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AC"Rf> CERTIFICATE OF LIABILITY INSURANCE r AT�El2M8M;12D�Dff�Y) 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 conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lisa Shimizu-Fookes AssureclPartners Design Professionals Insurance Services, LLC PHONE 7141127-3482 FA't 3697 Mt. Diablo Blvd Suite 230 Arc Na Lafayette CA 94549 E-MAIL D-DRESS: Certs Des i nPro AssuredPartners.cam INSURERIS)AFFORDING COVERAGE NAIC# LYcense#:6003745 INSURER A:XL Specialty Insurance Co. 37885 INSURED PSOMASO-01 INSURER B: PSOMAS 865 S. Figueroa Street, Suite 3200 INSURERC: Los Angeles CA 90017 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1586487023 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 GLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR POLICY NUMBER MMIDDlYYYYI (MMIDDfYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE E OCCUR DAMAGES(RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY 5 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 POLICY D PRO- JECT J LOC PRODUCTS-COMPIOPAGG S OTHER: 5 AUTOMOBILE LIABILITY COMB INED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident)5 5 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y d N STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT OFFICE RIMEMBEREXCLUDED? NdA $ (Mandatory in Ni E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 A Professional Lill&Poll.List Y DPR5033899 10/15/2024 10/15/2025 Per Claim $2,000,000 Claims-Made Form Aggregate Limit $2,000,000 Retro Date:1 0/1 511 947 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured Status is not available on Professional Liability Policy. 3SAN050200-Santa Ana Environmental and Planning Services,Santa Ana,CA. Insurance coverage includes waiver of subrogation per the attached endorsement. CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF- NOTICE WILL BE ❑SLIVERED IN ACCORDANCE WITH THE POLICY Pi Crty of Santa Ana R!Kk MovigmedDi 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE REvimED&APPROVEDRY: Risk Management SPC0Ai5t ©1988-2015 ACORD ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD