|
,-------'-Th ARDURRA-01 KMCGUFFIN
<br /> A O® CERTIFICATE OF LIABILITY INSURANCE DATE DIYYYY)
<br /> 8/27/227/2025
<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(fes)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 CONTACTE:
<br /> NAM
<br /> Ames&Gough PHONE
<br /> 8300 Greensboro Drive FAX
<br /> (A/C,No,Est):(703)827-2277
<br /> Suite 980 E MAIL admin ames ou h.com (arc,Na>:(703)827.2279
<br /> McLean,VA 22102 Aoo Ess: @ 9 9
<br /> INSURER(S)AFFORDING COVERAGE NAIC it
<br /> INSURER A:Travelers Property Casualty Company of America,A++,XV 25674
<br /> INSURED INSURER B:National Fire&Marine Insurance Company A++X 20079
<br /> Ardurra Group,Inc. INSURER C:
<br /> 1000 N,W.57th Court,Suite 800 INSURER D:
<br /> Miami,FL 33126
<br /> INSURER E:
<br /> INSURER F:
<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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP
<br /> INSD WVDIMMIOD/YYYYI IMM!DDNYYY) LIMITS
<br /> A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 630-5X487435 1/1/2025 111/2026 DAMAGE Sr7EM T 1,000,000
<br /> X XPREMISES fEa occurrence) $
<br /> MED EXP(Any one parson) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT
<br /> I APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X JECpT LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Pa accident) $
<br /> X ANY AUTO X X 810-5X558309 1/1/2025 1/1/2026 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOSU D pBODILY INJURY(Per accident) $
<br /> 'Al U UTOS ONLY 'MOM (I err gaVtiAMAGE $
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE X X CUP-5X642114 1/1/2025 1/1/2026 AGGREGATE $ 5,000,000
<br /> DED X RETENTIONS 10,000 $
<br /> A AND EMPLCOMPENSATION
<br /> YERS N A TIOI N X STATUTE OTH-
<br /> ER
<br /> ANY PROPREEIETO�Rp/PARTNER/EXECUTIVE YIN X UB-5X489557 1/1/2025 1/112026 1,000,000
<br /> ICER(MEM1 BHi EXCLUDED? N N/A EL.EACH ACCIDENT $
<br /> OFF 1,000,000
<br /> E.L.DISEASE.EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,00D,000
<br /> B Professional Liab. x 42-EPP-306878-07 1/112025 1/1/2026 Per Claim/Aggregate 10,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> RE:ON-CALL ENGINEERING SERVICES A-2022-158.02
<br /> The City of Santa Ana,CA,Its Officers,Employees,Agents,and Representatives are Included as additional insured with respect to General Liability,
<br /> Automobile Liability,and Umbrella Liability when required by written contract.General Liability includes Additional Insured coverage for On-Going&
<br /> Completed Operations as required by written contract.General Liability,Automobile Liability,and Umbrella Liability are primary and non-contributory over
<br /> any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract.General Liability,
<br /> Automobile Liability,Workers Compensation,and Umbrella Liability policies Include a waiver of subrogation In favor of the additional Insureds where
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER APPROVED _ CANCELLATION
<br /> By Tu Tran Nguyen at 12iO4 pm,Sep 05,2025^ .
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> oguenysigned ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention:Heidi Chou Tu Tran.s%TuTran
<br /> 215 S.Center St.,M-85 Nguyen
<br /> Santa Ana,CA 92701 Nguyen oam;xoss.oaas AUTHORIZED REPRESENTATIVE
<br /> I1:0931U]W
<br /> 1
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
|