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A� " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE DD/Y7/2
<br />07/23/2025
<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
<br />CONTACT
<br />NAME: CASIE L CROCKER
<br />RISK MANAGEMENT SERVICES, INC.
<br />P.O. BOX 50310
<br />PHONE FAX
<br />A/C No Ent: (602) 840-3234 A/C, No):
<br />E-MAIL
<br />ADDRESS: CASIE.CROCKER@THERISKPEOPLE.COM
<br />PHOENIX AZ 85076
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA:INDIAN HARBOR INS CO
<br />36940
<br />INSURED
<br />INSURER B: NATIONAL CASUALTY CO
<br />11991
<br />ENERGY EXPERTS INTERNATIONAL
<br />INSURER C:HDI GLOBAL SPECIALTY SE
<br />INSURER D: TWIN CITY FIRE INS CO
<br />29495
<br />555 TWIN DOLPHIN DR, STE 150
<br />INSURER E7
<br />REDWOOD CITY CA 94065
<br />INSURERF:
<br />(650) 593-4261
<br />COVERAGES cc CERTIFICATE NUMBER: CERT ID 34048 (61) 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MWDD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 11000,000
<br />CLAIMS -MADE IX I OCCUR
<br />Y
<br />Y
<br />US00156227LI25A
<br />08/01/2025
<br />08/01/2026
<br />DA
<br />PREM SESOEa occurDence
<br />$ 300,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 11000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER :
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY JJECT El LOC
<br />PRODUCTS - COMP/OPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />p,
<br />ANY AUTO
<br />Y
<br />Y
<br />US00156227LI25A
<br />08/01/2025
<br />08/01/2026
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />p,
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />US00156228LI25A
<br />08/01/2025
<br />08/01/2026
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />X
<br />AGGREGATE
<br />$ 4,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />WORKERB AND
<br />EMPLOYERS' TION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />Y
<br />WCC340211A
<br />08/01/2025
<br />08/01/2026
<br />H
<br />X STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? FN]
<br />N/A
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 11000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />PROF LIAB-CLAIMS MADE
<br />FRS-H-P-PL-00012256-02
<br />04/13/2025
<br />04/13/2026AG/CL
<br />$ 5,000,000
<br />D
<br />CYBER
<br />59MB0744730-25
<br />03/01/2025
<br />03/01/2026OCC/AGG
<br />DED $25,000
<br />$ 5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />CONSULTANTS. CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED
<br />AS ADDL INSURED WITH RESPECTS TO THE GL & AUTO PER WRITTEN CONTRACT. COVERAGE IS PRIMARY NON-
<br />CONTRIBUTORY. WAIVER OF SUBROGATION APPLIES WITH RESPECST TO THE GL, AUTO & WC. 30-DAY NOTICE OF
<br />CANCELLATION APPLIES. INSURED DOES NOT OWN ANY AUTOS.signed
<br />by
<br />Tu TYan
<br />TugTralnyNguyen
<br />Date: 0 Ng Uyel I1212 83z3 0700'APPROVED
<br />By Tu Tran Nguyen at 12:17 pm, Sep 03, 2025
<br />I.CK 1lr-II.A 1 C NULUCK
<br />t,ANt,r_LLA 1IUN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />CITY OF SANTA ANA
<br />ATTN: HEIDI CHOU (M-85)
<br />AUTHORIZED REPRESENTATIVE
<br />215 S. CENTER ST
<br />SANTA ANA, CA 92703
<br />C 1
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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