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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br /> .....��" 04/22/2026
<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 endorsements.
<br /> CONTACT
<br /> PRODUCER 951-656-2409 951-281-3900 NAME: Patrick McCarry
<br /> McCarty Insurance Services Lic. OD20867 PHONE . 951-656-2409C No: 951'2$1'3900
<br /> SNAIL mccarr ahoo.00m
<br /> ADDRESS: p
<br /> INSURE 3 AFFORDING COVERAGE NAICP
<br /> Riverside CA 92508 INSURERA, Evanston Insurance Company 35378
<br /> INSURED 310-548-9292 310-548-9195 INSURER B• Re ublic-Van uard Insurance Corn pany 40479
<br /> Berg &Associates, Inc. INSURERC. Houston Specialty Insurance Company 12936
<br /> 302 W. 5th Street, Suite 210 INSURERD:State National Insurance Company, Inc. 12831
<br /> II4SURERE U.S. Specialty Insurance Company 29599
<br /> San Pedro, CA 90731 INSURER
<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 /> LXCLUSIONSAN❑CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR I ADDLSUBR TYPE POLICYEFF POLICY EXP LIMITS
<br /> LTR POLICYNUMBER MMID MM1Dd
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> A CLAIMS-MADF ET RENTED
<br /> ✓ OCCUR PREMDAMISES S aCLurrencE $ 100,400
<br /> 3AA980397 03/0112026 03101/2027 MED EXP{Any one person) $5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GFMLAGGRFGATE"MIT APPLIES PER- GFNFRALAGGRFGATF 62,000,000
<br /> ✓ PDUGY n jECT n LdC PRODUCTS-COMP1dPAGG $2,000,000
<br /> DTHFR F
<br /> AU i"OMOBILE LIABILITY COMBINED
<br /> O MB GEMSINGLE LIMIT $ 1,000 000
<br /> B ✓ ANY AUTO RVA107971 MO 03/0112026 03/01/2027 BODILY INJURY(Per person)
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per ausclent) $
<br /> FIRED NON-OWNED PROPERTYUAMACE $
<br /> AUTOS ONLY AUTOS ONLY 4Per accident
<br /> Medical $ 5,000
<br /> UMBRELLA UAB ✓ OCCUR ES13-1-13-UCX-0000862-02 03101/2026 03/0112027 FACH OCCURRENCE $4,000,000
<br /> [�' ✓ EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000
<br /> DED I I RETENTION$ $
<br /> WORKERS COMPENSATION ✓ PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN TJM-WC-000162-00 0310112026 03101/2027 STATUTE ER
<br /> ANYPROPRIFTDRIPARTNFRJEXFCUTIVE
<br /> D OFFICERIMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT $ 1,000,000
<br /> {NlandatoryinNH) E.L.DISEASE-EA EMPLOYEE $ 1,000.000
<br /> If yes.[describe under
<br /> DESCRIPTIDN OF OPERATIONS below F.L.DISFASE-POLICY LIMIT $ 1,000,000
<br /> E Professional Liability USS 26 36394 03/01/2026 OW0112027 Liability Per Claim: $1,000,000
<br /> Aggregate Limit: $2,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES JACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Re: RFP 25-011 On-Call Water Resources Construction Management and Inspection Services
<br /> JAPPROVED
<br /> By,!ROVED
<br /> Nguyen at 9:21 am,Apr 28,2026
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana
<br /> Attention. Public Works Agency-Jaime Arias SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 215 S. Center Street, All-85 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana, CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> QQ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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