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/-"I ® DATE(MM/DD/YYYY)
<br /> �`� CERTIFICATE OF LIABILITY INSURANCE 09/29/2025 U)
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS O
<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. C0
<br /> a
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105
<br /> Los Angeles CA Office (A/C.No.Ext): A/C.No.: -a
<br /> 707 Wilshire Boulevard E-MAIL p
<br /> suite 2600 ADDRESS: _
<br /> Los Angeles CA 90017-0460 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Ironshore specialty Insurance Company 25445
<br /> ACCO Engineered systems, Inc. INSURERB: American Fire & Casualty Co 24066
<br /> 888 E Walnut Street
<br /> Pasadena CA 91101 USA INSURERC: Berkley Assurance Company 39462
<br /> INSURERD: LM Insurance Corporation 33600
<br /> INSURER E: Liberty Mutual Fire Ins Co 23035
<br /> INSURER F.
<br /> COVERAGES CERTIFICATE NUMBER: 570115801365 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. Limits shown are as requested
<br /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> E X COMMERCIAL GENERAL LIABILITY Y Y TB EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE x1OCCUR PREMISES Ea occurrence) $1,000,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 M
<br /> 0
<br /> POLICY X❑JE� ❑X LOC PRODUCTS-COMP/OP AGG $4,000,000 rU2
<br /> OTHER: ^o
<br /> E Y Y AS2661067353025 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY - - - $5,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) 0
<br /> Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) 0
<br /> AUTOS ONLY AUTOS R
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE V
<br /> ONLY AUTOS ONLY Per accident
<br /> B UMBRELLALIAB X OCCUR Y Y EUA2663708502 10/01/2025 10/01/2026 EACH OCCURRENCE $5,000,000 V
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED RETENTION
<br /> D WORKERS COMPENSATION AND Y WA566DO67353015 10/01/2025 10/01/2026 X PER STATUTE OTH-
<br /> EMPLOYERS'LIABILITY Y/N ER
<br /> ANY PROPRIETOR/PARTNER,EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000
<br /> N/A
<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 /> C Environmental Contractors and Y �PCAD!350292751025 10/01/2025 10/01/2026 Aggregate/Each Loss $2,000,000—
<br /> Prof Prof Liab-Claims Made Prof Agg SIR $600,000
<br /> SIR applies per policy terms & condi ions Prof Each Claim SIR $200,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> [RE: Construction, Acco BU No. 7071, All Operations.]
<br /> [AI: City of Santa Ana, its officers, employees, agents and representatives] are included as Additional Insured with respect
<br /> to the General Liability and Automobile Liability Policies; granted a Waiver of Subrogation for the General Liability,
<br /> Automobile Liability, Professional Liability and Workers' Compensation Policies; and General Liability Policy evidenced herein
<br /> is Primary and Non-Contributory to other insurance available as required by written contract but limited to the operations of
<br /> the insured under the said contract. Excess Liability is Follow Form.
<br /> CERTIFICATE HOLDER APPROVED NCELLATION
<br /> By Tu Tran Nguyen at 4:12 pm,Sep 29,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> Digitallysigned POLICY PROVISIONS.
<br /> Tu Tran by Tu Tran _
<br /> City of Santa Ana Nguyen AUTHORIZED REPRESENTATIVE
<br /> Attn: Heidi Chou Nguyen Date:2025.09.29
<br /> San South Center Street, M-85 J 7 easaa-moo �n
<br /> Santa Ana CA 92701 USA `�76J/ e/C!
<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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