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/-"I ® DATE(MM/DD/YYYY)
<br /> �`� CERTIFICATE OF LIABILITY INSURANCE 06/12/2025
<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 /> 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. C0
<br /> a
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If
<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 /> PRODUCER CONTACT 13
<br /> NAME:
<br /> Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX 800-363-0105 8
<br /> Denver CO Office (A/C.No.Ext): A/C.No.
<br /> 200 Clayton Street, Suite 800 E-MAIL p
<br /> Denver CO 80206 USA ADDRESS: _
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Hartford Accident & Indemnity Company 22357
<br /> Arcadis U.S., Inc. INSURER B: Twin City Fire Insurance Company 29459
<br /> 630 Plaza Drive
<br /> suite 200 INSURERC: Hartford Fire Insurance Co. 19682
<br /> Highlands Ranch CO 80129 USA INSURERD: Hartford Underwriters Insurance Company 30104
<br /> INSURERE: Hartford Casualty Insurance Co 29424
<br /> INSURERF: Endurance American Insurance Company 10641
<br /> COVERAGES CERTIFICATE NUMBER: 570113152937 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. Limits shown are as requested
<br /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY 20ECSOLS969EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE -OCCUR SIR applies per policy terns & condl ions $1,000,000
<br /> PREMISES Ea occurrence
<br /> X Contractual Liability MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000 M
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY El JECT PRO El LOC PRODUCTS-COMP/OP AGG $2,000,000 c+�
<br /> OTHER: o
<br /> C 20 LIEN OL5968 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY $1,000,000
<br /> ADS Ea accident
<br /> D X ANYAUTO 20 LIEN OL5973 06/01/2025 06/01/2026 BODILY INJURY(Per person) 0
<br /> Z
<br /> SCHEDULED HI
<br /> OWNED BODILY INJURY(Per accident) 0
<br /> AUTOS ONLY AUTOS
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE V
<br /> ONLY AUTOS ONLY Per accident
<br /> E X UMBRELLA LAB H OCCUR 20XHUOL5972 06/01/2025 06/01/2026 EACH OCCURRENCE $5,000,000 V
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED I X RETENTION$10,000
<br /> A WORKERS COMPENSATION AND 20WNOL5971 06/01/2025 06/01/2026 X I PER STATUTE I OTH-
<br /> EMPLOYERS'LIABILITY Y/N ADS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? N N/A 20WBROL5970 06/01/2025 06/01/2026
<br /> (Mandatory in NH) MA, WI E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT $1,000,000-
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Severability of Interests applies as if each Named Insured were the only Named Insured and separately to each insured against
<br /> whom claim is made or "suit" is brought. RE: Project & Task Number: 30264444, RFP No. 24-122. City of Santa Ana, its City
<br /> Council, officers, officials, employees, agents, and volunteers are included as Additional Insured in accordance with the
<br /> 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 an Additional Insured, but only in accordance with the policy's
<br /> provisions. A Waiver of Subrogation is granted in favor of City of Santa Ana, its City Council, officers, officials,
<br /> employees, agents, and volunteers in accordance with the policy provisions of the General Liability, Automobile Liability and
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE r
<br /> Attn: Cesar Rodriguez
<br /> 20 Civic Center Plaza, M-43 _ An � WIM Y'W� � ?11
<br /> Santa Ana CA 92701 USA e�(s�/a e/S!z
<br /> ©1988-2015 ACORD CORPORATION.All rights r ry
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACOR A ppROVED
<br /> Tu Tran Digitally signed by
<br /> DaTu te:
<br /> Nguyen g Tu Tran Nguyen at 2:32 m,Jun 12,2025
<br /> Date:2026.06.12 Yp
<br /> Nguyen 14:33:19-07'00'
<br />
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