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Client#: 25181 PSOMAS ACORD.CERTIFICATE OF LIABILITY INSURANCE D Q:3127IDDIYYYY) 3127f201 R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Grayling Ins. BrokeragelEPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 W111ACT Katie Kresner NAMEPIF MESE 77Q 552.4225FAX A1c o E>tt; AfC Ne; 866.550.4082 EMAIL.ADDRESS: Katle.Kresner@greyling,com INSURERS) AFFORDING COVERAGE NAIC 0 INSURER A ; National Union Fire Ina, co. 1944.51 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR INSURED Psomas INSURER B INSURER C; 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER D: INSURER E INSURER F: MED EXP (Any one person) s25,000 COVERAGES CERTIFICATE NUMBER: 18-19 RFVISIArd Nt1MRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 LTR TYPE OF INSURANCE INSR 9wVQUBR POLICY NUMBER POLICY YIYEEFF PIMM /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR GL5268212 0410112018 04/01/2019 EACHOCCURRENCE $1,000.000 PREMISES Ee o�urrenoe $500,000 500 000 MED EXP (Any one person) s25,000 PERSONAL&ACV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- OLICY � JECT � LDC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG s2,000,000 $ A AUTOMOBILE Ix LIABILITY ANYAEEUTO AUTO60ONLY X SCHEDULEDBODILY I AUTOS AUTOS ONLY AUTOS ONLY CA4489706 0410112018 0410112019 EOMBIN EDtSINGLE LIMIT 1,000,000 BODILY INJURY(Par person) $ INJURY Per accldenl $ ( ) PROPERTY DAMAGE $ Per accident UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNY f NE OFFICERIMEMBER EXCLUDED? 7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC01(} 5893765 CA WC015893764 (AOS) 410112018 4/0112018 04101!2019 04/01/2019 I PER SIALTUTE OTH- X E.L, EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000.000 REVIEWED BY: EUNICE HEREDIA (PG 3OF DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 161, Addlllonal Remarks Schedule, maybe attached If more space is required) 28AN051100 & 4SAN020200; Agreement Nos. A-2008-219, A-2015-167, A-2017-114 & A-2014-224; City of Santa Ana On -Call Engineering Services 14-037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written (See Attached Descriptions) CERTIFICATE HOLDER rnNI rl I ATInKl City of Santa Ana Public Works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-21 AUTHORIZEDD REPRESENTATIVE Santa Ana, CA 92702.0000 I 04W. ACORD 25 (2016103) 1 of 2 #S1033020IM1032607 O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 .� ME ac� emr— 16�i�