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CERTIFICATE OF LIABILITY INSURANCE
<br />1101202112DDAEIMYY
<br />24
<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 endursement(s).
<br />PRODUCER
<br />AOD RlSk Services Central, Inc.
<br />Pittsburgh PA Office
<br />CONTACT
<br />NAME.
<br />Pbc°.Ii+o. Eaw: (Bfifi) 283J122 jac. wn.l: (800) 363-0105
<br />EQT Plaza - Suite 2700
<br />625 Liberty Avenue
<br />Pittsburgh PA 15222-3110 USA
<br />%AIL
<br />`nb RAIL
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC4
<br />INSURED
<br />INSURERA: Allied world Surplus Lines Insurance Co
<br />24319
<br />Michael Baker International, Inc
<br />5 Hutton Centre Drive
<br />INSURER B: Zurich American ins Co
<br />16535
<br />INSURERC:
<br />Suite 500
<br />Santa Ana CA 92707 USA
<br />INSURER O:
<br />INSURERS
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570109514789 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS,
<br />Limits shown are as requested
<br />q
<br />ILTq
<br />TYPE OF INSURANCE
<br />AINSD
<br />Me
<br />POLICY NUMBER
<br />(POLICY EFF)
<br />MMNDIYYYY
<br />Eyp
<br />(MMIDOA'YYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLo419728103
<br />08 30 2024
<br />08/30/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMSMA°E OCCUR
<br />PREMISESIEam—rennel
<br />$1,000,000
<br />MED EXP(Any One person)
<br />$10,00
<br />PERSONAL B ALI INJURY
<br />$2,000,006
<br />m
<br />GEN'LAGGREGLATE�LIMY APPLIES PER
<br />GENERALAGGREGATE
<br />$2,000,000
<br />I IX PRO- ❑
<br />On
<br />PRODUCTS-COMP/OPAGG
<br />$4,000,000
<br />POLICY
<br />I---J JECT X LOC
<br />In
<br />OTHER.
<br />O
<br />B
<br />BAP 4197284 03
<br />08/30/2024
<br />08/30/2025
<br />COMBINEDSINGIELIMIT(Ea
<br />$1,000,000
<br />amaen0
<br />INJURY(Per MOSS)
<br />NYAUTOBODILY
<br />4MNOBILELNBILITY
<br />SLHEDULEO WNS°BODILYINJURY(Per
<br />2
<br />a¢iEenn
<br />UTOS ONLVAUTOS REDAUTORX NON-0WNE°
<br />jnLY
<br />PROPERTY DAMAGE
<br />AUTOSONLV
<br />(Pre—khell
<br />C AnUMSRELLALIAB
<br />OCCUR
<br />EACHOCLURRENCE
<br />V
<br />EXCESS LDIB
<br />CLAIM&MADE
<br />AGGREGATE
<br />DED RETEMION
<br />B
<br />WORKERS COMPENSATION AND
<br />WC419728203
<br />08/30/2024
<br />08/30/2025
<br />X
<br />PERSTATUTE
<br />OTH-
<br />EMPLOYERS' LIABILITY YIN
<br />ADS
<br />ER
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />B
<br />ANY PROPRIETOR I PARTNER I
<br />E%EC TVE OFFICEWM MBER N
<br />NIA
<br />WC419728503
<br />08/30/2024
<br />08/30/2025
<br />E.L DISEASE£A EMPLOYEE
<br />$1,000,00
<br />(Mandatory In NHl
<br />wi
<br />a as deacdbe er
<br />E.L. DIBLIMIT
<br />$1,000,000
<br />SCRIPTION OF
<br />OFF
<br />DEPEFATIONB Maine,EASEFOLICY
<br />A E&O - Professional Liability 03124806 08/30/2024 08/30/2025 Per Claim $5,000,000
<br />Primary claims Made Aggregate $5,000,000
<br />SIR applies per policy terns & condi ions
<br />DESCRIPTION OF GPERATWNS I LOCATIONS I VEHICLES (ACORD 101, Add'Nonal Remarks Schedule, may be ahacbed 11 MOM ¢pace Is Vauban)
<br />RE: MB Project Name: Environmental and Planning services On -Call, Project #Teo. The City of Santa Ana, its officers, officials,
<br />included in Ei
<br />employees and volunteers are as Additional Insured accordance with the policy provisions of the General Liability
<br />and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and
<br />Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy provisions.
<br />should General Liability, Automobile Liability and workers' Compensation policies be cancelled before the nXnirati Dn date
<br />thereof, the policy provisions of each policy will govern how notice of -
<br />accordance with the
<br />policy provisions of each policy.
<br />APPROVED
<br />CERTIFICATE HOLDER CANCELLATION By.Cynthia Mora at 5:12 pm, Dec 10, 2024
<br />SHOULD ANY O
<br />DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLCY PROVISIONS. Y
<br />Of Santa Ana pUTIOR¢ED REPRESENTATIVE Ira
<br />Il
<br />Atty
<br />Attn: Risk Management Division
<br />20 C1VAn Center Plaza a"Santa AnCA 92702 USA �/i ��JIII
<br />cjtjosy J
<br />®_
<br />©1988-2016 ACORD CORPORATION. All rights reserved
<br />ACORD 26 (2016103) The ACORD name and logo are registered marks ofACORD
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