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SEIT
<br /> MARKTHO-01 DATE(MMfDD1YYYT)AS
<br /> ,a►�jRa CERTIFICATE OF LIABILITY INSURANCE
<br /> 9I19I2025
<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 SUBROGATfON 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#OE67768 CONTACT Jessica McDonald
<br /> NAME:
<br /> IOA Insurance Services PHONE II
<br /> 3875 Hopyard Road (Arc,No,Ex1);(925)918-4535 FAX No):
<br /> Pleasanton,CA 94588
<br /> Suite 200 ADMDRRSS:Jessica.McDonald@ioausa.com
<br /> INSURER 5 AFFORDING COVERAGE NAIC#
<br /> INSURER A:Continental CasualtyCompany anEE 2 4443
<br /> INSURED INSURER B:The Continental Insurance Com an 35289
<br /> Mark Thomas&Company,Inc. INSURER c:Valley Fore Insurance Company-20508
<br /> 2833 Junction Avenue,Ste 110 INSURER D:
<br /> San Jose,CA 95134
<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 /> MSR ADDL SUBR
<br /> LTR TYPE OF INSURANCE p POLICY NUMBER (MMJ' POLDICY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE � OCCUR X X 7040185059 9/15/2025 9115/2026 DAMAGESE T OaENTEDence 1,000,000
<br /> MED EXP(Any oneperson) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,DO0,000
<br /> X POLICY El
<br /> PRO- ❑ LOG
<br /> 2 000,000 PRODUCTS-COMPlOP AGG $
<br /> OTHER:
<br /> A $
<br /> AUTOMOBILE LIABILITY C=�acBcid.n SINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO X X 7040183912 9/15/2025 9/1512026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON WNED PROPERTY AMAGE
<br /> AUTOS ONLY AUTO ONLY Per accident $
<br /> '$ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> X Excess LIAB CLAIMS-MADE 7040283234 9/15/2025 9/1512026 AGGREGATE $ 9,000,000
<br /> DE❑ RETENTION$
<br /> C WORKERS COMPENSATION - _
<br /> AND EMPLOYERS'LIABILITY X STATUTE pRH
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N X 7040274025 911512025 911512026 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? N 1 A LEF'AACCIDENT
<br /> (Mang-toryInNHi SE-EA EMPLOYE $ 1,000,000
<br /> Ifyes,describe underDESCRIPTION OF OPERATIONS below SE-POLICY LIMIT $ 1,000,000
<br /> Dig€tallysigned
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additicnal'Remarks Schedule,maybe attached If more space Is required) Nguyen
<br /> 23-00056
<br /> 23-00056 y
<br /> Ng U en°ate:2025.tn.0s
<br /> 141055-07'e0'
<br /> Re:Santa Ana-On-Call Engineering Services
<br /> City of Santa Ana,its officers,officials,employees and volunteers,named as additional insureds.
<br /> The Workers Compensation 1 Employers Liability Deductible is none. APPROVE
<br /> By Tu Tran Nguyen at 2:19 pm,Oct 08,2025
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> Attention:Public Works Agency, AUTHORIZED REPRESENTATIVE
<br /> CIPIDesign Engineering
<br /> 20 Civic Center Plaza
<br /> ISanta Ana.
<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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