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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYYY)
<br /> 10/22/2024
<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: Anni Owens
<br /> AssureclPartners Design Professionals Insurance Services, LLC PHONE 510-272-1465 �F°X
<br /> 3697 Mt. Diablo Blvd Suite 230 Xq: IAIC No):
<br /> Lafayette CA 94549 ADDRESS: CertsDesignPro@AssuredPartners.com
<br /> INSURERS)AFFORDING COVERAGE NAIC#
<br /> License#:6003745 INSURERA:BERKLEY INSURANCE COMPANY 32603
<br /> INSURED MIGINCO-01 INSURER B:Travelers Property CasualtyCompany of America 25674
<br /> MIG, Inc. -
<br /> Moore lacofano Goltsman, Inc. INSURER C:The Travelers Indemnity Company of Connecticut 25682
<br /> 800 Hearst Ave INSURER D:
<br /> Berkeley CA 94710 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:168838058 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE I POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS
<br /> C X COMMERCIAL GENERAL LIABILITY Y Y 6801HB99998 B/31/2024 8/31/2025 EACH OCCURRENCE $1,000,000
<br /> TO
<br /> CLAIMS-MADE X DAMAGE RENTED
<br /> OCCUR PREMISES Ea occurrence $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> Included PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2.000,000
<br /> POLICY[X] PRO-
<br /> JECT LOC PRODUCTS-COMP/OPAGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y BAOS579947 8/31/2024 8/31/2025 EeaocdeDI SINGLE LIMIT $1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED BODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ( )
<br /> X HIRED N
<br /> NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> $
<br /> B X UM13RELLALIAB X OCCUR Y Y CUPOH758762 8/31/2024 8/31/2025 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000
<br /> DIED I X I RETENTION$, $
<br /> B WORKERS COMPENSATION Y U821-553909 8131/2024 8/31/2025 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N -
<br /> ANYPROPRIETORIPARTNER/EXECUTIVE � E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERlMEMBER EXCLUDED? N/A
<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 /> A Professional Liability& AEC908003406 10/31/2024 8/31/2025 Per Claim/5,000,000 $S,DOO,DDO/Aggr
<br /> Conte Pollution Liab Included Included
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The Umbrella Policy is follow form to its underlying Policies:General Liability/Auto Liability/Employers Liability.
<br /> Re:Santa Ana General Plan Technical Studies PS1,PS3 and PS8-The City of Santa Ana is named as Additional Insured as respects General and Auto
<br /> Liability as required per written contract or agreement. Insurance coverage includes Waiver of Subrogation per the attached.
<br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Sona Mooradian
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92702
<br /> ACORD 25(2016103) The ACORD name and logo are registered APPROVED
<br /> By Cynthia Mora at 3:94 pm, Oct 30, 2024
<br />
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