of Santa Ana,its officers,officials,employees,and volunteers are named as an additional insured as respects general liability and auto liability as
<br /> required per written contract.General Liability is PrimarylNan-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the
<br /> attached endorsement(s). CANCELLATION:30 day notice will be sent to the certificate holder.
<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 &Building Agency
<br /> 20 Civic Center Plaza AUILLORIZED ATIVE
<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 />
|