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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDNM) <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 golicy(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 Lockton Insurance Brokers, LLC <br />777 S. Figueroa Street, 52nd Fl. <br />CA License #01715767 <br />Los Angeles CA 90017 <br />(213) 689-0065 <br />INSURED Rincon Consultants,) n g I e <br />1462718 180 N Ashwood Ave lam,' <br />Ventura CA 93003 <br />[.f ir4anler�u0111 A Rd I I <br />16754 <br />25496 <br />� AREAVONAIUMBER: XXXXXXX <br />THIS IS TO CERTIFY THAT TH I S O BE JE NF1 1, R E O FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTAN G A I�'1E T Itlyp 1 O O T ACT UR T ER C M Nf I RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANC. AFFORDED BY THE POLICIES DE CRIB HE I �UBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SF'JW'. MAY HAVE BE C `f LAI <br />INSR <br />LTR <br />rypE OF INSURANCE <br />ADDLSUBR <br />INSD <br />VD <br />�LICY NUMBER <br />p <br />MMIDD a <br />2/1/2023 <br />YE% <br />MMIDD/YYYY <br />2/1/2025 <br />LIMITS <br />EACH OCCURRENCE <br />$3000000 <br />A <br />X <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />y <br />Y <br />_ <br />EPK-142597 <br />PREMISES (Ea occurrence) <br />$ I00000 <br />X <br />MED EXP(Any one person) <br />s 10000 <br />SIR:$50,000 <br />X <br />I P&I <br />PERSONAL & ADV INJURY <br />$ 3,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY JEST 11 LOC <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OP AGO <br />$ 4000000 <br />$ <br />OTHER: <br />D <br />AUTOMOBILE <br />LIABILITY <br />y <br />y <br />72UENOL5481 <br />2/1/2024 <br />2/1/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Par percent <br />$ XXXXXXX <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLYHAUTOS <br />BODILY INJURY (Per accident ) <br />$ XXXXXXX <br />X <br />AUTOS ONLY HIRED AMOS ONLY NED <br />PROPERTY <br />accident)DAMAGE <br />$ XXXXXXX <br />Cora ./Coll. Ded <br />$ 1,000 <br />C <br />UMBRELLA LIAR <br />X <br />OCCUR <br />N <br />N <br />EFX-119720 <br />2/l/2024 <br />2/1/2025 <br />EACH OCCURRENCE <br />$ 10000000 <br />D <br />EXCESS UAB <br />CLAIMS -MADE <br />EVEQ-0000005 <br />2/l/2024 <br />2/1/2025 <br />X <br />AGGREGATE <br />$ lQ QQQ QQQ <br />DED X RETENTIONS 10,000 <br />$ XXXXXXX <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNER'EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? F <br />NIA <br />y <br />T10220329 <br />2/1/2024 <br />2/1/2025 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ )QQQ QQQ <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />(Min NH) <br />yandate, <br />UDESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1 00Q 000 <br />A <br />Contractors Pollution Liab <br />N <br />N <br />EPK-112111 <br />2I2023 <br />2/1/2025 <br />Limit:$3,000,000/$4,000,000 <br />E&O Liab. <br />Limit: $3,000,000/$4,000,000 <br />Retre Date: 12/9/1994 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Effective 2112024-8/12025, Cyber Liability $5M Limit, $25k Retention, Carrier: HCC; Policy #H24NGP224923-01, $5M x $5M Limit, Carver. Corvus, Policy #CXS-107946155-00. The City of <br />Santa Ana and Community Development Agency and their officers, employees, agcnbs and vohmteers are an Additional Insured to the extent provided by die policy him cage or endorsement issued or <br />approved by the insurance carrier. Waiver of Subrogation applies per attached endorsements) or policy language. Insurance provided to Additional Insured(s) is primary and non-cormilrowy as per the <br />attached endorsement or policy language. Excess policy follows General Liability, Auto Liability and Employers Liability form. Notice of Cancellation applies per the applicable policy language or <br />endorsements. <br />16059509 <br />City of Santa Ana <br />Risk Management Divison <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 <br />ACORD 25 (2016/03) <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 PR( <br />©1988-2014'AC <br />The ACORD name and logo are registered marks of ACORD <br />warvemFgemn¢rnxNon <br />�*%' ➢. W� (iENEWED&APPRa=r.. <br />®'• <br />Risk Management Spedalist <br />