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<br /> a` oxo® CERTIFICATE OF LIABILITY INSURANCE DATE o6/ z/2ozs 02/2025
<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 endorsement(s).
<br /> PRODUCER CONTACT yTfW Certificate Center
<br /> Willis Towers Watson Midwest, Inc. NAME:PHONE 1-877-945-7378 FAX 1-888-467-2378
<br /> c/o 26 Century Blvd AIC No):
<br /> P.O. Box 305191 E-MAIL ADDRESS: certificates@wtwco.com
<br /> Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE
<br /> NAIC#
<br /> INSURER A: Liberty Mutual Fire insurance Company 23035
<br /> INSURED INSURERS: Ohio Casualty Insurance Company 24074
<br /> HDR Engineering, Inc.
<br /> 1917 South 67th Street INSURER C: Liberty Insurance Corporation 42404
<br /> Omaha, NE 68106 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W39241779 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 ICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD wvn SUBR POLICY NUMBER MMLDD/YYY MMIDDNYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY
<br /> EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE i OCCUR PREMISES Ea occurrence $ 1,000,000
<br /> A X Contractual Liability
<br /> MED EXP(Any one person) $ 10,000
<br /> y Y TB2-641-444950-035 06/01/2025 06/01/2026
<br /> PERSONAL&ADVINJURY g 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER* GENERAL AGGREGATE g 4,000,000
<br /> POLICY[X] PRO [X] LOG 4,000,000
<br /> JECT PRODUCTS-COMP/OP AGG S
<br /> OTHER: S
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Ea accident S 2,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $er accident
<br /> A OWNED SCHEDULED Y Y AS2-641-44495D-045 06/01/2025 06/01/2026 BODILY INJURY P
<br /> AUTOS ONLY AUTOS ( ) $
<br /> HIRED NON-OWNED PROPERTYDAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> $
<br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000
<br /> B
<br /> X EXCESS LIAB CLAIMS-MADE Y y EUO(26)57919363 06/01/2025 06/01/2026 AGGREGATE g 5,000,000
<br /> DED X I RETENTION$0 S
<br /> WORKERS COMPENSATION X PER OTH-
<br /> ANDEMPLOYERS'LIABILITY Y/N STAT LITEER
<br /> C ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 1,000,000
<br /> OFFICEPJMEMBEREXCLUDED? No N/A Y WA7-64D-444950-015 06/01/2025 06/01J2026
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess
<br /> Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on
<br /> General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written
<br /> contract and as permitted by law. Umbrella/Excess policy is follow form over General Liability, Auto Liability and
<br /> Employers Liability. TU Trdn Digitally signed by
<br /> Tu Tran Nguyen
<br /> Nguyen Date:
<br /> �7472OT003
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran!Nguyen at f 2:07 pm,Jun 03,20,25
<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 /> City of Santa Ana
<br /> 20 Civic Center Plaza (M-30) AUTHORIZED REPRESENTATIVE
<br /> P.O. Box 1988
<br /> Santa Ana, CA 92702-1988
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> SR ID: 27854621 BATCH: 3985024
<br />
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