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A44� [C REP CERTIFICATE OF LIABILITY INSURANCE DA 4i2112026 '
<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(!es) 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 Ileu of such endorsement(s).
<br /> PRODNTAT
<br /> UCER NAME;C Brenda Juarez
<br /> The Baldwin Group West, LLC PHONE 714 505-7000 AX Na: 714 573-177D
<br /> 15901 Red Hill Ave, Ste 100 EMAIL
<br /> Tustin CA 92780 ADDRESS: brend a.'uarezQpbaldwin.corn
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> Lice se ;OF69771 INSURER A:Great American Insurance Com a 16691
<br /> INSURED HARD&HA-02
<br /> Hardy&Harper, Inc. INSURER a:Great American Excess&Sur !u 37532
<br /> 32 Rancho Circle INSURER c:BITCO General Insurance Cor or 20095
<br /> Lake Forest CA 92630 INSURERD:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:422066930 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 BEEN REDUCED BY PAID CLAIMS.
<br /> INTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> POLICYNUMBER MMIDDNYYY MMIDDIYYYY LIMITS
<br /> C X COMMERCIALGENERALLIABILITY Y Y CLIP 3771023 4/15/2026 4/15/2027 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE — OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $100,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADVAJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000
<br /> POLICY l�JECT LOC PRODUCTS-COMPIOPAGG $2,000,000
<br /> OTHER; $
<br /> C AUTOMOBILE LIABILITY Y Y CAP 3771022 4/15/2026 4/15/2027 GOMeIN D3INGLE LIMIT $1,000,000
<br /> Ea accident
<br /> Ix
<br /> ANY AUTO BODILY INJURY(Par person) $
<br /> OWNS❑ SCHEDULHD BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> $
<br /> A UMBRELLALIAB X OCCUR TUE 4369837 04 4/15/2026 4/15/2027 EACH OCCURRENCE $2,000,000
<br /> X EXCESSLIA13 CLAIMS-MADE AGGREGATE $2,000,000
<br /> DED RETENTION$ $
<br /> C WORKERS COMPENSATION Y WC 3771024 4/15/2026 4/15/2027 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000
<br /> CFFICEPJMEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below I F.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Professional Liability PCM E502853 06 4/15/2026 4/15/2027 Each Occurrence 1,000,000
<br /> Pcllulion Liability Annual Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS LOCATIONS!VEHICLES {ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> General Liability Additional Insured,Primary and Noncontributory,and Waiver of Subrogation applies per attached endorsements. Genera!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 WC040306. 30 day Notice of cancellation applies per attached
<br /> endorsements.
<br /> RE:All operations performed by the Named Insured during the current policy period. glai The City of Santa Ana,its officers,employees,agents,and
<br /> representatives are included as Additional Insured as respects General Liability per attached endorsement,
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATIONyTu .ra� gUYE+rat-�f4 arts pr Z;217Z
<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 /> Attention: Public Works Agency
<br /> 20 Civic Center Plaza, M-22 AUTHORIZED REPRESENTATIVE
<br /> Santa Arta CA 92701
<br /> U �Oe1 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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