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,a�o►2o® CERTIFICATE OF LIABILITY INSURANCE P AT(MMiDD6 Y)
<br /> 02
<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 Ins Center PHoy Jerry NQ ola FAX
<br /> 3780 Mansell Rd. Suite 370 Ex 770.552.4225 fAIr
<br /> Na
<br /> Alpharetta GA 30022 A DRIESS: greylingcerts@greyling.com
<br /> INSU I AFFORDING COVERAGE NAIL#
<br /> INSURER A:National Union Fire Ins Co of Pittsburg19445
<br /> INSURED KIMLAss INSURER B:New Hampshire Insurance Company 23841
<br /> Kimley-Horn and Associates, Inc.
<br /> 421 Fayetteville Street, Suite 600 INSURER C:Lloyd's of Landon 85202
<br /> Raleigh, NC 27601 INSURER D:Columbia Casualty Company 31127
<br /> INSURER E:
<br /> INSURER.F
<br /> COVERAGES CERTIFICATE NUMBER:957494320 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 POLICY NUMBER lMIDDIYYYY MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY GL5268169 4/1/2026 4/1/2027 EACH OCCURRENCE S2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES Eaeccurrenee S1,000,000
<br /> X Contractual Lab MED EXP(Any one person) S 25,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPU ES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY F_�]ECT 7] LOG PRODUCTS-COMPIOP AGG $4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CA4489663(AOS) 4/1/2026 41112027 COMBINED SINGLE LIMIT $2,000,000
<br /> A CA2970071 (MA) 41112026 4/1/2027 Ee accitlenf
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE 5
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> $
<br /> D X UMBRELLA X OCCUR 8038116944 41112026 4/1/2027 FACHOCCURRENCE $5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X I RETENTIONS 1 a non $
<br /> g WORKERS COMPENSATION WC067961230(AOS) 411/2026 4/1/2027 X PER CTH-
<br /> B AND EMPLOYERS'LIABILITY Y f N WC013711885(CA) 411/2026 4/1/2027 STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE EX,EACH ACCIDENT 52,000,000
<br /> OFFICERIMEMBER EXCLUDED?
<br /> (Mandatary In NH) E.L.DISEASE-EA EMPLOYEE S 2,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000.000
<br /> G ProfessionalLiabikty RLUSP26000552026 411/2D26 41112027 Per Claim $2,000.000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: On call City of Santa Ana.The City of Santa Ana,its officers,employees,agents,volunteers&representatives are named as Additional Insureds with
<br /> respects to General Liability where required by written contract.The above referenced liability policies with the exception of workers compensation&
<br /> professional liability are primary&non-contributory where required by written contract.Should any of the above described policies be cancelled by the issuing
<br /> Insurer before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)will be provided to the Certificate Holder.Waiver
<br /> of Subrogation In favor of Additional Insured(s)where required by written contract&allowed by law.
<br /> APPROVED
<br /> By Tu Trap Nguyen at 9:16 am,Apr 09,2026
<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 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 '
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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