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�a CERTIFICATE OF LIABILITY INSURANCE 75/2/2025 <br /> ) <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 CONTACT <br /> NAME: Gre lin COI Specialist <br /> Edgewood Partners Insurance Agency PHONE FAX <br /> 3780 Mansell Rd. Suite 370 AIc No EXt: 770.756.6599 (,VC,No):770.756.6599 <br /> Alpharetta GA 30022 ADURess: greylingcerts@greyling.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: National Union Fire Ins Co of Pittsburg 19445 <br /> INSURED <br /> INSURER B <br /> Psomas <br /> 865 South Figueroa Street INSURERC: <br /> Suite 3200 INSURER D: <br /> Los Angeles CA 90017 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:180114636 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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER <br /> POLICY EFF POLICY EXP <br /> LTR MM DD YYYY MM DD YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2025 4/1/2026 EACH OCCURRENCE $2,000,000 <br /> F�_] DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES <br /> Ea c.."ence $500,000 <br /> MED EXP(Any one person) $25,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> PRO- <br /> POLICY� ECT1:1 LOC PRODUCTS-COMP/OP AGG $4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY CA4489706 4/1/2025 4/1/2026 COMBINED SINGLE LIMIT $2 000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION WC72113158 AOS 4/1/2025 4/1/2026 XER OTH- <br /> A AND EMPLOYERS'LIABILITY ( STATUTE ER <br /> YIN WC72113159(CA) 4/1/2025 4/1/2026 <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000 <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> 2SAN051701; Santa Ana Agreement for RFP A-2023-075-07 On-call Engineering Services. <br /> City of Santa Ana its officers,officials,employees,and volunteers are named as Additional Insureds with respects to General&Automobile Liability where <br /> required by written contract.The above referenced liability policies are primary&non-contributory where required by written contract.Waiver of Subrogation in <br /> favor of Additional Insured(s)where required by written contract&allowed by law.Should any of the above described policies be cancelled by the issuing <br /> insurer before the expiration date thereof,we will endeavor to provide 30 days'written notice(except 10 days for nonpayment of premium)to the Certificate <br /> Holder. <br /> Digitally signed by <br /> Tu Tran <br /> Tu Tran Nguyen q PPROVED <br /> Nguyen oate:�oz5.o5.o8 <br /> 14:43s7-07'00' By Tu Tran Nguyen at 2:42 pm,May 08, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <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 /> City of Santa Ana <br /> Public Works Agency AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92702-1988 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />