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HOUS&HA-01 MAXLI <br />,ac'°Ro CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />12120/2n9AY) <br />1z/zono2a <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 License # OC36861 <br />Irvine- Alliant Insurance Services, Inc. <br />18100 Von Kerman Ave 10th FI <br />Irvine, CA 92612 <br />NONEACT Melissa Kaiser <br />PHONE <br />A/C, No, Ext): AIC, No): <br />au AILESS: Melissa.Kaiser@alliant.com <br />INSURERIS) AFFORDING COVERAGE <br />NAIC If <br />INSURER A: National Fire Insurance Company of Hartford <br />20478 <br />INSURED <br />INSURERB:TransDortation Insurance Company <br />20494 <br />35289 <br />Houston & Harris PCS Inc <br />PO Box 10367 <br />San Bernardino, CA 92423 <br />INSURERC: Continental Insurance Company <br />INSURER D : Redwood Fire and Casualty Insurance Company <br />11673 <br />INSURER E: Nautilus Insurance Company <br />17370 <br />INSURER F <br />COVERAGES CERTIFICATF NIIMRFR• ocvrmn.. u, ram1.-,. <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 RESPECTTO 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />p <br />yyyp <br />POLICY NUMBER <br />POLICY EFF <br />MM D <br />POLICY E%P <br />MM OD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />X <br />7092433885 <br />6124/2024 <br />6/2412025 <br />EACH OCCURRENCE <br />11000,000 <br />DAMAGE TO RMISES RENTED occurrence)100,000 <br />MED EXP (Any one arson <br />15,000 <br />PERSONAL&ADV INJURY <br />11000,000 <br />AGGREGATE LIMIT APPLIES PER <br />POLICYI JEST LOC <br />GENERAL AGGREGATE <br />21000,000 <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />21000,000 <br />OTHER: <br />EBL <br />1,000,000 <br />B <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY X AUTOS ONL� <br />7092433868 <br />6/2412024 <br />6/2412025 <br />UUMMINtltUb lNGLE LIMIT <br />BODILY INJURY Per arson <br />$ElLfICCI <br />1,000,000 <br />$ <br />BODILY INJURY Per accident <br />$ <br />PerOa tlenl AMAGE <br />$ <br />EACH OCCURRENCE <br />$ <br />$ <br />4,000,000 <br />C <br />D <br />X <br />UMBRELLA LIAR X OCCUR <br />EXCESS LIAR CLAIMS -MADE <br />N/A <br />X <br />7092433871 <br />HOWC524959 <br />612412024 <br />911/2024 <br />612412025 <br />911/2025 <br />AGGREGATE <br />$ <br />4,000,000 <br />DIED X RETENTION$ 0 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNEWEXECUTIVE YIN <br />ppFFFICER/MEMBER EXCLUDED? ❑N <br />1Mandalorir scdb NH) e under <br />DESCRIPTION OF OPERATIONS below <br />X PER OTH- <br />STAT E ER <br />$ <br />E.L. EACH ACCIDENT <br />1 ggg+ggg <br />E.L. DISEASE - EA EMPLOYE <br />11000,000 <br />E.L. DISEASE -POLICY LIMIT <br />11000,000 <br />p <br />Equipment Floater <br />7092433685 <br />6I2412024 <br />6/2412025 <br />Rented/Leased Equip <br />100,000 <br />E <br />Pollution Liability <br />�CPP2043967-10 <br />61241202A <br />6124/2025 <br />Claims Aggregate Lmt <br />01000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) <br />Re: On -Call Emergency Water and Sewer Clean Up Services RFP 24-054 <br />City of Santa Ana, Its officers, officials, employees and volunteers are an additional insured, primary and non-contributory, waiver of subrogation as <br />to general liability per endorsements attached; waiver of subrogation as respects to workers compensation per endorsement attached. Cancellation <br />per attached endorsements. - <br />respects <br />notice <br />APPROVED <br />CERTIFICATE HOLDER <br />By Cynthia.Mocaat 9:11.am, Jan 14, 2025 <br />CANCELLA '- <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />PWA Water Resources Division <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />220 S Daisy Ave - M85 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92703 <br />AGUKU 2D (ZU1b/U3) ©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />