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0 DATE(MMIDDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 711512025 <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 /> NAME: Jennifer Barton <br /> GMGS Risk Management& Insurance Services PHONE 949 559 3394 �vc No: 949-559-6703 <br /> 6201 Oak Canyon, Suite 100 E-MAIL <br /> Irvine, CA 92618 AnnRESS: lenniferb m s.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> www.grrgs.com OB84519 INSURER A: Greenwich Insurance Company 22322 <br /> INSURED INSURER B: Indian Harbor Insurance Company 36940 <br /> EEC Environmental INSURER C: Insurance Company of the West 27847 <br /> dba: Environmental Engineering & Contracting, Inc. <br /> One City Boulevard West, Suite 1800 INSURER B: <br /> Orange CA 92868 INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 86242239 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 ADDTYPE OF INSURANCE INSD WVDSUBR POLICY NUMBER MM POLICY EFF POLICY EXP <br /> LTR IDDIYYYY MM1DDlYYYY LIMITS <br /> A �/ COMMERCIAL GENERAL LIABILITY GEC3002766 5/24/2025 5/24/2026 EACH OCCURRENCE $1 000,000 <br /> �I / � DAMAGE TO RENTED <br /> CLAIMS-MADE U OCCUR PREMISES Ea occurrence $100,000 <br /> MED EXP(Any one parson) $10,000 <br /> PERSONAL&ADV INJURY $1,aoa,00a <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY®JPE° ❑ LOD PRODUCTS-COMP(oPAGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY AECO068948 5/24/2025 5/24/2026 COMBINED SINGLE LIMIT <br /> Ea accident 1 aoa,000 <br /> IANYAUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY ✓ AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident <br /> B UMBRELLA LIAB �/ OCCUR UECO068949 5/24/2025 5124/2026 EACH OCCURRENCE $2,.001 0 <br /> v/ EXCESS LIAB CLAIMS-MADE AGGREGATE $2 DDa aa0 <br /> QED RETENTION$ 1 $ <br /> C WORKERS COMPENSATION WSU 5066761 03 5t2412025 5124/2026 �/ STA UTE CTH <br /> AND EMPLOYERS'LIABILITY YIN <br /> ER <br /> ANYPROPRIETORfPARTNERfEXECUTIVE ® N 1 A E.L.EACH ACCIDENT $1,000,000 <br /> OFF ICE RfMEMB ER EXCLt1DED? <br /> (Mandatory in Ni E.L.DISEASE-EA EMPLOYEE $1 )00 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000,000 <br /> B Pollution Liability PECO068954 5/24/2025 5/24/2026 Each Poll Occurrence$5,000,000 <br /> B Professional Liability PECO068954 5/24/2025 5/24/2026 Each Prof Liab Claim$5,000,000 <br /> $10,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Digitally signed <br /> Tu Tran av Tu Tran <br /> RE:Water Resources Support Services-RFP No.24-083 Nguyen <br /> This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. Nguyen Dare:zaz9 o715 <br /> 09:41,I 1-CT00' <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen of 9:40 am,Jul 95, 2025 <br /> RFP No.24-083 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attention: Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br /> Grill Griffith <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> +86242239 125-26 A/G/U/w/PQ1T/E.46 I 0enaif— Garton 1 7/15/2125 9:34:04 AM (IET) I Page 1 of 19 <br />