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ACE ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br /> kik.------- 8/13/2025
<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 /> Alliant Insurance Services, Inc. PHONE Emily Weiss FAX
<br /> 32 Old Slip (A/C.No.Extl: (A/C,No):
<br /> New York NY 10005 ADDRESS: Emily.Weiss@alliant.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Ironshore Specialty Insurance 25445
<br /> INSURED WATEQUA-01 INSURER B:Continental Insurance Company 35289
<br /> Industrial Control Systems Online, LLC
<br /> d/b/a ICS Online INSURER C:Lloyd's of London 0
<br /> 441 Doak Blvd Suite A INSURER D:American Casualty Company of R 20427
<br /> Ripon CA 95366
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1116682035 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 /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y IEPUW0030641301 7/3/2025 7/3/2026 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S 500,000
<br /> MED EXP(Any one person) S 25,000
<br /> PERSONAL&ADV INJURY S 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
<br /> POLICY X JECT X LOC PRODUCTS-COMP/OPAGG 52,000,000
<br /> OTHER: 5
<br /> B AUTOMOBILE LIABILITY Y Y 7092528432 7/3/2025 7/3/2026 COMBINED SINGLE LIMIT 51,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) 5
<br /> OWNED SCHEDULED BODILY INJURY(Per accident S
<br /> AUTOS ONLY AUTOS )
<br /> HIRED NON-OWNED PROPERTY DAMAGE 5
<br /> AUTOS ONLY AUTOS ONLY (Per accidenll
<br /> $
<br /> A )( UMBRELLA LIAB X OCCUR XSCUW0030641401 7/3/2025 7/3/2026 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION SO S
<br /> B WORKERS COMPENSATION Y 7092528446 7/3/2025 7/3/2026 X PER STATUTE E ERH-
<br /> D AND EMPLOYERS'LIABILITY Y/N 7092528463 7/3/2025 7/3/2026 R
<br /> ANYPROPRIETORJPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Contractors Pollution Liability IEPUW0030641301 7/3/2025 7/3/2026 Limit $1,000,000
<br /> C Professional Liability HPL25-0276 7/3/2025 7/3/2026 Limit $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> WC:7092528446-AOS
<br /> WC:7092528463-CA
<br /> RE:RFP No 25-046. HMI and PLC programming and consulting services to be provided to the City's Public Works Agency—Water Resources Division at its
<br /> various facilities.
<br /> The City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are included as Additional Insured with regards to the General
<br /> Liability and Auto Liability as required by written contract subject to the policy terms and conditions.Coverage is Primary and Non-Contributory with regards to
<br /> the General Liability and Auto Liability as required by written contract subject to the policy terms and conditions.Waiver of Subrogation applies with regards to
<br /> the General Liability,Auto Liability and Workers'Compensation policies as required by written contract subject to the policy terms and conditions.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> APPROVED
<br /> By Tu Tran Nguyen at 11:57 am,Aug 22,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: Heidi Chou Digitally signed
<br /> 215 S. Center Street, M-85 Tu Tran by Tu Tran AUTHORIZED REPRESENTATIVE
<br /> Nguyen
<br /> Santa Ana CA 92701 Nguyen D4:5822°-0°82'
<br /> 1
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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