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DATE(MM/DD/YYW)
<br /> ACORO° CERTIFICATE OF LIABILITY INSURANCE
<br /> 11/26/2025
<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 CONTACT
<br /> NAME: Certificate Department
<br /> Cavignac PHONE FAX
<br /> 451 A Street, Suite 1800 A/C No Ext: 619-234-6848 A/C,No:619-234-8601
<br /> San Diego CA 92101 ADDE-MRESS: certificates@cavignac.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Travelers Property Casualty Company of America 25674
<br /> INSURED NINY&MO-01 INSURER B: Pacific Insurance Company, Ltd 10046
<br /> Ninyo& Moore Geotechnical &Environmental Sciences Consultants INSURERC: QBE Specialty Ins.Co. 11515
<br /> 475 Goddard Suite 200
<br /> Irvine, CA 92618 INSURERD:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:571383448 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 EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 6309X536394 10/3/2025 10/3/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> X Separation of in PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: Abuse&Molestation $1,000,000
<br /> A AUTOMOBILE LIABILITY Y Y 81OB6745036 10/3/2025 10/3/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED FIR ER DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> A X UMBRELLA LIAB X OCCUR CUPB6806532 10/3/2025 10/3/2026 EACH OCCURRENCE $10,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$n $
<br /> A WORKERS COMPENSATION Y UBB2375005 5/1/2025 5/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE FN] N/A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Professional/Pollution Liability Y 720HO68190525 10/3/2025 10/3/2026 Each Claim/Aggregate $5,000,000
<br /> C Cyber Liability CELP001513902681701 10/3/2025 10/3/2026 Limit $5,000,000
<br /> B Network Security and Privacy Liab 720HO68190525 10/3/2025 10/3/2026 Limit $5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> RE: All Operations of the Named Insured. City of Santa Ana, its officers,employees,agents and representatives are named as additional insureds as respects
<br /> to General Liability and Automobile Liability per policy form. Primary and Non-Contributory coverage applies to General Liability and Automobile Liability per
<br /> policy form.Waiver of subrogation applies to General Liability,Automobile Liability, Professional Liability and Workers Compensation per policy form.
<br /> Excess/Umbrella policy follows form over underlying policies: General Liability,Auto Liability& Employers Liability(additional insured and waiver of subrogation
<br /> apply when afforded on underlying policies). Professional Liability-Claims made form,defense costs included within limit. If the insurance company elects to
<br /> cancel or non-renew coverage for any reason other than nonpayment of premium they will provide 30 days notice of such cancellation or nonrenewal.
<br /> Digitally signed
<br /> TU Trdn by uy Nguyen
<br /> APPROVED
<br /> _N en
<br /> CERTIFICATE HOLDER Nguyen Date:2025,12.03 CANCELLATION By Tu Tran Nguyen at7:50 am,Dec 03,2025
<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 /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92702
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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