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712/2/2024 <br /> E(MM/DD/YYYY) <br /> �� 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 CN A O MENTACT <br /> : Sandy Peters <br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX <br /> 3697 Mt. Diablo Blvd Suite 230 A/C No EXt: 626-696-1901 A/C,No): <br /> Lafayette CA 94549 ADDRESS: CertsDesignPro@AssuredPartners.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:6003745 INSURERA:Travelers Casualty and Surety Co of America 31194 <br /> INSURED TRANENG-09 INSURER B: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 INSURANCE COMPANY 38288 <br /> Chino CA 91710-3009 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:56315398 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY <br /> B X COMMERCIAL GENERAL LIABILITY Y Y 6805H737478 12/31/2024 12/31/2025 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR <br /> 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� ECT � LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> C AUTOMOBILE LIABILITY Y Y BA3R067451 12/31/2024 12/31/2025 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> ANY AUTO 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 /> X NoOwnedAutos $ <br /> B X UMBRELLALIAB X OCCUR Y Y CUP4F17434A 12/31/2024 12/31/2025 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED X RETENTION$n $ <br /> D WORKERS COMPENSATION Y 57WEGAA508A 9/1/2024 9/1/2025 X PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> ❑ <br /> OFFICER/MEMBER 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 Professional Liability 107328311 12/31/2024 12/31/2025 Per Claim $2,000,000 <br /> Aggregate Limit $4,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Insured owns no company vehicles;therefore,hired/non-owned auto is the maximum coverage that applies. Professional Liability is E&O Liability. <br /> The Umbrella Policy is follow form to its underlying Policies:General Liability/Auto Liability/Employers Liability. <br /> RE:All Operations of the Named Insured City of Santa Ana,its officers,officials,employees,and volunteers are named as an additional insured as respects <br /> general liability and auto liability as required per written contract. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage <br /> includes waiver of subrogation per the attached endorsement(s). <br /> APPROVED <br /> By Cynthia Mora at 1:46 pm, Jan 15, 2025 <br /> CERTIFICATE HOLDER CANCELLA <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 /> Risk Management Division <br /> 20 Civic Center Plaza AUULQRIZEDREPRES TATIVE <br /> Santa Ana CA 92702 <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />