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<br /> CERTIFICATE ®F LIABILITY INSURANCE 0611212025
<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 TIME COVERAGE AFFORDED BY THE POLICIES =
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED LL
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. m
<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 2
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsemeni(s). c
<br /> PRODUCER CONTACTNAME:
<br /> Aon Risk insurance Services West, Inc. PHONE FAX 800-363-0105 y
<br /> Denver CO Office (AID.HO.EA): (866) 263»7122 AID.No.: .�
<br /> 200 Clayton Street, Suite 800 E-MAIL
<br /> Denver Co 80205 USA ADDRESS: y°
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Hartford Accident & indemnity Company 22357
<br /> Arcadis U.S., Inc. INSURERB: Twin City Fire Insurance company 29459
<br /> 630 Plaza Drive
<br /> Suite 200 INSURERC: Hartford Fire Insurance Co. 19682
<br /> Highlands Ranch CO 80129 USA INSURERD: Hartford Underwriters Insurance Company 30104
<br /> INSUREHe: Hartford Casualty Insurance Co 29424
<br /> INsuRERF: Endurance American insurance company 10641
<br /> COVERAGES CERTIFICATE NUMBER:5701 1 31 52937 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 re uested
<br /> LTR TYPE OF INSURANCE INS13 WVD POLICY NUMBER MMIDDNYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILffY ECSOLS MMIOOIYYYY 06/01/2026 FACHOCCURRENCE $1,000,000
<br /> CLAIMS-MADE ❑x OCCUR SIR applies per policy terns & condi Aons DAMAGE $1,000,000
<br /> PREMISES Eaaccurrence
<br /> X Cartractual Liability MED EXP{Any one parson) $10,000
<br /> PERSONAL&AOV INJURY $1,000,000 m
<br /> GENIAGGHEGATELIMITAPPLIESPER: GENERALAGGREGATE $2,000,000 04
<br /> POLICY E PRO- [�]LOC PRODUCTS-COMFIOPAGG $2,000,000 M
<br /> JECT
<br /> OTHEH: o
<br /> n
<br /> C 20 LIEN OLS968 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT rn
<br /> AUTOMOBILE LIABILITY $1,000,000
<br /> A05 E .•
<br /> D X ANY AUTO 20 UEN OL5973 06/01/2025 06/01/2026 BODILY INJURY(Per person) Z
<br /> OWNED SCHEDULED HI BODILY INJURY(Per accldent) y
<br /> AUTOS ONLY AUTOS
<br /> HIREDAUTOS NON-OWNED PROPERTY DAMAGE
<br /> ONLY AUTOS ONLY Peraacident w
<br /> IE
<br /> E X UMBRELLALIAB N OCCUR 2OXHUOL5972 06 01 2025 06/01/2026 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$10,000
<br /> A WORKERS COMPENSATION AND 2OWNOL5971 06/01/2025 06/01/2026 X PEHSTATUTE OTH-
<br /> EMPLOYERS'LIABILITY YIN ADS ER
<br /> ANYPROPRIETOR I PARTNER I EXECUTIVE E.L.EACH ACCIDENT $11000 O
<br /> B OFFI 00
<br /> CERlMEMBEREXCLUDED? NIA 2OWBROL5970 06/01/2025 06/01/2026
<br /> (MandatarylnNH) MA, WI E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> II yOs,descdhe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 11 more space Is required)
<br /> severability of Interests applies as if each Named Insured were the only Named insured and separately to each insured against
<br /> whom claim is made or "suit' is brought. RE: Project & Task Number: 30264444, RFP No. 24-122. City of Santa Ana, its City
<br /> council, officers, officials, employees agents, and volunteers are included as Additional insured in accordance with the
<br /> policy provisions of the General Liability and Automobile Liability policies. General Liability policy evidenced herein is
<br /> Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's
<br /> provisions. A waiver of Subrogation is granted in favor of city of Santa Ana, its City council officers, officials,
<br /> employees, agents, and volunteers in accordance with the policy provisions of the Goneral Liabiiity, Automobile Liability and
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE N
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE y-y
<br /> POLICY PROVISIONS.
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Attr: Cesar Rodriguez
<br /> 20 Civic Center Plaza, M-43
<br /> Santa Ana CA 92701 USA
<br /> 91966-2015 ACID D CORPORATION,All rights reserved,
<br /> ACORD 25(2016/03) The ACORD name and Toga are registered marks of ACOR APPROVED
<br /> CBY TO Tran Nguyen at 2:32 pm,Jun 1Z 2025
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