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ARDURRA-01 KMCGl1FFIN
<br /> AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMl1DD;YYYY)
<br /> 215/2026
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 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 /> NAME
<br /> Ames 8,Gough PHONE
<br /> 8300 Greensboro Drive (A/C,No,Ext):(703)827-2277 {tire,No),(703)$27-2279
<br /> Suite E-MAIL
<br /> McLeann,,VA 22102 DRSS,admin@amesgough.com
<br /> INSURER(§ AFFORDING COVERAGE NAIC ff
<br /> INSURERA:Charter Oak Fire Insurance Com an A++ XV 25615
<br /> INSURED INSURER B;Phoenix Insurance COm an A++ Xl,/ 25623
<br /> Ardurra Group,Inc, INSURER C:Travelers Property Casualty Company of America,A++,XV 25674
<br /> 1000 N.W.57th Court,Suite 800
<br /> Miami,FL 33126 INSURER D:National Fire&Marine Insurance Company A++X 20079
<br /> 12
<br /> INSURER E;
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 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 /> IN SR90THER�
<br /> OF INSURANCE ADDL SUBR PO oY EFF POLICDY EXP LIMITS
<br /> p POLICY NUMBER
<br /> AL GENERAL LIABILITY
<br /> EACH OCCURRENCE $ 1,000,000
<br /> MADE ❑X OCCUR X X 630-5X487435 111l2026 1/1/2027 DAMAGE To RENTED 1,000,000
<br /> PREMI ES Ea ccurrence $
<br /> al Liab.
<br /> MED EXP An one arson $ 15,000
<br /> PERSONAL BADVINJURY— $ 1,000,U01}
<br /> E LIMIT APPLIES PER: GENERAL AGGREGATE $ 210001000
<br /> JEC D LOC 2,000,000
<br /> PRODUCTS-COMPIOP qGG $
<br /> 13 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,00O,OOU
<br /> Es cciden $
<br /> X ANYAUTO X X 810-5X558309 1/112026 11112027 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-AWNED
<br /> BODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ONLY Per accEtlent DAMAGE
<br /> C X $
<br /> EXCESS LAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE X X CUP-5X642114 11112026 1/1/2027 AGGREGATE $ 5,000,000
<br /> DEC) X RETENTION$ 10,000
<br /> C IWORKERS COMPENSATION
<br /> AND EMPLOYERS'LIABILITY X STATUTE OTTH
<br /> ANY PROPRIETOWPARTNERlEXECUTIVE YIN X UB5X489557 1/112026 1/112027 1,000
<br /> FFICER/MEMBER EXCLUDED? N 1 A E.L.EACH ACCIDENT $ ,000
<br /> Mandatory In NH)
<br /> It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> D Professional Liab. X 42-EPP-306878-118 11112026 1/112027 Per ClaimlAggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:On-Call Engineering Services A-2023-088-07
<br /> The City of Santa Ana,CA,Its Officers,Employees,Agents,and Representatives are included as additional insured with respect to General Liability,
<br /> Automobile Liability,and Umbrella Liability when required by written contract.General Liability includes Additional Insured coverage for On-Going&
<br /> Completed Operations as required by written contract.General Liability,Automobile Liability,and Umbrella Liability are primary and non-contributory over
<br /> any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract.General Liability,
<br /> Automobile Liability,Workers Compensation,and Umbrella Liability policies include a waiver of subrogation in favor of the additional insureds where
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION APPROVED
<br /> By Tu Tran Nguyen of 9:00 am,Feb 06,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana,CA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) OO 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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