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a0 CERTIFICATE OF LIABILITY INSURANCE Ef (MMIDDIYYYY)E <br /> 7/15/2025 <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 CONTACT <br /> INA GMGS Risk Management& Insurance Services PHONE Jennifer Barton FAx <br /> 6201 Oak Canyon, Suite 100 A 949-559-3394 AIG No): 949 559-6703 <br /> M Irvine, CA 92618 ADDRe : iornifGrb@gmgs.com <br /> INSURERS AFFORDING COVERAGE NAIC4 <br /> www.gmgs.com OB84519 INSURER A: Greenwich Insurance Company 22322 <br /> INSURED INSURER B: Indian Harbor Insurance Company Compary 36940 <br /> EEC Environmental INSURERC: Insurance Company of the West 27847 <br /> dba:Environmental Engineering & Contracting, Inc. <br /> One City Boulevard West, Suite 1800 INSURER0: <br /> Orange CA 92868 INSURER I-: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 86242239 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 /> ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> POLICY NUMBER MMIDD YYY MM DD/YYYY LIMITS <br /> A V COMMERCIAL GENERAL LIABILITY GEC3002766 5/24/2025 5/24/2026 EACH OCCURRENCE $1 000 000 <br /> CLAIMS-MADE M OCCUR DAMAGE TO F <br /> PREMISES(Ea <br /> NTED <br /> occurrence $100 OOD <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 /> JECT LOG PRODUCTS-COMPIDP AGG $2 OOQ 000 <br /> POLICY E <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY AE00068948 5/24/2025 5/24/2026 EDa accldentSINGLE LIMIT $1 000 000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY{Per accident $ <br /> AUTOS ONLY ✓ AUTOSHIRED NON-OWNED ) <br /> ✓ AUTOS ONLY ✓ AUTOS ONLY Peer a. Iden�AMAGE $ <br /> $ <br /> S UMBRELLA LIAB ,/ OCCUR UE00068949 5/24/2025 5/24/2026 EACH OCCURRENCE $2 000 000 <br /> ✓ EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> $2 0Qo oao <br /> DED RETENTION $ <br /> C WORKERS COMPENSATION WSD 5066761 03 5/24/2025 5/24/2026 7STATUTE EORH <br /> AND EMPLOYERS'LIABILITY Y 1 N <br /> OFF CER M MBER EXCLUDED?ECUTIVE I N/A E.L.EACH ACCIDENT $1 QQQ QQQ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 00Q 000 <br /> B Pollution Liability PECO068954 5/24/2025 5/24/2026 Each Poll Occurrence$5,000,000 <br /> B Professional Liability PECO068954 5/24/2025 5124/2026 Each Prof Lab Claim$5,000,000 <br /> $10,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached II more space is required) oi9itally9gned <br /> Tu Tran byTuTran <br /> RE:Water Resources Support Services-RFP No.24-083 Nguyen <br /> This certificate may be relied upon only if the certificate addendum referred to heroin is attached hereto. Nguyen DAr.2e25.07.15 <br /> 09:41 a 1-0T00' <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By To Tilan N Uyen at 9.40 am;Jaf 15;2025 <br /> RFP No.24-083 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attention: Public Works A enCy ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza (M1) <br /> Santa Ana CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> Griff Griffith jJf J�"�~ <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 86242239 125-26 A/G/U/W/Po11/E60 I Jennifer Barton 1 7/15/2025 9:34:04 AM (PDT) I Page 1 of 19 <br />