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75/27/2025
<br /> (MM/DD/YYYY)
<br /> A�" 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: Lauren Mayer
<br /> McGriff Insurance Services LLC PHONE FAX
<br /> 2200 N. Commerce Parkway A/C No EXt: 954-385-6022 vc,No):866-802-8684
<br /> Suite 200 ADDRESS: lauren.mayer@mcgriff.com
<br /> Weston FL 33326 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Berkshire Hathaway Homestate Ins Co 20044
<br /> INSURED 132SAFEBLLC INSURERB: Everest Indemnity Insurance Company 10851
<br /> Interwest Consulting Group, Inc.
<br /> 444 N Cleveland Ave; INSURERC: Everest Premier Insurance Company 16045
<br /> Loveland CO 80538 INSURERD: Bridgeway Insurance Company 12489
<br /> INSURER E: Great American E&S Insurance Company 37532
<br /> INSURER F: Great American E&S Insurance Company 37532
<br /> COVERAGES CERTIFICATE NUMBER:2145910428 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 I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
<br /> B X COMMERCIAL GENERAL LIABILITY Y Y CF3GL00415241 10/3/2024 10/3/2025 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea or
<br /> $300,000
<br /> X 10,000 MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X PRO-
<br /> POLICY� ECT1:1 LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y CF3CA00337241 10/3/2024 10/3/2025 COMBINED SINGLE LIMIT $1,000,000
<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 /> Excess per occ/agg $1,000,000
<br /> D UMBRELLA LIAB X OCCUR Y Y 8EA7XL000207903 10/3/2024 10/3/2025 EACH OCCURRENCE $10,000,000
<br /> E 011170903 10/3/2024 10/3/2025
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED FXTRETENTION$n $
<br /> A WORKERS COMPENSATION Y SAWC666825 5/12/2025 5/12/2026 X ER OTH-
<br /> P
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? NIA
<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 /> F Professional Liability TER5325879 10/3/2024 10/3/2025 Each Claim/Aggregate 10,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Excess policy#140002058 effective 10/03/2024-10/03/2025-QBE Ins Corp NAIC#39217-Limits-$5,000,000 part of$10,000,000 Excess of$5,000,000.
<br /> Crime coverage—Federal Insurance Company, NAIC 20281-Policy#J06767825 effective 10/3/24-10/3/25; Limit$1,000,000 DED$10,000.Technology Errors
<br /> &Omissions and Cyber Coverage-Coalition Insurance Company NAIC#29530-Policy#C4LRS025767CYBER effective 10/3/24-10/3/25.Each Claim/AGG
<br /> $3,000,000 DED$100,000.
<br /> RE:RFP#23-142-On Call Environmental and Planning Services.
<br /> The City of Santa Ana, its officers,officials,employees,and volunteers are additional insureds with respects to general and automobile liability,with a written
<br /> contract.Waiver of Subrogation applies to general and automobile liability and workers compensation in favor of the additional insureds,with a written contract.
<br /> Coverage is primary and non-contributory for the additional insureds. Notice of Cancellation is 30 days,except 10 days for non-payment.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 2:36 pm,May 27,2025 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 Digitally signed by ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Planning and Building Agency Tu Tran Tu Tran Nguyen
<br /> 20 Civic Center Plaza Nguyen Date:2025.05.27 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92702 14:3716-07'00' t
<br /> 4J��
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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