Laserfiche WebLink
ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />7/31/2025 <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 <br />Edgewood Partners Insurance Center <br />3780 Mansell Rd. Suite 370 <br />GA 30022 <br />CONTACT <br />NAME: Jerry Noyola <br />PHONE FAX <br />vC No EXt: 770.220.7699 (A/C, No): <br />E-MAlpharette <br />ADDRESS: greylingcerts@greyling.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: National Union Fire Ins Co of Pittsburg <br />19445 <br />INSURED KPFFINC <br />KPFF, Inc. <br />1601 5th Ave <br />INSURERB: The Travelers Indemnity Company <br />25658 <br />INsuRERc: New Hampshire Insurance Company <br />23841 <br />INSURERD: Allied World Surplus Lines Insurance Co <br />24319 <br />Suite 1600 <br />Seattle WA 98101 <br />INSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 187377434 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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GL5268336 <br />4/1/2025 <br />4/1/2026 <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE OCCUR <br />PREMISES DAMAGE TO <br />PREMISES Ea occurrence) <br />ccurrence <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY PECOT- � LOC <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />CA9775930 <br />4/1/2025 <br />4/1/2026 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />FIR ERTYDAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />CUP7X94996725NF <br />4/1/2025 <br />4/1/2026 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />EXCESS LAB <br />CLAIMS -MADE <br />DED X RETENTION $ 1 n nnn <br />$ <br />C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />WC072113239 (AOS) <br />WC072113237(CA) <br />4/1/2025 <br />4/1/2025 <br />4/1/2026 <br />4/1/2026 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 2,000,000 <br />OFFICE R/MEMBER EXCLUDED? � <br />N /A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 2,000,000 <br />D <br />Professional/Pollution Liability <br />03120067 <br />4/1/2025 <br />4/1/2026 <br />Per Claim <br />10,000,000 <br />Aggregate <br />10,000,000 <br />SIR: <br />250,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />'Continuation of the Named Insured: KPFF Consulting Engineers. <br />Re: KPFF Project #10192300024 - City of Santa Ana's: On -Call Services; Agreement #A-2023-088-15. The City of Santa Ana, its City Council, officers, <br />officials, employees, agents and volunteers are named as Additional Insureds with respects to General Liability where required by written contract. The above <br />referenced liability policies with the exception of workers compensation & professional liability are primary & non-contributory where required by written contract. <br />Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. Should any of the above described policies be <br />cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the <br />Certificate Holder. <br />APPROVED <br />CERTIFICATE HOLDER By Tu Tran Nguyen at 10:31 am, Aug 04, 2025 CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />DigitTHE <br />Cityof Santa Ana Tu Tran TuTrall Ngu signed by ACCORDANCE WITH THE POLICY PROVISIONS. <br />Tu Tran Nguyen <br />Attn: Public Works Agency Date:2025.08.04 <br />CIP/Design Engineering Nguyen 10:32:16-07'00' AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, M-36 <br />Santa Ana CA 92702 +i <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE <br />