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(MMIDDNY AC R" CERTIFICATE OF LIABILITY INSURANCE DATE 3IZ9/2O24 YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and con itions of til policy, certain licies ay require an endorsement. A statement on this certificate does not confer rights to the certificate h,dd s PRODUCER UUN I AG AME; Sharon Brubaker reyling Ins. Brokerage/ IC E FAX 8�ff�a �iSu�7�j'�\ /�� CCVe �r770.756.rt599 e I .c �c No:770.756.6599 e V E-MAIL , F 1 Date. N R A 16INIGIAVIIA11 NAIC# _ II INSURER A: National Union Fire Ins Co of Pittsburg19445 INSURED INSURER B: PSOmas 865 South Figueroa Street INSURERC: Suite 3200 INSURER D: Los Angeles CA 90017 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1332236825 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTRR ADDLSUBTYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY EFF MM7DDfYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2024 411/2025 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PRFMlSES Ea occurrence $500.000 MED EXP(Any are person) $25,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 54,000,000 POLICY[KPE' LOC PRODUCTS-COMPIOPAGG S4,000,000 OTHER: S A AUTOMOBILE LIABILITY CA4489706 411/2024 411f2025 COMBINED SINGLE LIMIT S2,000,000 Ea aeo[den; Ix ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED X NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB H.CLAIMS-MADE AGGREGATE S OED RETENTION$ $ A WORKERS COMPENSATION WCC 15893764(ADS) 4/1/2024 4/112025 X STATUTE ERH A AND EMPLOYERS'LIABILITY Y f N WC015593765(CA) 4/112024 4/112025 ANYPROPRIETOPJRARTNERIEXECUTIVE MN EL-EACH ACCIDENT $2.000,000 OFFICERlMEMBEREXCLUE N f A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 3SAN050099;On-Call Environmental Services-CEQA and NEPA, I No.20-100. City of Santa Ana,its officers,employees, agents,volunteers and representatives are named as Additional Insureds with respects to General&Automobile Liability where required by written contract.The above referenced liability policies are primary&non-contributory where required by written contract.Waiver of Subrogation in favor of Additional Insured(s)where required by written contract&allowed by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY I Risk Management Division o .°�,« Meaga10ifD"iswn 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE :.' REVIEWED&APPROVED BY: Santa Ana GA 92702 r A--Z kzv4, a Risk Management Spedalist O 1988-2015 ACORD ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD