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FEHR&PE-01 MICHAELA
<br /> ,d►coRO CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY)
<br /> 12/3/2025
<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 License#OE67768 CONTACT Andrea Michael
<br /> NAME:
<br /> IDA Insurance Services PHONE FAX
<br /> 3875 Hogyard Road (A/C,No,Ext):(925)249-7958 (A/C,No):
<br /> Suite 20 a DDRIESS:Andrea-Michael@ioausa.com
<br /> Pleasanton,CA 94588
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:RLI Insurance Company 13056
<br /> INSURED INSURER B:Sentinel Insurance Company, Ltd 11000
<br /> Fehr&Peers INSURER C:Travelers Casualty and Surety Company of America 31194
<br /> 101 Pacifica
<br /> Suite 300 INSURER D:
<br /> Irvine,CA 92618 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE j OCCUR PSB0006683 12/6/2025 12/6/2026 DAM ES E a occAGE TO RENTED 1,000,000
<br /> PREMISurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY X71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> ANY AUTO PSA0002276 12/6/2025 12/6/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE PSE0002889 12/6/2025 12/6/2026 AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION X PER
<br /> AND EMPLOYERS'LIABILITY STATUTE EERR
<br /> Y/N 57WEGZJ1989 5/1/2025 5/1/2026 1,000,000
<br /> ANY PROPRIETOR/EXCLUDED?
<br /> R/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OF EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0UU
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Professional Liab. 108172265 12/6/2025 12/6/2026 Per Claim 5,000,000
<br /> C Professional Liab. 108172265 12/6/2025 12/6/2026 Aggregate 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Project Number/Name: OC19STAN.00/.01 Santa Ana On-Call
<br /> All Operations of the Named Insured,including the aforementioned project.
<br /> General Liability:Please see blanket Additional Insured Endorsement attached;such coverage is Primary and Non-Contributory with Waiver of Subrogation
<br /> included,as required by written contract.
<br /> Automobile Liability: Note that the Insured owns no company owned vehicles. Please see blanket Additional Insured Endorsement with Waiver of
<br /> Subrogation included,as required by written contract.
<br /> Workers'Compensation:Waiver of Subrogation is included as per attached blanket Waiver of Subrogation Endorsement,as required by written contract.
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 12:51 pm,Dec 08,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Digitally signed ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Tu Tran by Tu Tran
<br /> Nguyen
<br /> Nguyen Date:2D25.12.nD
<br /> City of Santa Ana 12:51:42-08'00' AUTHORIZED REPRESENTATIVE
<br /> Attention:Public Works Agency
<br /> 20 Civic Center PIZ,M-43 ,
<br /> Santa Ana CA 92701
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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