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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />n„a. ,n" <br />A� O® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />B/30202/yiyYl <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 IOA Insurance Services <br />NAME, (AVC) Donna ES ulvel <br />130 Vantis, Suite 250 <br />Aliso Viejo, CA 92656 <br />PHONE Exit 949 297-5962 1aC No: <br />E-MAIL <br />ADDRESS: donna.es uivel ioausa.com <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />INSURER A: RLI Insurance Company <br />13056 <br />www.ioausa.com CA License#OE67768 <br />INSURED <br />AGA Engineers, Inc. <br />211 E. Imperial Hwy., Suite 208 <br />Fullerton CA 92835 <br />INSURER B: RSUI Indemnity Company <br />22314 <br />INSURER C: Continental Casualty Company <br />20443 <br />INSURER D: <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: A3HHdA1A 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 <br />TR <br />OF INSURANCE <br />ADOLTYPE <br />J= <br />wvD BR <br />POLICY NUMBER <br />MMIODNYY <br />MMIDDPrYYYY <br />LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />r/ <br />r/ <br />PSB0008919 <br />7/1/2021 <br />7/1/2022 <br />EACH OCCURRENCE <br />$1 000000 <br />CLAIMS -MADE © OCCUR <br />Primary/Non-Contributory <br />Blanket Al and <br />Prim/NonCon Endt <br />#PPB3040212; Blanket Wvr <br />PREMISES Ea ..."1 <br />$1 000 000 <br />MED EXP (Any oneperson) <br />$10 000 <br />Waiver of Subrogation <br />PERSONAL & ADV INJURY <br />$1 000 000 <br />of Subr Endt #BP04970106 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$2,000,000 <br />Professional Services <br />POLICY ✓❑ ECT ❑✓ LOC <br />OTHER: <br />performed by the Insured <br />are Excluded <br />PRODUCTS - COMPIOP AGO <br />$2 000 000 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />✓ <br />✓ <br />PSA0002928 <br />7/1/2021 <br />7/1/2022 <br />Ee aBc dentSINGLE LIMIT <br />$1000000 <br />ANY AUTO <br />Blanket Al, Prim/NonCon <br />BODILY INJURY (Par parma) <br />$ <br />✓ <br />OWNED SCHEDULED <br />AUTOS ONLv AUTOSHIRED <br />AUTOS ONLY ✓ AUTOS ONLY <br />and Blanket Wvr of Subr <br />included on pg 2 of Form <br />#PPA3000313 <br />BODILY INJURY (Par accident) <br />$ <br />Para den) GE <br />$ <br />$ <br />Prim/NonCon ✓ Wvr of Subr <br />B <br />UMBRELLA LIAR <br />OCCUR <br />NHA252033 <br />7/1/2021 <br />7/1/2022 <br />EACH OCCURRENCE <br />$2000000 <br />✓ <br />EXCESS LIAR <br />H CLAIMS -MADE <br />Excludes Professional <br />Liability; Follow Form <br />AGGREGATE <br />$2 00O 000 <br />DIED RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNEWEXECUTIVE <br />OFFICEWMEMBEREXCWOEOi Y <br />(Mandatory in NH) <br />If yea, deecdbe under der <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />✓ <br />PSW0004954 <br />Blanket Waiver of <br />Subrogation Endt <br />7/1/2021 <br />7/1/2022 <br />✓ 3TATTE ERH <br />E.L. EACH ACCIDENT <br />$1000000 <br />E.L. DISEASE -EA EMPLOYE <br />$1,000000 <br />E.L. DISEASE- POLICY LIMIT <br />$1 000 000 <br />C <br />Professional Liability <br />MCH591940711 <br />7/1/2021 <br />7/1/2022 <br />$5,000,000 Each Claim <br />Claims -Made <br />$5,000,000 Annual Aggregate <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Any person or organization that Insured agrees in a contractor agreement requiring insurance to include, is an Additional Insured with respect to <br />General Liability (GL) and Automobile Liability, but only to the extent provided within the Endorsements noted above and attached. GL includes <br />Separation of Insureds and Contractual Liability per limitations in the BusinessOwners' Coverage form. A Workers' Compensation Waiver is included for <br />any person or organization that Insured is required to waive rights of recovery against in a written contract or agreement, but only to the extent <br />provided within the Endorsement noted above and attached. Coverage is subject to all policy terms, conditions, limitations and exclusions. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza, M-43 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZEDREPRESENTATNE <br />(AVC)Alicia K. Igram �" „ % NENEv/En nAPPRovED BY: <br />©1988.2015 ACORD C SIh - s 1`4m ,4 Z MN+&d <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management analyst <br />63664414 1 7/21-22 GL/AOTO/EXCESS/WC/PL B1aNcet BndtS I (AVC) Ooxme Esquiv1 1 8/30/2021 3:43:33 PM (PDT) I Page 1 of 6 <br />