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73/18/2024
<br /> (MM/DD/YYYY)
<br /> A` �� CERTIFICATE OF LIABILITY INSURANCE
<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 /> Edgewood Partners Ins. Cente reyling 0 PHONE Jer- No
<br /> 3780 Mansell Rd. Suite 370 A/c No Ext: 7C22 7
<br /> 11(] Ita - -,1
<br /> Alpharetta GA 30022 Anqie
<br /> ADDRIESS: gre rl ngcerts@�r?Yling.com
<br /> INEUA)WJW coARAW NAIC#
<br /> INSURER A: N:.ik idtUnIA41 I stro 4A&w1W19445
<br /> INSURED KIMLASS Kimley-Horn and Associates, Inc. INSURERB:` Iled `/orld Assurance Co(U.S.)Inc. 19489
<br /> 421 Fayetteville Street, SuitAceved
<br /> INSURERC Jew H Ce n 3841
<br /> Raleigh, NC 27601 R r : LION o� • • • 202
<br /> SU E:
<br /> _ cRF: • •
<br /> COVERAGES CERTIFICATE NUMBER:1607364816_ • VI I NUM
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY GL5268169 4/1/2024 4/1/2025 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $25,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY� ECT � LOC PRODUCTS-COMP/OPAGG $4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CA4489663 AOS 4/1/2024 4/1/2025 COMBINED SINGLE LIMIT $2,000,000
<br /> A ( ) Ea accident
<br /> X ANY AUTO CA2970071 (MA) 4/1/2024 4/1/2025 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> B X UMBRELLALIAB X OCCUR 03127930 4/1/2024 4/1/2025 EACH OCCURRENCE $5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$1 n rIno $
<br /> C WORKERS COMPENSATION WC015893685(AOS) 4/1/2024 4/1/2025 X PER OTH-
<br /> C AND EMPLOYERS'LIABILITY YIN WC015893686(CA) 4/1/2024 4/1/2025 STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000
<br /> OFFICER/MEMBER EXCLUDED? NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000
<br /> D Professional Liability B0146LDUSA2404949 4/1/2024 4/1/2025 Per Claim $2,000,000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: On call City of Santa Ana; Michael Ledbetter.The City of Santa Ana, its officers,employees,agents,volunteers&representatives are named as Additional
<br /> Insureds with respects to General Liability where required by written contract.The above referenced liability policies with the exception of workers
<br /> compensation&professional liability are primary&non-contributory where required by written contract.Should any of the above described policies be cancelled
<br /> by the issuing insurer before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)will be provided to the Certificate
<br /> Holder.Waiver of Subrogation in favor of Additional Insured(s)where required by written contract&allowed by law.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICF WILL FIF DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PRC
<br /> City of Santa Ana „oR RieleManagementDivisinrt
<br /> 20 Civic Center Plaza, M-30;
<br /> AUTHORIZED REPRESENTATIVE a�'� REVIEWED&APPROVED BY:
<br /> Santa Ana CA 92701-0000
<br /> r .
<br /> i' ® Risk Management Specialist
<br /> @ 1988-2015 ACORD
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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