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ACR CERTIFICATE OF LIABILITY INSURANCE =2026
<br /> fDDIYYYY)
<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 NAME CT Jerry NO ola
<br /> Edgewood Partners Ins Center PHONE FAX
<br /> 3780 Mansell Rd. Suite 370 .770.552.4225 AIc Ne:
<br /> Alpharetta GA 30022 E-MAIL
<br /> ADDRESS: qreylinqrerls@.qreyling.com
<br /> INSURER S AFFORDING COVERAGE NAIC#
<br /> INSURER A:National Union Fire Ins Cc of Pittsburg19445
<br /> INSURED KIMLASS INSURER B:New Ham shire Insurance Com an
<br /> Kirnley-Horn and Associates, Inc. 23641
<br /> 421 Fayetteville Street, Suite 600 INSURER C:Lloyd's of London 85202
<br /> Raleigh, NC 27601 INSURERD:Columbia Casualty Company 31127
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1676324736 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 AODL SUBR
<br /> LTR TYPE OF INSURANCE POLICY NUMBER POLPCY EFF POLICY EXP
<br /> MMIDDIYYYY MMIDDIYYYY LIMITS
<br /> A X COMM ERCIAL GENERAL LIABILITY GL5268169 4/1/2026 4/1/2027 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE I "'I OCCUR DAMAGE TO RENTS❑
<br /> PREMISES(Ea occurrence) $1,000,000
<br /> X Contractual Leab MED EXP(Any one person) $25,000
<br /> PERSONAL 9,,ADVINJURY s2,000,000
<br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY FYI PRO- O LOC
<br /> PRODUCT$-COMPIOPAGO $4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CA4489663 AOS COMBINED SINGLE LIMIT $2 p00,000
<br /> A t ) 4/112026 41112027
<br /> X ANY AUTO CA2970071(MA) 4/1/2026 4/112027 E2 accident
<br /> OWNED SCHEDULED BODILY INJURY(Per person) $
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED Ix
<br /> NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> $
<br /> D X UMBRELLA LIAR X OCCUR 8038116944 411/2026 411I2027 EACH OCCURRENCE
<br /> X EXCESSLIA13 CLAIMS-MADE $5,000,000
<br /> AGGREGATE 55,000,000
<br /> DED X RETENTION$ $
<br /> S WORKERS YERS'LI COMPENSATION WC067961230(AOS) 4/1/2026 4/1/2027 X 8 AND ROPRIE ERS"LIABILITY YIN WC0 13711885(CA) 41112026 4/112027 STATUTE ER" _
<br /> ANYPROPRIFTORfPARTNEEEEXFCUTIVE E.L.EACH ACCIDENT $2,000,000
<br /> OFF#CERIMEMBEREXCLUOE67 � N1A
<br /> (Mandatory in NH) E,L.DISEASE-EA EMPLOYEE $2 0000,000 IF yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000.000
<br /> C Professional Liability RLUSP26000552026 4/1/2026 4/1/2027 Per Claim $2,000,000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: KHA Project#094082401 -SOUTH MAIN ART INITIATIVE Agreement#A-2022-204-01.The City of Santa Ana,its officers,employees,agents,volunteers
<br /> &representatives are named as Additional Insureds with respects to General Liability where required by written contract.The above referenced liability policies
<br /> with the exception of workers compensation&professional liability are primary&non-contributory where required by written Contract.Should any of the above
<br /> described policies be cancelled by the issuing insurer before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)
<br /> will be provided to the Certificate Holder.Waiver of Subrogation in favor of Additional Insured(s)where required by written contract&allowed by law.
<br /> APPRQVff?
<br /> CERTIFICATE HOLDER By Tu Tran Nguyen at 3:19 pm,Mar 2r),2026
<br /> 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, M-36
<br /> CIPIDesign Engineering
<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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