|
ARDURRA-01 KSUTTON
<br /> ,4�oRn CERTIFICATE OF LIABILITY INSURANCE DATE 1213012024
<br /> 1 Y}
<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:
<br /> Ames&Gough PHONE FAX
<br /> 8300 Greensboro Drive (AI C.Na,Ext):(703)827-2277 (AIC,No);(703)827-2279
<br /> ML
<br /> Suite 980 A DRESS:admin@amesgough.com
<br /> McLean,VA 22102
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Charter Oak Fire Insurance Company A++ XV 25615
<br /> INSURED INSURERS:Phoenix Insurance Company A++ XV 25623
<br /> Ardurra Group,Inc. INSURER C:Travelers Property Casualty Company of America,A++,XV 25674
<br /> 1000 N.W.57th Court,Suite 800 INSURER D:National Fire&Marine Insurance Company A++X 20079
<br /> Miami,FL 33126
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 POLICILS.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDINSO W DR.VD POLICY NUMBER POLIICY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR 630-5X487435 11712025 1/112026 PREMGET(Ea occurrence) $ 1,000,000
<br /> X Contractual Liab. MEDEXP JAnV oneperson) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY Fx_1 T LOC PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER:
<br /> B AUTOMOBILE LIABILITY COa IIINEII,SINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO 810-5X558309 1/1/2025 11112026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> HIRED NON-AWNED PROPFR DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per acc,d nt $
<br /> $
<br /> C X UMBRELLA LIAR I X IOCCUR EACH OCCURRENCE S 15,000,000
<br /> EXCESS LIAB CLAIMS-MADE CUP-5X642114 11112025 1/1/2026 AGGREGATE S 15,000,000
<br /> DED I X I RETENTION$ 10,000
<br /> _ S
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STAT TE ER
<br /> U B-SX489557 1l112025 11112426 E.L.EACH ACCIDENT S
<br /> OFFICERIPMEMDOER EXCLLUDED ECUTNE NIA 1,040,004
<br /> (Mandatory In NH) 1,000,000
<br /> E.L.DISEASE-FA EMPLOYE $
<br /> If yes,describe under 1,000,000
<br /> _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Professional Liab. 42-EPP-306878-07 111/2025 1/112026 Per ClaimlAggregate 10,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 1G1,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:RFP#23-122,On-Cali Environmental Planning Services(CALIFORNIA)
<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 Completed
<br /> Operations as required by written contract.General Liability,Automobile Liability,and Umbrella Liability are primary and non-contributory over any existing
<br /> insurance and limited to liability arising out of the operations of the named insured and when required by written contract.General Liability,Automobile
<br /> SEE ATTACHED ACORD 101
<br /> APPROVED -
<br /> CERTIFICATE HOLDER CANCELLATION By Cynthia Mora at 3:42 pm,Jan 13,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana,CA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) O 1988.2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
|