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A�KO� CERTIFICATE OF LIABILITY INSURANCE <br />DAT11/2212024 <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 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 <br />CONTACT Tina Cowie <br />NAME: <br />Cornerstone Specialty Insurance Services, Inc. <br />PHONE xt(714) 731-7700 AI(714) 731-7750 <br />C No E: C No: <br />14252 Culver Drive, A299 <br />ADURIE99: Ilna@cornerstonespeclally.com <br />INSURER(S) AFFORDING COVERAGE <br />NAICA <br />Irvine CA 92604 <br />INSURERA: RLI Insurance Company <br />13056 <br />INSURED <br />INSURERS: Aspen American Insurance Company <br />43460 <br />BOAARCHITECTURE <br />INSURER C <br />1511 Cota Avenue <br />INSURER9 <br />NSURER E : <br />Long Beach CA 90813 <br />INSURER F: <br />lLgIi11;JLeLiL�@L$lii1=3SA <br />THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY <br />CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />INSO <br />WVO <br />POLICY NUMBER <br />MMIUDYIYYY' <br />MMIDDNM <br />LIMITS <br />X <br />COMMERCIMLGENERALLIABILTY <br />CLAIMS -MADE ®OCCUR <br />ADDT'LINSUREDlPBNC <br />EACH OCCURRENCE <br />$ 2,1 <br />PREMISES Ea occueance <br />$ 1,OOD,000 <br />x <br />MED F�(P (Any one person) <br />$ 10,000 <br />x <br />BLNKTWVR OF SUBRO <br />PERSONAL SADV INJURY <br />$ INCLUDED <br />A <br />Y <br />PSB0007999 <br />11/20/2024 <br />11/20/2026 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />POLICY ®JECOT LOG <br />GENERALAGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OP AGO <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED v NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PSBOD07999 <br />11120/2024 <br />11/20/2025 <br />BODILY INJURY accident ) <br />$ <br />X <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />UMBRELLA IOCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />PSE0003983 <br />11/20/2024 <br />11/20/2025 <br />AGGREGATE <br />$ 1,000,000 <br />OED <br />I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION <br />N/A <br />PSW0004454 <br />11/2012024 <br />11120l2025 <br />vl PER OTT - <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L, DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />B <br />Professional Liability <br />Claims Made$4,000,000 <br />AAAE100264-06 <br />11/20/2024 <br />11/20/2025 <br />Each Claim <br />AnnualAggregate <br />$4,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, <br />maybe attached If more space Is required) <br />RE: RFP 20-040 Space Planning and Architectural Services <br />Certificate Holder is Additional Insured for General Liability but only if required by written contract with the Named Insured prior town occurrence and as per <br />allachad endorsement. Coverage is subject to all policy terms and conditions. 30 days Notice of Cancellation `Except 10 days Notice of Cancellation for <br />non-payment of premium. For Professional Liability coverage, the aggregate limit Is the total insurance available for all covered claims reported within the <br />policy period. <br />OVED <br />CERTIFICATE HOLDER <br />thia Mora at-1-1 55-arrr,-Dec �1,-3024-. <br />F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />fHR <br />N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana Risk Management Division <br />WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th FL <br />ESENTATNE <br />Santa Ana CA 92702 <br />jl;tlo, dull <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />