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DATE(MM/DDNYYY) <br /> ACGIR EP CERTIFICATE OF LIABILITY INSURANCE <br /> 2/25/2026 <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 Gianni Gonzales <br /> NAME,Edgewood Partners Insurance Center PHONE FAx <br /> P.0 Box 2110 AfC No Ext: A C No): <br /> Rancho Cordova CA 95670 aoDREss: ianni. onzales a icbrokers.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:Westchester Surplus Lines Insurance Co 10172 <br /> INSURED GEMSENVI INSURERB:Amherst Specialty Insurance Company 17565 <br /> GEMS Environmental Management Services, Inc. INSURERC: Ironshore Specialty Insurance Company 25445 <br /> 1120 Willow Pass Court <br /> Concord CA 94520 INSURER D:ACE American Insurance Company 22667 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1055029344 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 EFF <br /> POLICY LTR TYPE OFINSURANCE INSDSUER POLICY NUMBER MMDDYY MMDDIYYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY G71763365007 11/21/2025 11/2112026 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $300,000 <br /> X Dad:$5,00010cc MED EXP Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,1)00,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY�JE� LOC PRODUCTS-COMPIOPAGG $2,000,000 <br /> OTHER $ <br /> B AUTOMOBILE LIABILITY AH01STR250D0005400 11/21/2025 11/21/2026 COEa MBIN ccide.ntrri N LE LIMIT $1,000000 <br /> a <br /> X ANY AUTO BODILY INJURY(Per person} $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Peraccdent <br /> A UMBRELLA LIAR X OCCUR G71763377007 11/21/2025 11/2112026 EACH OCCURRENCE $5,000,000 <br /> X EXCESS LIAB CLAIMS-MADE - AGGREGATE $5.000,000 <br /> DE❑ I X I RETENTION$ Pollution Excess $Included <br /> D WORKERS COMPENSATION C5$906347 6/1/2025 6/1/2026 <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER <br /> ANYPROPRIETORIPARTNERJEXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBEREXCLUDED? NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C Excess Liability-2ndLayer XSCUW0034077000 1/27/2026 11/21/2026 O ccurrence-$4M Aggregate-$4M <br /> A Professional Liab(claims-made) G71763365007 11/21/2025 11/21/2026 EACH CLAiMIAGG $1M1$1M1$10K-DED <br /> Cortractors Pollution Liab EACH CLAIMIAGG $1M1$1Ml$10K-DED <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Ramarks Schedule,may be attached If more space Is required) <br /> BUILDERS RISK INSURER:Travelers Property Casualty Company of America-NAIC#:25674 <br /> Policy#QT6307T864684TIL24-TermA 1/21124 to 11/21/25 <br /> Covered Property Limit: $800,000-Deductible$5,000 APPROVED f <br /> By TO Tran Nguyen at 11.40 am,Mar 19,20 6 <br /> RE:24-6054, Fire Station 71 Above Ground Fuel Storage Tank Replacement. <br /> Additional Insured(s):City of Santa Ana, its City Council,Officers,officials,employees,agents,and volunteers. <br /> See Attached... <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 /> Public Works Agency <br /> 20 Civic Center Plaza <br /> PO Box 1988 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92702 <br /> 01988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />