Laserfiche WebLink
---it , DATE(MMIDD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE ot�12a2� <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. cwi <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)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 CONTACTNAME: b <br /> Aon Risk Services Northeast, Inc. E ($S6) 2$3-7122 FAX ($00) 363-0705 <br /> Connecticut office (AlC.No.Ext): =No.: <br /> 800 Connecticut Ave E-MAIL <br /> Norwalk CT 06854 USA ADDRESS: <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Zurich American Ins CO 16535 <br /> CBRE Group, Inc. and subsidiaries INSURERB: <br /> 2121 N. Pearl street <br /> Suite 300 INSURER0: <br /> Dallas TX 75201 USA INSURERD; <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:5701 1 25781 6i 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 /> INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER M DD/YYYY MIWDD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY GLOB38419923 EACH OCCURRENCE $5,000,000 <br /> CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $50,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $5,0()0,000 <br /> GEN'L AGGREGATE LIMITAPPLIESPER: GENERALAGGREGATE $5,000,00() orno <br /> POLICY ❑JECT <br /> PRO- FXJ LOC PRODUCTS-COMPIOP AGG $5,000,000 N <br /> OTHER: o <br /> i4 AUTOMOBILE LIABILITY BAP 8384200 23 03/01/2025 03/01/2026 C 1n <br /> Ea accident)OMBINEDSINGLELIMIT $5,000,000 <br /> IANYAUTO BODILY INJURY(par person) Z <br /> OWNED SCHEDULED BODILY INJURY(per accident) <br /> AUTOS ONLY AUTOS <br /> HIRFn AUTOS NON-OWNED PROPERTYDAMAGE <br /> ONLY AUTOS ONLY Peraccldont — <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE %7 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> A WORKERS COMPENSATION AND WC838419526 3 01 2025 03 O7, 2026 X PERSTATUTE I OTH- <br /> EMPLOYERS'LIABILITY YIN All other states ER <br /> ANY PROPRIETOR/PARTNER I EXECUTIVE E.L EACH ACCIDENT $1,000,000 <br /> A OFFICEMMEMBEREXCLUDE09 F9 NIA WC91473619 03/01/2025 03/01/2026 <br /> (Mandatory In NH) Wisconsin E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACOHD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> RE: Project Name: Agreement To Provide On-Call Property Appraisal Services For The City Of Santa Ana, Project Number: a- - <br /> A-2021-221-02. City of Santa Ana is included as Additional Insured in accordance with the policy provisions of the General <br /> Liability policyy- A waiver of subrogation is granted in favor of city of Santa Ana in accordance with the policy provisions of <br /> the General a ability, Automobile Liability and workers' Compensation policies and per the applicable written contract. <br /> TU Tran':TuT NguY�� <br /> ba�:zez5.p5.,g APPROVED <br /> Ng llyen,4:3E;45-07'oa <br /> ey-Tu.TTa..O..lgfryglL SR 2:.35.pm,May t9,24?,5 1 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXP RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> city of Santa Ana AUTHORIZED REPRESENTATIVE <br /> Attn: Public Works Agency <br /> CIP/DeS!gn Engineering <br /> 20 Civic Center Plaza <br /> Sant <br /> Santa Ana CA 92701 USA `Lrltti�r�D �, <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />