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Tori PiersonDeb, 202zne29ozaa:PReoroo' <br />�1 HUNTGON-11 <br />DAVISg <br />OATO <br />51271227/2022 <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 endorsements . <br />PRODUCER License # 0757776 <br />GOATACT plisha Davis <br />HUB IfiterScranton <br />Ro Insurance Services Inc. - <br />Suit Scranton Road <br />Suite 100 <br />q/CNNoI Ext): (877) 825-2681 A C, No :(951) 231-2572 <br />E-MAIL <br />Ess. alisha.davis@hubinternational.com <br />San Diego, CA 92121 <br />- <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Allied World National Assurance Company <br />10690 <br />' <br />INSURED <br />INSURERB:AIIIed World Assurance Co Inc <br />19489 <br />Hunter Consulting, Inc. <br />DBA HCI Environmental & Engineering Services, Inc. <br />INSURER C: State Compensation Insurance Fund of California <br />35076 <br />PO BOX 2745 <br />INSURER D: <br />INSURER E: <br />Corona, CA 92878 <br />INSURER F <br />COVERAGES CFRTIFICATF NIIMRFR- RFVtCION NUMBER: 001 <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 DOCUMENTWITH RESPECTTOWHICH 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 />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X <br />CONIMERCIALGENERAL LIABILITY <br />CLAIMS -MADE .00CUR <br />X <br />X <br />- <br />03121351 <br />11/30/2021 <br />1113012022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES RMAGET(E.o.Dnence <br />300,000 <br />MED EXP (Any one arson <br />5,000 <br />- <br />PERSONAL&ADV INJURY <br />1,000,000 <br />AGGREGATE LIMIT- APPLIES PER <br />POLICY �JEC'T LOG <br />GENERAL AGGREGATE <br />2, 000,000 <br />GENL <br />X <br />PRODUCTS - COMP/OP AGG <br />210001000 <br />Pollution Liab <br />1,000,000 <br />OTHER: <br />• ' <br />B <br />AUTOMOBILELIABILITY <br />O(Ea MINED SINGLE LIMIT <br />$ 1�000�000 <br />X <br />BODILY INJURY Per person)$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY A�UTgOpS : <br />C60090758000-0 <br />1113012021 <br />1113012022 <br />BODILY INJURY Per accident <br />$ <br />PeOF.ERtlenDAMAGE <br />$ <br />AUTOS ONLY AUTOSra <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 4,000,000 <br />X <br />AGGREGATE <br />$ 4,000,000 <br />EXCESS LIAB <br />'CLAIM&MADE <br />03121352 <br />1113012021 <br />1113012022 <br />DED X RETENTION$ 10,000 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIEfORIPARTNERIEXECUTIVE <br />OFFICERVEMBE�� EXCLUDED? �Y <br />(Mandatory in NH) <br />If DESCRIPTION describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />9244626 <br />1113012021 <br />1113012022 <br />X PER OTH- <br />ER <br />E.L. EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />1,000,000 <br />E.L. DISEASE -POLICY OMIT <br />1,000,000 <br />A <br />Professional Liabili <br />03121351 <br />1113012021 <br />11130/2022 <br />Claims Made Each Occ <br />1,000,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Revised 05-27-2022 This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured. <br />City of Santa Ana, It's Officers, Employees, Agents, Voluteers and Representatives are Additional Insured's with regards to the General Liability policy when <br />required by a written contract, per the attached endorsement forms ENVCAS0000600 08/10 and HCManuB. Primary & Non -Contributory wording applies with <br />regards to the General Liability policy when required by a written contract, per the attached endorsement form ENVPEP0000600 03/12. Waiver of Subrogation <br />applies with regards to the General Liability policy when required by a written contract, per the attached endorsement form ENVPEP0001000 04110. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY <br />b, RbkMmgenal Olvlalan <br />AUTHORIZED <br />�REPRESENTATIVE �.`�• RENER•®6�APPNT,®6Y ;, <br />RiskMana9erre,r ClaiolNde IN <br />ACORD 25 (2016103) ©1988-2015 ACDRD CC'/ <br />The ACORD name and logo are registered marks of ACORD <br />