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CWE0000-01 TKARUNA
<br /> Ar o�RO CERTIFICATE OF LIABILITY INSURANCE DATE`MMIDD'YYYY)
<br /> 1/27/2026
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 Donna Jones
<br /> NAME:
<br /> HUB International Insurance Services Inc. PHONE FAX
<br /> 600 Corporate Pointe (A1C,No,Extl: (AiC,No):
<br /> Suite 600 At flRess: na.jones@hubinternational.com
<br /> Culver City,CA 90230
<br /> INSURERS AFFORDING COVERAGE NAIC p
<br /> INSURER A:Crum&Forster Specialty Insurance Com an 44520
<br /> INSURED ENSURER B:National Fire&Marine 20079
<br /> CWE 1561 E.Orangethorpe Avenue INSURER C:Pacific Cam ensatic n Insurance Company_11555
<br /> Suite 240 INSURER D:
<br /> Fullerton,CA 92831 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 /> INSR ADDL SUER
<br /> TYPE OF INSURANCE p D POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,0001000
<br /> CLAIMS-MADE OCCUR X X EPK-164748 1218l2025 1218I2026 DAMAGE TO RENTED 100,000
<br /> PREMISES Ea occ rrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000
<br /> POLICY JECT Loc 4,000,000
<br /> PRODUCTS-COMP/OP AGG $
<br /> OTHFR: POLLUTION LIABI $ 2,000,000
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> ANYAUTO X X 72APBO11724 Eaaccid nt $
<br /> OWNED SCHEDULED 6/612025 6/6/2026 BODILY erson $
<br /> AUTOS ONLY X AUTOS
<br /> HIRED BOf71LY INJURY Par accident $
<br /> X AUTOS ONLY X AUTOS ONLY PROPERTY AMAGE
<br /> Per accident $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> X EXCESS LIAR CLAIMS-MADE EFX-141385 12/812025 121812026 AGGREGATE $ 1,000,000
<br /> DED RETENTION$
<br /> C WORKERS COMPENSATION _
<br /> AND EMPLOYERS'LIABILITY X STATUTE ERH
<br /> ANY PROPRIETORIPARTNEPJEXECUTiVE YIN X 1025483 12/112025 12/1/2026 i,000,OOD
<br /> OFFICERIMEMBER EXCLUDED? N 1 A E.L.EACH ACCIDENT $
<br /> (Mandatory in NH) 1 1000 000
<br /> If yes,describe under E.L.DISEASE-EA EMPLOYE $
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> A Professional Liabili X EPK-164748 1218/2025 12/8/2026 Each Wrongful Act 2,000,000
<br /> A Professional Liabili }( EPK-164748 12/812025 12/812026 Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:Project Name:RFP 20.102.
<br /> Revised 01-27-2026 This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured.
<br /> The City of Santa Ana,20 Civic Center Plaza,Santa Ana,California 92701;officers,agents,employees,representatives and volunteers are Additional Insured
<br /> with regard to General Liability when required by written contract per the attached endorsement form#EN0111 02111.Primary&Non-Contributory wording
<br /> applies with regard to General Liability when required by written contract per the attached endorsement form#EN0147 11111,Waiver of Subrogation with
<br /> regard to General Liability applies when required by written contract per the attached endorsement form#EN0147 11111.Per Project Aggregate applies with
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 9:01 am,Jan 28,2026
<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 /> Attn:PWA PFFR ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> 0UxZ13_
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION, All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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