WEST COAST CODE CONSULTANTS, INC.

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Digitally signed ACORO CERTIFICATE OF LIABILITY INSLft$ LE Acevedo ngie DATE(MM/DDNYYY) 7/29/2022 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Na8kMqW e AOFE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGL�_'Afil 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 endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 - CO NAME ACT .lennlferAguirre PHONE 510 465-3090 FAX AIc Na: MD AL Desi nProCerts AssuredPartners.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: XLSpecialty Insurance Company 37885 License#: 6003745 INSURED WESTCOAST5 West Coast Code Consultants, Inc. 5000 Executive Parkway, Suite 510 INSURERS: Sentinel Insurance Company 11000 INSURER C: Trumbull Insurance Company 27120 INsuRER O: HARTFORD INSURANCE COMPANY 38288 (San Ramon, CA 94583 `925)275-1700 INsuRERE: INSURER F: COVERAGES CERTIFICATE NUMBER' 7RRR2R73R MF1ncInrU An ucco. 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. INSR LTR. TYPE OF INSURANCE ADDL SUBR POLICYNUMBER - POLICYEFF MM/DDrV`yYY1 POLICY UP (MM/DDIYYYY1 LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y Y 57SBWBO3190 - 4/28/2022 4/28/2023 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occunence $1.000,000 X MED UP (Any aria person) $10,000 Contractual Jab PERSONAL &ADV INJURY $2,000,U00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY T JEST 7 LOC GENERALAGGREGATE $4.000,000 - - TS-COMP/OP AGG $4.000,000 $ OTHER: C AUTOMOBILE LIABILITY - Y Y 57UEGBC6531' 4/28/2022 4/28/2023 D SINGLE LIMIT ent $1,000,000 X INJURY person) $ ANVAWO - - OWNED SCHEDULED AUTOS ONLYNAUTOS NJURY (Per auident) MOCCURRENCE$ $ HIRED NON -OWNED ONLYAUTOS ONLY X TY DAMAGEAUTOS ent $ B X UMSRELLAUAB 'X OCCUR Y' Y 57SBWBO1190 4/28/2022 4/28/2023 CURRENCE $4.000,000EXCESS $4, 000,000 LIAB CLAIMS-MADEATE DED I X I RETENTION$ in i4nn Is D WORKERS COMPENSATION - AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEWEXECUTIVE Y OFFICER/MEMBEREXCLUDED? NIA V - 57WEGAR9X7K 4/28/2022 4/28/2023 X I PER OTH- STATIfI'E ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYE $1,000,000 (Mandatory In NH) If yes.describe H) - E.L. DISEASE - POLICY LIMIT $1,000,000 D ESCRI PTION OF OPERATIONS below A Professional Liability Claims Made Y OPR9992374 412M022 4/28/2023 $2,000.000 $4,000,000 per Claim Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Name: On -Call Building Safety Consultant Services — City of Santa Ana, its officers, officials, employees, and volunteers are named as Additional Insured on General Liability and Auto Liability, per policy forms, with respect to the operations of the Named Insured as required by written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per attached. Professional Liability Retroactive Date: 4/28/2006 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD tsy RiskM°na6oaod Division REVIEWED 6 APPROVED BY: ' A+gr Aea44 Risk Managementspecikist