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OCEABLU-06 ADAVIS2
<br /> ,a►coftn. CERTIFICATE OF LIABILITY INSURANCE DATE 614/2026"'
<br /> 1412ozs
<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 License#0757776 CONTACT Alisha Davis
<br /> NAME: _
<br /> HUB International Insurance Services Inc. {a c PHONE Extl:(877)823'2681 (A X
<br /> 9855 Scranton Road No):(951)231'2572
<br /> Suite 100 E-MAILESS:alisha.davis@hubinternational.com
<br /> ADDIR
<br /> San Diego,CA 92121
<br /> _ INSURER(S)AFFORDING COVERAGE NAIC N
<br /> _ INSURER A:Westchester Surplus Lines Insurance Co. 10172
<br /> INSURED INSURERB:ACE Property&Casualty Insurance company__20699
<br /> Ocean Blue Environmental Services,Inc. INSURER C:National Casualty Company 11991
<br /> 925 West Esther Street INSURER D:
<br /> Long Beach,CA 90813
<br /> INSURER E
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 001
<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 NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTRIN D D M D❑ MM DO
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE }( OCCUR G47475843 002 7/1/2025 711/2026 DAMAGE TO RENTED 100,000
<br /> X X REM15._E_$Lrips aence $ _-
<br /> MED EXP(Any one ersan $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JECT PRO` ❑ LOC PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> X OTHER:DED: $5,000
<br /> $
<br /> B .AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANYAUTO X X CAL H08886301 002 7/1/2025 7/1/2026 BODILYiNJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON WNED PeOPER nt AMAGE $
<br /> AUTOS ONLY AUTO ONLY
<br /> A UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> X EXCESS LIAR CLAIMS-MADE G47475855 002 7/112025 7/1/2026 _,AGGREGATE $ 9,000,000
<br /> ITDED RETENTION$
<br /> C WORKERS COMPENSATION X PEATUTE EORH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETORIPARTNERlEXECUTIVE YIN
<br /> X WCC340082A 7/1/2025 7/112026 F.L.EACH ACCIDENT $ 1,
<br /> { 000,000
<br /> FYI CERIMEMBER EXCLUDED? 0 NIA Mandatory in NH) E.l,DISEASE-EA EMPLOYE $ 1,000,000
<br /> If yes,describe under 1,40Q,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> A Pollution I Environm X G47475843 002 7/1/2025 7/1/2026 Each Occ/Aggregate 1,000,000
<br /> A Professional Liab G47475843 002 7/112025 7/1/2026 Aggregate 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Revised 6/4/2026 This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured.
<br /> RE:RFP 26-018 Spill Response,Hazardous Waste Disposal,and Storm Drain Facility Maintenance Services
<br /> City of Santa Ana,officers,agents,employees,and volunteers are Additional Insured's with regards to the General Liability policy when required by a written
<br /> contract,per the attached endorsement forms CG2010 04113 and CG2037 04113.Primary wording applies with regards to the General Liability policy when
<br /> required by a written contract,per the attached endorsement form ENV3252 12118.Waiver of Subrogation applies with regards to the General Liability policy
<br /> when required by a written contract,per the attached endorsement form ENV3143 03/05.Additional Insured applies with regards to the Auto Liability policy
<br /> when required by a written contract,per the attached endorsement form BENVCA06 19117.Waiver of Subrogation applies with regards to the Auto Liability
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 12:23 pm,Jun 04,2026
<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 /> y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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