Docusign Envelope ID: 8FD963A5-AOBA-4092-9D63-D9OC2626FD18
<br />HUNTCON-11
<br />ADAVIS2
<br />,acofro„ CERTIFICATE OF LIABILITY INSURANCE
<br />�--- ''
<br />DATE(MM/DD/YYYY)
<br />4/2/2025
<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.
<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 License # 0757776
<br />HUB International Insurance Services Inc.
<br />9855 Scranton Road
<br />Suite 100
<br />CONTACT Alisha Davis
<br />NAME:
<br />PHONE ) FAX No):(951) 231-2572
<br />(A/C, No, Ext): (877 825-2681
<br />E-MAIL alisha.davis@hubinternational.com
<br />San Diego, CA 92121
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Westchester Surplus Lines Insurance Co.
<br />10172
<br />INSURED
<br />INSURER B:ACE Property & Casualty Insurance Company
<br />20699
<br />Hunter Consulting, Inc.
<br />DBA HCI Environmental & Engineering Services, Inc.
<br />INSURER C: Praetorian Insurance Company
<br />37257
<br />PO Box 2745
<br />INSURER D :
<br />INSURER E:
<br />Corona, CA 92878
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: REVISION 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 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 />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />G47375320 003
<br />1113012024
<br />1113012025
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />300 000
<br />$
<br />MED EXP (Any oneperson)
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X POLICY JJECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />$
<br />X
<br />BODILY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />X
<br />H08883397 003
<br />1113012024
<br />1113012025
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<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 />CLAIMS -MADE
<br />G47375332 003
<br />1113012024
<br />1113012025
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N /A
<br />X
<br />202001426
<br />1113012024
<br />1113012025
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />A
<br />Professional Liab
<br />G47375320 003
<br />1113012024
<br />1113012025
<br />Claims Made/Each Occ
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Revised 4/2/2025 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, Volunteers and Representatives are Additional Insureds with regards to the General Liability policy when
<br />required by a written contract, per the attached endorsement forms CG2010 04/13 and CG2037 04/13. Primary & Non -Contributory wording applies with
<br />regards to the General Liability policy when required by a written contract, per the attached endorsement form ENV3252 12/18. Waiver of Subrogation applies
<br />with regards to the General Liability policy when required by a written contract, per the attached endorsement form ENV3143 03/05. Waiver of Subrogation
<br />applies with regards to the Auto Liability policy when required by a written contract, per the attached endorsement form DA13115A 06/14. Waiver of
<br />Subrogation applies with regards to the Workers Compensation policy when required by a written contract, per the attached endorsement form 10217 04/18.
<br />.. ......... ........ ........ 1
<br />AFFKUVCU
<br />By Tu 7ran Nguyen at 5.49 ain, Afar 03, 202
<br />City of Santa Ana Digitally signed
<br />20 Civic Center Plaza Tu Tran by Tu Tr
<br />Santa Ana, CA 92701 Ng,y n
<br />Nguyen 084948 -07003
<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 PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />/ , .1...........
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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