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,acoRE) CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDD/YYYY) <br /> L------ 5/29/2025 <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 /> Edgewood Partners Insurance Agency PHONE Greyling COI Specialist FAX <br /> 3780 Mansell Rd. Suite 370 A .No.Extl: 770.756.6599 (A/c,No):770.756.6599 <br /> Alpharetta GA 30022 ADDRESS: greylingcerts@greyling.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:National Union Fire Ins Co of Pittsburg 19445 <br /> INSURED INSURER B:Travelers Property Casualty Co of Amer 25674 <br /> Psomas <br /> 865 South Figueroa Street INSURER C: <br /> Suite 3200 INSURER D: <br /> Los Angeles CA 90017 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1676171986 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 SUBR POLICY EFF POLICY EXP <br /> LTR _MSC. WvQ POLICY NUMBER JMMIDD/YYYY) IMMIDDIYYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GL5268212 4/1/2025 4/1/2026 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $500,000 <br /> MED EXP(Any one person) $25,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY X IZET LOC PRODUCTS-COMP/OPAGG $4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY CA4489706 4/1/2025 4/1/2026 CO aBINEDt)SINGLE LIMIT $2,000,000 <br /> (EaX ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> )( HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ <br /> $ <br /> B X UMBRELLA LIAB X OCCUR CUP7X223161 4/1/2025 4/1/2026 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED X RETENTION$1N ruin $ <br /> A WORKERS COMPENSATION WC72113158(AOS) 4/1/2025 4/1/2026 X PER OTH- <br /> A AND EMPLOYERS'LIABILITY YIN WC72113159(CA) 4/1/2025 4/1/2026 STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000 <br /> OFFICER/MEMBEREXCLUDED? N N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re:On-call water resources engineering services pursuant to RFP 22-002 and agreement#A-2022-2158-03. <br /> City of Santa Ana,its officers,officials,employees,and volunteers are named as Additional Insureds with respects to General&Automobile Liability where <br /> required by written contract.The above referenced liability policies are primary&non-contributory where required by written contract.Should any of the above <br /> described policies be cancelled by the issuing insurer before the expiration date thereof,we will endeavor to provide 30 days'written notice(except 10 days for <br /> nonpayment of premium)to the Certificate Holder.Waiver of Subrogation in favor of Additional Insureds where required by written contract&allowed by law. <br /> APPROVED Tu Tran TuT DigitallysigneranNguy <br /> dby <br /> en <br /> Date:2025.06.03 <br /> By Tu Tran Nguyen at 9:32 am,Jun 03,2025 Nguyen 09:32:33-07'00' <br /> CERTIFICATE HOLDER CANCELLATION <br /> 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 /> Attn: Heidi Chou(M-85) <br /> 215 S. Center St. AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92703 // �__. c..„4 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />