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AIR CERTIFICATE OF LIABILITY INSURANCE FQAT5i�31z�zsYYl
<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: It 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: Karlee Crowe
<br /> The Baldwin Group West, LLC P,,H4NE 714 505 7000 RnAIc No: 714 573 1770
<br /> 15901 Red Hill Ave, Ste 100 EMAIL
<br /> Tustin CA 92780 ADDRESS: Karlee.Crowe baldwin.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> License#:OF69771 INSURER A:Great American Insurance Coma 16691
<br /> INSURED HARD&HA-02 INSURER 6:Great American Excess&Sur lu 37532
<br /> Hardy&Harper, Inc.32 Rancho Circle INSURERC: BITCO General Insurance Cor or 20095
<br /> Lake forest CA 92630 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1469257872 REVISION NUMBER:
<br /> THIS 15 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 On 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 /> INTA TYPE OF INSURANCE AQQL SUBR
<br /> POLICY EFF POLICY EXP
<br /> L POLICY NUMBER MMf DIYYYY MMIODIYYYY LIMITS
<br /> C X COMMERCIAL GENERAL LIABILITY Y Y CLIP 3771023 4/15/2026 4/1512027 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $100.000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO- ❑
<br /> -- JECT LOC PRODUCTS-COMPIOP AGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y CAP 3771022 4115/2026 4/15/2027 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Par person) $
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED fx
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A UMBRELLA LIAR X OCCUR Y Y TUE 4369837 04 4/15/2026 4115/2027 EACH CCCURRENCE $6,000,000
<br /> X EXCESS LIAR CLAIMS-MADE AGGREGATE $6,000,000
<br /> DED RETENTION $
<br /> C WORKERS COMPENSATION Y WC3771024 4/1512026 4/15/2027 X I PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERIMEMREREXCLUDED7 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 /> B Professional Lablllty PCM E502853 06 4/15/2026 4/15/2027 Each Dom ence 1,000,000
<br /> Pollution Liability Annual Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is regulred)
<br /> General Liability Additional Insured, Primary and Noncontributory,and Waiver of Subrogation applies per attached endorsements. General Liability Aggregate
<br /> limit per project applies per attached endorsements, Auto Liability Additional Insured,Primary and Noncontributory,and Waiver of Subrogation applies per
<br /> attached endorsements.Work Comp Waiver of Subrogation applies per endorsement VVC040306. 30 day Notice of cancellation applies per attached
<br /> endorsements.
<br /> RE: Project No.:23-6706;24950-McFadden Avenue Rehabilitation-Raitt Avenue to Grand Avenue
<br /> Additional Insureds:The City of Santa Ana,its officers,employees,agents,volunteers and representatives
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 8:23 am,May 20,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<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
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