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75/2/2025
<br /> E(MMIDDIYYYY)
<br /> �® CERTIFICATE OF LIABILITY INSURANCE
<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: Michelle Dickason
<br /> Lovitt&Touche A Marsh and McLennan Agency, LLC PHONE FAX
<br /> 8605 E. Raintree Drive, Suite 200 HONE
<br /> No Ext: 602-956-2250 A/C No:
<br /> Scottsdale AZ 85260 ADODRESS: Michelle.Dickason@MarshMMA.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Berkley Assurance Company 39462
<br /> INSURED WEBER-7 INSURERB: Navigators Specialty Insurance Company 36056
<br /> Weber Water Resources CA, LLC
<br /> 1785 Container Circle INSURER C:Arch Insurance Company 11150
<br /> Jurupa Valley CA 92509 INSURERD: SiriusPoint Specialty Insurance Corp. 16820
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:256485735 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 MMIDD/YYYY MMIDD/YYYY
<br /> C X COMMERCIAL GENERAL LIABILITY Y Y ZAGLB1058000 5/1/2025 5/1/2026 EACH OCCURRENCE $2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,000,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY jECT RO-
<br /> LOC PRODUCTS-COMP/OP AGG $4,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y ZACAT9342500 5/1/2025 5/1/2026 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 PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> D UMBRELLA LAB X OCCUR Y Y IPSEX00000014 5/1/2025 5/1/2026 EACH OCCURRENCE $5,000,000
<br /> B LA25EXCZOGVJGIC 5/1/2025 5/1/2026
<br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED RETENTION$ $
<br /> C WORKERS COMPENSATION Y ZAWCI1078000 5/1/2025 5/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER 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 /> A Pollution Liability-Occurrence Y Y PCADB50277730525 5/1/2025 5/1/2026 Poll Each/Agg $2,000,000
<br /> Professional-Claims Made Prof Each/Agg $2,000,000
<br /> Deductible $25,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Certificate Holder and owner(if applicable)are additional insureds as respects general liability,automobile liability and excess liability if required in a written
<br /> contract.Waiver of Subrogation applies to the general liability,auto liability,excess liability and workers compensation if required in a written contract.The
<br /> general liability,automobile and umbrella is primary and certificate holder's insurance is non-contributory if required by written contract.
<br /> Pollution Occurrence form
<br /> Professional Liability Claims Made form; Retro Date 10/27/20
<br /> City of Santa Ana, its officers,employees,agents and representatives are additional insureds if agreed to in a written contract or permit as respects any and all
<br /> projects. Includes 30 notice of cancellation to certificate holder,with an exception for 10 days non payment of premium. Umbrella/Excess policy follows form to
<br /> the GL policy which is listed as an Underlying policy to the Umbrella/Excess
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> APPROVED
<br /> By Tu Tran Nguyen at 8:01 am,May 05,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Heidi Chou (M-85) TU Tran D7g1a1ysignedby
<br /> 215 S. Center St. Tu Tran
<br /> Nguyen AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92703 Nguyen 8o;4zo OQ'
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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