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AC�R,D> CERTIFICATE OF LIABILITY INSURANCE DAT61812026YYY)
<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 INSURI R(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 /> IMA, Inc. -Pasadena PHONE IMA Certificate Team PAx
<br /> 3475 E. Foothill Boulevard i No.i N°:
<br /> Suite 100 ADDRESS: certificates@imacorp.com
<br /> Pasadena CA 91107 INSURER 5 AFFORDING COVERAGE NAIC#
<br /> _ License#:0008309 INSURER A:Greenwich Insurance Company 22322
<br /> INSURED UNITPUM-01 INSURER B:XL Insurance America,Inc. 24554
<br /> United Storm Water, Inc.14000 East Valley Blvd. INSURER C:Indian Harbor Insurance Company 36940
<br /> City of Industry, CA 91746 INSURER D:XL Specialty Insurance Company 37885
<br /> INSURERS:AXIS Surplus Insurance Company 26620
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:514560853 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 ISSULD 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 SUER
<br /> POLICY EPP POLICY i
<br /> LTR POLICY NUMBER MMIDDfYYYY /Y MMIDDYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y GEC300169103 1213112D25 12131/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $100.000
<br /> ME EXP(Any one person) $5,000
<br /> PERSONAL BADVINJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 _
<br /> POLICY®j'o 11 LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: I $
<br /> B AUTOMOBILE LIABILITY Y Y AE0006263003 12/31/2025 12131/2026 COMBINED SINGLE UMIT $1,000,000
<br /> C AEC006263103 12/31/2025 12/31/2026 Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED F SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $
<br /> C UMBRELLA LIAB N
<br /> OCCUR UECO06263203 12/31/2025 12/31/2026 EACH OCCURRENCE $10,000,000
<br /> X EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED I X RETENTION$ $
<br /> p WORKERS COMPENSATION Y WEC3WI69203 12/31/2025 12/31/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOPJPARTNERfEXECUTIVE N f A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE RIMEMBER EXCLU DED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,0.00,000
<br /> C Pollution Liability-PerOccurre PECO06263303 12/31/2025 12/31/2026 SEE BELOW
<br /> C Professional Lia6-Claims Made PECD06263303 12I3112025 12/31/2026 SEE BELOW
<br /> E Excess Liability ELZ677135 12/31/2025 12/31/2026 SEE BELOW
<br /> DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> RFP 26-018 Spill Response APPROVED
<br /> Pollution Liability-Per Occurrence:Limit:Each Claim/Agg:$15,000,000:DED:$25,000; ByTU Train Nguyen at8:20am,Jun 10,2026
<br /> Professional Liability-Claims Made: Limit:Each ClaimlAgg:$15,000,000;DED:$25,000;
<br /> Excess Liability:Limit: Each OcclAgg:$5Mil xs of$11
<br /> RE:RFP 26-018 Spill Response,Hazardous Waste Disposal,and Storm Drain Facility Maintenance Services
<br /> Certificate Holder Includes:The City of Santa Ana,its officers,officials,employees,agents and Volunteers,and representatives.
<br /> Certificate Holder and all other parties required by the contract are included as Additional Insured on the General Liability and Automobile Liability Policies,if
<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 /> 220 S. Daisy St. Bldg.A M-82 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92703
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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