|
A�® CERTIFICATE OF LIABILITY INSURANCE 70T,
<br /> E6/2026IYYYY)
<br /> /16/2026
<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 /> MARSH USA,LLC. NAME: Lauren Giangrande
<br /> HE 1166 Avenue of the Americas AI.ON
<br /> No Ext: (212)345-6000 al ,No
<br /> New York,NY 10036 E-MAIL Lauren.Gian rande marsh.com
<br /> ADDRESS: 9 C
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CN 108453421-Evoqu-GAW-25-26 INSURERA: AIU Insurance Co. 19399
<br /> INSURED Evoqua Water Technologies LLC INSURER B: National Union Fire Insurance Company of Pittsburgh, 19445
<br /> a subsidiary to Xylem Inc. INSURER C:
<br /> 310 Waters St SE
<br /> INSURER D
<br /> Washington,DC 20003
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: NYC-012286178-05 REVISION NUMBER: 17
<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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER
<br /> POLICY EFF POLICY EXP
<br /> LTR MM/DDIYYYYI iMMIDDIYYYYI LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY y y 012327514 10/31/2025 10/31/2026 EACH OCCURRENCE $ 1,000,000
<br /> RENTEDDAMAGE TO
<br /> CLAIMS-MADE X� OCCUR FIR SES(Ea.";
<br /> Ea occrre... $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,N
<br /> 000
<br /> OTHER: SIR:$1,000,000 $
<br /> B AUTOMOBILE LIABILITY y y 012327512(AOS) 10/31/2025 10/31/2026 COEaMBINED cidentS INGLE LIMIT $ 3,000,000
<br /> ac
<br /> B X ANY AUTO 012327513(MA) 10/31/2025 10/31/2026 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION y 012327517(AOS) 10/31/2025 10/31/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> A YIN 012327516(W) 10/31/2025 10/31/2026 2,000,000
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> B OFFICER/MEMBER EXCLUDED? N❑ NIA
<br /> (Mandatory in NH) 012327515(OR) 10/31/2025 10/31/2026 E.L.DISEASE-EA EMPLOYEE $ 2,000,000
<br /> If yes,describe under 2,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are included as additional insured(except Workers Compensation)as required by written contract.
<br /> This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract.
<br /> Waiver of Subrogation is applicable where required by written contract and as permissible by law.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION BY Tu Tran Nguyen at 7:55 am,Jan 21,2026
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Attn:Heidi Chou(M-85) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 215 S.Center St. ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA LLC
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|