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AcoR& CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDlYYYY)
<br />11/6/2025
<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
<br />McGriff Insurance Services LLC
<br />9850 NW 41st Street
<br />Suite 100
<br />Doral FL 33178
<br />CONTACT
<br />NAME: Lauren lUla er
<br />PHONE . 954-385-6022 Far°xc No : 866-802-8684
<br />AD©RESs: lauren.ma er marshmma.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Berkshire Hathaway Homestate Ins Co
<br />20044
<br />INSURED 132SAFEBLLC
<br />Interwest Consulting Group, Inc,
<br />444 N Cleveland Ave;
<br />INSURER B: Everest Indemnity Insurance Company
<br />10851
<br />INSURER c: Bridgeway Insurance Company
<br />12489
<br />INSURER D: Lexington Insurance Company
<br />19437
<br />Loveland CO 80538
<br />INSURER E: Great American E&S Insurance Company
<br />37532
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER:866768558 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 LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD SUER
<br />POLICY NUMBER
<br />MMlDDPOICYlYYYY
<br />MM1POLIDIYYXYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAWS -MADE X OCCUR
<br />Y
<br />Y
<br />CF3GL00415251
<br />10/312025
<br />1013/2026
<br />EACH OCCURRENCE
<br />S1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 300.000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />10,000
<br />PERSONAL& ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY E jECOT LOG
<br />GENERAL AGGREGATE
<br />$ 2,000.000
<br />PRODUCTS -COMPIOPAGG
<br />$2.000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />CF3CA00337251
<br />10/3/2025
<br />10/3/2026
<br />OMBI EDtSINGLELIMIT
<br />$1.000.000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />S
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />I
<br />Per accident
<br />BODILY INJURY ( }
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />S
<br />Excess perocaIag
<br />$1,000,000
<br />C
<br />°
<br />UMBRELLA LIAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />Y
<br />Y
<br />8EA7XL000207904
<br />11170903
<br />10/3/2025
<br />10/3/2025
<br />10/312026
<br />10/312026
<br />EACH OCCURRENCE
<br />$10,000,000
<br />X
<br />AGGREGATE
<br />$ 10,000,000
<br />DED X RETENTION 5 _ _
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />Y
<br />SAWC666825
<br />5112/2025
<br />5/12/2026
<br />X STER
<br />ATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERlMEMBER EXC W DEU?
<br />N 1 A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NHJ
<br />byes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1.000,000
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />E
<br />Professional Liability
<br />TER5780118
<br />10/3/2025
<br />10/3/2026
<br />Each ClaimlAggregate
<br />$10,000,GOO
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES tACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Excess policy # 140002058 effective 10/03/2025-1010312026 - QBE Ins Corp NAIC #39217 - Limits- $5,000,000 part of $10,000,000 Excess of $5,000,000.
<br />Crime coverage — Federal Insurance Company, NAIC 20281- Policy 4J06767825 effective 10I3125-10I3126; Limit $1,000,000 DED $10,000. Technology Errors
<br />& Omissions and Cyber Coverage - Allied World Assurance Company US, Inc. NAIC # 19489 - Policy 903148733
<br />effective 10I3125 - 10/3126. Each ClaimIAGG $3,000,000 DED $100,000.
<br />RE: RFP #23-142 - On Call Environmental and Planning Services.
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are additional insureds with respects to general and automobile liability, with a written
<br />contract. Waiver of Subrogation applies to general and automobile liability and workers compensation in favor of the additional insureds, With a written contract.
<br />Coverage is primary and non-contributory for the additional insureds. Notice of Cancellation is 30 days, except 10 days for non-payment.
<br />CERTIFICATE HOLDER APPROVED CANCELLA
<br />I By Tu Tran Nguyen of 11:56 am, Nov 17, 2025� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />l — THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Planningand Building Agency by Tullysigned
<br />9 9 Y Tu Tran byT�T.e
<br />20 Civic Center Plaza Nguyen AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 Nguyen Date: z°z5.1ra, U&L
<br />V;X&AAkb
<br />Q 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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