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DATE(MMIDDIYYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE
<br /> 0412312024
<br /> J
<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 0
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED o
<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 endorse
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> dl
<br /> PRODUCER CONTACT
<br /> NAME: �
<br /> Aon Risk Services South, Inc. (866) 283-7122 FAX (SOD) 363-0105 m
<br /> Franklin IN Office (AIC,No.EXI): AIC,No.
<br /> 501 Corporate Centre Drive E-MAIL
<br /> suite 300 ADDREss: _
<br /> Franklin IN 37067 USA
<br /> INSURERS)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURERA: Twin City Fire Insurance Company 29459
<br /> Arcadis, a California Partnership INSURERB: Hartford Fire Insurance co. 19682
<br /> fka IBI Group, a California Partnership
<br /> 537 South Broadway, Suite 500 INSURERC: Hartford Casualty Insurance Co 29424
<br /> Los Angeles CA 90013 USA INSURERD: Endurance American Insurance Company 10641
<br /> INSURER E: Hartford Accident & Indemnity company 22357
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:570108352260 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 AFFOHDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br /> LTR TYPE OF INSURANCE INSD Vry0HI POLICY NUMBER MMIDDfYYYY MMIDDIYYYY LIMITS
<br /> K COMMERCIAL GENERALLIABILITY FCSOL / EACH OCCURRENCE $1,000700
<br /> CLAIMS-MADE OCCUR SIR applies per policy ter is & condi ions 51,000,000
<br /> PREMISES Ea acarTence
<br /> MEO EXP{Any one person) $10,000
<br /> PERSONAL8 ADV INJURY $1,000,000co
<br /> GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S2,000,000
<br /> POLICY PE 0 LOC PRODUCTS-COMP,'OP AGG S2,000,000
<br /> OTHER: o
<br /> r
<br /> B AUTOMOBILE LIABILITY Y Y 20 UEN OL5319 10/01/202410/01/2025 COMBINED SINGLE LIMIT
<br /> Ea accident $1,000,000
<br /> X ANYAUTO BODILY INJURY(Per person)
<br /> OWNED SCHEDULED BODILY INJURY(Per acddent) dt
<br /> AUTOS ONLY AUTOS
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE M
<br /> ONLY AUTOS ONLY (P®Tacckdent)
<br /> O
<br /> C X UMSRELLALIAB X OCCUR 20XHUOL5322 10 Ol 202410 01/2025 EACH OCCURRENCE $1,00070 C]
<br /> EXCESS LIAS CLAIMS-MADE Umbrella AGGREGATE $1,000,000
<br /> DED I X RETENTION 510,000
<br /> E WORKERS COMPENSATION AND Y 2GWNOL5323 10 01 202410/5171025. X I PER STATUTE I OTH-
<br /> EMPLOYERS'LIABILITY YIN ADS ER
<br /> ANY PROPRIETOR)PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> A OFF,CEPME,,E,EXCLUDEDf, N NPA Y 20WBROL5321 10/01/202410/01/2025
<br /> (Mandatory lnNH) MA, WT E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> It yyes,descnbe under -
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> F_
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached Ii more space Is requlred}
<br /> The city of Santa Ana„ its officers, officials, employees and volunteers are included as Additional Insured in accordance with
<br /> the policy provisions of the General Liability and Automobile Liability policies. General Liability policy evidenced herein is
<br /> Primary and Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's
<br /> provisions. A waiver of subrogation is granted in favor of The City of Santa Ana, its officers officials, employees and
<br /> volunteers in accordance with the policy provisions of the General Liability, Automobile Liability and workers` Compensation
<br /> policies. 35
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> €XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> city Of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 92702 USA
<br /> 01 958-2 01 5 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACOR APPROVED
<br /> By Cynthia Mora at 10:11 am,Nov 04,2024
<br />
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