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ARD U RRA-01 KS UTTO N
<br /> ,4coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 12/30/2024
<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 CONTACT
<br /> NAME:
<br /> Ames&Gough PHONE 703 827-2277 FAX 703 827-2279
<br /> 8300 Greensboro Drive (A/C,No,Ext):( ) (A/C,No):( )
<br /> Suite 980 ADDRESS:admin@amesgough.com
<br /> McLean,VA 22102
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Charter Oak Fire Insurance Company A++ XV 25615
<br /> INSURED INSURER B:Phoenix Insurance Company A++ XV 25623
<br /> Ardurra Group,Inc. INSURER C:Travelers Property Casualty Company of America,A++,XV 25674
<br /> 1000 N.W.57th Court,Suite 800 INSURER D:National Fire&Marine Insurance Company A++X 20079
<br /> Miami,FL 33126
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE � OCCUR 630-5X487435 1/1/2025 1/1/2026 DAMAGETORENTED 1 000 00�
<br /> PREMISES Ea occurrence $
<br /> X Contractual Liab. MED EXP(Any oneperson) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY ] JECT1:1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO 810-5X558309 1/1/2025 1/1/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 15,000,000
<br /> EXCESS LIAB CLAIMS-MADE CUP-5X642114 1/1/2025 1/1/2026 AGGREGATE $ 15,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN U B-5X489557 1/1/2025 1/1/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Professional Liab. 42-EPP-306878-07 1/1/2025 1/1/2026 Per Claim/Aggregate 10,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: RFP#23-122,On-Call Environmental Planning Services(CALIFORNIA)
<br /> Umbrella Liability coverage sits excess over General Liability,Automobile Liability and Employers'Liability coverage.
<br /> The City of Santa Ana,CA,Its Officers,Employees,Agents,and Representatives are included as additional insured with respect to General Liability,
<br /> Automobile Liability,and Umbrella Liability when required by written contract.General Liability includes Additional Insured coverage for Completed
<br /> Operations as required by written contract.General Liability,Automobile Liability,and Umbrella Liability are primary and non-contributory over any existing
<br /> insurance and limited to liability arising out of the operations of the named insured and when required by written contract.General Liability,Automobile
<br /> SEE ATTACHED ACORD 101
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Cynthia Mora at 3:42 pm,Jan 13,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana,CA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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