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ACC o DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 06/09/2025
<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.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT CD
<br /> NAME:
<br /> Aon Ri Sk Insurance Services West, Inc. PHONE (g66) 283-7122 FAX (800) 363-0105
<br /> LOS Angeles CA office (A/c.No.Ext): (A/c.No.): 'a
<br /> 707 Wilshire Boulevard E-MAIL
<br /> Suite 2600 ADDRESS: _
<br /> Los Angeles CA 90017-0460 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: valley Forge Insurance Co 20508
<br /> Iteri s, Inc. INSURER B: The Continental Insurance Company 35289
<br /> 1700 Carnegie Avenue
<br /> Suite 100 INSURER C: American Casualty Co. of Reading PA 20427
<br /> Santa Ana CA 92705 USA INSURER D: Lexington Insurance Company 19437
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570111968503 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. Limits shown are as requested
<br /> INSR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> B X COMMERCIAL GENERAL LIABILITY 8018834238 04 Ol 2025 04/01/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED $1,000,000
<br /> PREMISES Ea occurrence
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000 0
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 oo
<br /> X POLICY I JE� �LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> u T
<br /> T
<br /> OTHER: o
<br /> A AUTOMOBILE LIABILITY 8018834790 04/01/2025 04/01/2026 COMBINED SINGLE LIMIT `O
<br /> Ea accident) $1,000,000 ..
<br /> X ANYAUTO BODILY INJURY(Per person) 0
<br /> Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) �
<br /> AUTOS ONLY AUTOS
<br /> PROPERTY DAMAGE Q
<br /> NON-OWNED
<br /> HIRED AUTOS V
<br /> ONLY AUTOS ONLY (Per accident)
<br /> 0
<br /> B X UMBRELLA LIAB X OCCUR 8018834742 04/01/202 5 04/01/2026 EACH OCCURRENCE $2 5,000,000 V
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2 5,000,000
<br /> DIED I X RETENTION$10,000
<br /> A WORKERS COMPENSATION AND 8018835079 04/01/2025 04/01/2026 X I PER STATUTE I JOTH-
<br /> EMPLOYERS'LIABILITY Y/N AOS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> C OFFICER/MEMBER EXCLUDED? IN N/A 8018834966 04/Ol/202 5 04/Ol/2026
<br /> (Mandatory in NH) CA 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 /> D Architects & Engineers 015136071 04/01/2025 04/01/2026 Each Claim $5,000,000=�
<br /> Professional Aggregate $5,000,000
<br /> SIR $500,000
<br /> jig
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: on-Call ITIS Agreement. City of Santa Ana, its City Council, officers, officials, employees, and agents are included as
<br /> Additional insured in accordance with the policy provisions of the General Liability policy. A waiver of subrogation is granted ltn
<br /> in favor of Certificate Holder in accordance with the policy provisions of the General Liability policy.
<br /> Tu Tran Digitally signed by T-2
<br /> Tu Tran Nguyen
<br /> Nguyen 08565°�07'00' APPROVED
<br /> By Tu Tran Nguyen at 8:56 am,Jun 13,2025
<br /> CERTIFICATE HOLDER CANCELLATION =—
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE -�-■+
<br /> POLICY PROVISIONS.
<br /> Sol-P
<br /> city of Santa And AUTHORIZED REPRESENTATIVE
<br /> r_W
<br /> Attn: zed I<ekul a Z:lllllll!
<br /> 20 Civic Center Plaza, M-43 •-�::
<br /> Santa Ana CA 92702 USA
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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