ARDURRA-01
<br />KSUTTON
<br />Ali CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMN11119-9 )
<br />2/18/2025
<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 endorsements .
<br />PRODUCER
<br />Ames & Gough
<br />8300 Greensboro Drive
<br />Suite 980
<br />McLean, VA 22102
<br />CONTACT
<br />NAME,
<br />PHONE FAx
<br />ac, No, Eat: (703) 827-2277 (A/C, No): 703) 827-2279
<br />no AIL . admin@amesgough.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC N
<br />INSURER A: Charter Oak Fire Insurance Company A++ X
<br />25615
<br />INSURED
<br />INSURER B: Phoenix Insurance Company A++XV
<br />25623
<br />INSURER C: Travelers Property Casualty Company of America, A++, XV
<br />25674
<br />Ardurra Group, Inc.
<br />INSURER D : National Fire & Marine Insurance Company A++X
<br />20079
<br />1000 N.W. 57th Court, Suite 800
<br />Miami, FL 33126
<br />INSURER E:
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER- aPVIQION 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 />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />VIVO
<br />POLICYNUMBER
<br />nPOLICY EFF
<br />D
<br />POLICY UP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />Contractual Liab.
<br />630-5X487435
<br />1/1/2025
<br />1/112026
<br />EACH OCCURRENCE
<br />1,000,000
<br />PREMISES EREccurmn
<br />$ 1,000,000
<br />15,000
<br />X
<br />MED UP(Anyone arson
<br />PERSONAL S ADV INJURY
<br />1,000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY ❑X JECT LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS-COMP/OP AGG
<br />2.000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Ea B,NEOt SINGLE LIMIT
<br />1 000 000
<br />X
<br />BODILY INJURY Per erson
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />810-5X558309
<br />1/1/2025
<br />1/112026
<br />BODILY INJURY Per eccidenl
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />C
<br />X
<br />UMBRELLA LIAR
<br />EXCESS DABI
<br />X
<br />OCCUR
<br />I CLAIMS -MADE
<br />CUP-5X642114
<br />1/1/2025
<br />1/1/2026
<br />EACH OCCURRENCE
<br />$ 15,000,000
<br />AGGREGATE
<br />15,000,000
<br />DED X RETENTION $ 10,000
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LUIBILITV Y/N
<br />ANY PROPRIETORIPARTNER/EXECUTIVE
<br />N
<br />(MandaOFFICEtory
<br />yin NH)
<br />(fyes,doryin and
<br />Dyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/A
<br />UB-SX489557
<br />1/1/2025
<br />11112026
<br />I
<br />X PER H.
<br />STAT R
<br />E.L. EACH ACCIDENT
<br />1�000�000
<br />E.L
<br />E.L DISEASE -EA EMPLOYE
<br />E 1'000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />D Professional Liab. 2-EPP306878-07 1/1/2025 11112026 Per Claim/Aggregate 10,000,000
<br />APPROVED _ __
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached i1 morasp
<br />RE: RFP #23.122, On -Call Environmental Planning Services (CALIFORNIA) By TU Tran Ngtryen at 9.48 am, Feb 20, 2025
<br />Umbrella Liability coverage sits excess over General Liability, Automobile Liability and Employers' Liability coverage.
<br />The City of Santa Ana, CA, Its Officers, Employees, Agents, and Representatives are included as additional Insured with respect to General Liability,
<br />Automobile Liability, and Umbrella Liability when required by written contract. General Liability includes Additional Insured coverage for On -Going &
<br />Completed Operations as required by written contract. General Liability, Automobile Liability, and Umbrella Liability are primary and non-contributory over
<br />any existing insurance and limited to liability arising out of the operations of the named Insured and when required by written contract. General Liability,
<br />SEE ATTACHED ACORD 101 oiyruTu Tran Mmu..Tnn
<br />City of Santa Ana, CA
<br />Attention: Public Works
<br />20 Civic Center Plaza
<br />M-22
<br />Santa Ana, CA 92701
<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 />AUTHORIZED REPRESENTATIVE
<br />ACOKU 25 (2111ti103) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
|