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AC®RO® CERTIFICATE OF LIABILITY INSURANCE 1� 2/1/2022 DATE(MMIDDNYY)I F 1 1/26/2021 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(ies) 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 rights to the certificate holder in lieu of such endorsements , PRODUCER Lockton Insurance Brokers, LLC 777 S. Figueroa Street, 52nd Fl. CA License #OF15767 Los Angeles CA 90017 CONTACT NAME: PAHONE FAX No E-MAIL ADDRESS: -INSURER(Sa AFFORDING COVERAGE NAIC If (213) 689-0065 INSURER A: Crum & Forster Specialty Insurance Co 44520 INSURED Rincon Consultants, Inc. 1462718 180 N. Ashwood Ave. wsuRER B : Hartford Fire Insurance Company 19682 INSURER C : Starstone National Insurance Company 25496 INSURER D Ventura CA 93003 INSURER E : INSURER F : COVERAGES RINCO01 CERTIFICATE NUMBER: 16059509 REVISION NUMBER: X%xXifyy 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 CONTRACT OR 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. - ILm TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM DDIYYYV POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE 1XI OCCUR y Y EPK-133853 2/I/2021 2/I/2023 EACH OCCURRENCE $ 3000000 PREM SES Ea occurrence) $ 100,000 X MED EXP (Any one person) $ 10,0-00- SIR: $50.000 P&I PERSONAL a ADV INJURY $ 3,000,000 -XI AGGREGATE LIMIT APPLIES PER: POLICY❑ JEC � LOC GENERAL AGGREGATE $ 4 QQQ QQQ GEN'L PRODUCTS - COMP/OP AGG $ 4000000 $ OTHER: B AUTOMOBILE LIABILITY y y 72UENOL5481 2/l/2021 2/1/2022 EOMaBBIINEeDISINGLE LIMIT $ 1000000 BODILY INJURY (Per person) $ XXXXXXX X X ANY OWNED SCHEDAUTOS ONLY AUTOSULED HIRED NONOWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) Per accid aRTY ccident) $ XXXXXXX $XXXXXXX A UMBRELLA LIAB J( OCCUR N N EFX-116867 2/1/2021 2/l/2022 EACH OCCURRENCE $ 5000000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 QQQ QQQ DED X I RETENTION$ 10000 $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED?nN NIA y T10210329 2/l/2021 211/2022 X STATUTE EORH E, L. EACH ACCIDENT $ 1000000 E.L. DISEASE- EA EMPLOYEE $ 1 000 000 (Mandatory In Ind If Yee, describe under E.L. DISEASE- POLICY LIMIT $ 1.000000 DEBCRIPTION OF OPERATIONS below A Contractors Pollution Liab N N EPK-I33853 2/1/2021 2112023 Limit: $3,000,000/$4,000,600 E&O Liab: Claims Made Limit; $3,000,000/$4,000,000 Reno Date: 12/9/1994 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FORTHIS HOLDER, APPLICABLE TO THE CARRIERS LIS'TEDA m THE POLICYTERM(S) luauRCNCED, Lyber Liability: Carrier. Ron Specialty Insmmice Company, Policy No. Renewal Policy#SCTRD2590380000, Policy Tenn. 2/1/2021-2/1/2022, Lirnil: $5,000,000 SIR: $10,000. The City of Santa Ana and Community Development Agency and their officers, employees, agents and volunteers are an Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. Waiver of Subrogation applies per attached endorsements) or policy language. Insurance provided to Additional Insured(s) is primary and nou-contributory as per die attached endorsement or policy language. Excess policy fallmvs General Liability, Auto Liability and Employers Liability form. Notice of Cancellation applies per die applicable policy language or endorsements. 16059509 City of Santa Ana Risk Management Divison 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED All rights ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD