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PENCO, A CANNON COMPANY (3)
INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES n MAYOR Vl • `.22 Vicente Sarmiento MAYOR PRO TEM CLERK Of COUNCIL Phil Bacema DATE: COUNCILMEMBERS David Penaloza Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan 0 .TWA(Fj yi) [AU�2 Penco, a Cannon Company 1050 Southwood Drive San Luis Obispo, CA 93401 Attn: Larry Kraemer CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.om (714)647-3320 April 12, 2022 A-2019-117-03A CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Agreement To Provide Engineering, Technical, and Administrative Su000rt Services Agreement No. A-2019-117-03 Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Penco, a Cannon Company, and the City of Santa Ana, dated July 16, 2019, the time period of the Agreement is hereby extended for an additional two-year period, from July 15, 2022 through July 14, 2024. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, � 1V44� �Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM Sonia R. Carvalho City Attorney By: B on Salvatierra Deputy City Attorney ATTEST Daisy Gomez, MMC Clerk of the Council PENCO, A CANNON COMPANY Larry I aemer Director, Public Infrastructure SANTA ANA CITY COUNCIL Vicente 6annienlo DaNd Penaloze Thai Viet Phan Jessie Lopez Phil 9acena Johnalhan Ryan Hemaeez Neiida Mendoza Mayor Ward Wadi Wards Mayor Pm Tam, Ward J Wad5 Wad ,eannionlooUsanto,anaam doenabza0,o1a-ana.om lohad5sonta-anaom iessielooezhDsania-ana om oba,emdssanla-anaom inanhenandezbhadaana om nmend,apsanta-are om Tori Pierson lineally signed by rod Nepoa Date: 2021.10.1211:90,49 L700' A� " CERTIFICATE OF LIABILITY INSURANCE °AT�o;5,202� " 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssureclPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 CONTACT NAME: Bdttlnl Aberty PHONE FAX A/C No AmmEss: Brittini.Albe AssuredPartners.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Continental Insurance Company 35289 License#: 6003745 INSURED CANNCOR-02 Cannon Corporation 1050 Southwood Drive INSURER B : Valley Fore Insurance Company 20508 INSURER c: Beazley Insurance Company Inc 37540 INSURER D: HARTFORD INSURANCE COMPANY 38288 San Luis Obispo CA 93401 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 23760527 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF QMMIDDIYYYYJ POLICY UP (MINCID/YTTY)LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 6079204724 9/1/2021 9/1/2022 EACH OCCURRENCE $1,000.000 CLAIMS -MADE Fx7OCCUR DANIA ET RENTED PREMISES Ea occurrence $500,000 X MED UP (Any one perean) $15,000 Contractual Liab InGuded PERSONAL ,$ ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY PO -JET FX LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: AUTOMOBILELIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per aural $ A X UMBRELLA LIAR X OCCUR Y Y 6079210751 9/1/2021 9/1/2022 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 EXCESS LIAB CLAIMS -MADE DEO X RETENTION$ in mm $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N Y 57WEAD8G7X 9/1/2021 9/1/2022 X SPER TATUTE ERH E.L. EACH ACCIDENT $1.000,000 ANYPROPRIEfOMPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED9 ❑ NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory to NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional LlabOity V27737190101 9/1/2021 9/1/2022 Par Claim $2,000,000 Annual Aggregate $2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Umbrella Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. RE: City of Santa Ana on Project #A2019-1174-03 , A-2020-153-03, A-2021-075-03 / Cannon #190815 City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as an additional insured as respects general liability as required per written contract or agreement. General Liability are Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s). Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation ly9i1liPTG11�i12-1 . - Sac D7 a.WLVLai `F9pJ--vlc°nrR-LllR:ncHalf:u011 City of Santa Ana Attn: Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Risk Mo,ageea t obworr laNttzm 1, Mrrtw®Br.76to6vaaa par U 19HU-2U15 AGURD G( ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. It. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, Feld orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: GNA75079XX (10-16) Poll Page 1 of 2 Endorseme VALLEY FORGE INSURANCE COMPANY Effective �nm,rtA.�•„e,m�raa� Insured Name: CANNON CORPORATION Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2, the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Poll &A ®Itc Page 2 of 2 Endorseme VALLEY FORCE INSURANCE COMPANY %ou >�itwoa Insured Name: CANNON CORPORATION Effective-xwrma,doenm,onml.tiue 00 copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its peuwssiuu. CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WHOM THE CONTRACT OR AGREEMENT TO WAIVE SUCH CONTRACT OR AGREEMENT: NAMED INSURED HAS AGREED IN WRITING IN A RIGHTS OF RECOVERY, BUT ONLY IF SUCH 1.IS IN EFFECT OR BECOMES EFFECTIVE DURING THE TERM OF THIS COVERAGE PART; AND 2.WAS EXECUTED PRIOR TO THE BODILY INJURY, PROPERTY DAMAGE OR PERSONAL AND ADVERTISING INJURY GIVING RISE TO THE CLAIM. (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) Under COMMERCIAL GENERAL LIABILITY CONDITIONS, it is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following: With respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work included in the products -completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (10-16) Page 1 of 1 VALLEY FORGE INSURANCE COMPANY Insured Name: CANNON CORPORATION Copynght CNA All Rights Reserved. Poll `• ' Rik M.,grrr.,ttxame RwN 6APPRWm Br Endorseme It 7ou Puy EffectlVE �` Rok Marvgrnn,I ClmralNtle 00 Includes copyrighted material of Insurance services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 57WEAD8G7X Endorsement Number: Effective Date:09/01/2021 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Cannon Corporation 1050 Southwood Drive San Luis Obispo, CA 93401 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by by RB kM..&a 5;; t��iMrxwmBr: A 8>��"r�x' %u Picvex Form WC 04 03 06 (1) Printed in U.S.A. "NNWahuc--1 wde Policy Ex00 r DATE IMMIDONYYYI y� AC pRD® 0910212021 CERTIFICATE OF LIABILITY INSURANCE ACCt#:21107366 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON AFFINITY, LLC P.O. BOX 879610 CONTACT NAME: LOCKTON AFFINITY, LLC PHONE INC. No, Ext). 888-828-8365 FAX INC. No): 913E524599 E-MAIL ADDRESS: KANSAS CITY, MO 64187-9610 INSURERS AFFORDING COVERAGE NAIC# INSURER A. Old Republic Insurance Company 24147 INSURED Cannon Corporation INSURER B 1060 Southwood Dr INSURER C: INSURER D: San Luis Obispo, CA 93401.581 J INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR1 ADDL.SUBRI POLICY EFF POLICY E%P LTR TYPE OFINSURANCE INSDI WVD POLICY NUMBER 1(MMIODMTTY) (MM)DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S "', DAMAGE TO RENTED ;� iT] CLAIMS- OCCUR ac 5 1 MED EXP Anyoneperson) . 5 PERSONAL 8 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL ASI S POLICY nPRO- �cc LJ.IECT PRODUCTS-COMPIOP AGO 1 S OTHER S A 1 AUTOMOBILE LIABILITY X X I L315536-21 i09101/2021 0911112021 INED IN L LIMIT1 $ 1,Ooo,coc _ ! Ea accident FS ANY AUTO BODILY INJURY IPerperson) OWNED '. SCHEDULED iBODILY INJURY (Per accidten AUTOS ONLY _ AUTOS ) 5 HIRED NON -OWNED ;PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY UMBRELLA DAe OCCUR EACH OCCURRENCE EXCESS DAB �— CLAIMS -MADE AGGREGATE S S DEC 1 RETENTION $ vVORKERS COMPENSATION PER OTH- AND EMPLOYERSLIABILITY YIN _ I STATUTE ER ANYPROPRIEfORIP.ARTNER/EXECUDV E E.L. EACH ACCIDENT OFRCERIMEMBER EXCLUDED' NIA PV (Mandatory in NH) EL. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be amached A more seen, is required) GPBR:f2FL5 POLICY PROVIDES PROTECTION FOR ANY AND ALL OPERATIONSIJOW PERFORMED By THE NAMED INSURED WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER IS AN ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION INCLUDED BY WRITTEN CONTRACT. INSURANCE IS PRIMARY AND NON-0ONTRIBUTORY.City of Santa Ana, its ofcaba, agents and repdaenno— are Additional barrels withrespect to Auto Liability as required by women contract. Insurance is lenders and Non -Contributory. 300ays' Notice of Cancellation with 10 Days' Notice for Not -Payment of Premium In accordance enthrall, provisions. Project 9420194174-03. Cannon 0190815, City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ��'�(///. �R C( © 1988-2016 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 76u Prkeddn �RidMarsagertesm Oa+iralNtle 00 NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Cannon Corporation Name: Project A-2019-117-03A Number: Extension of Agreement To Provide Engineering, Technical, Project and Administrative Support Services Agreement No. A-2019- Name: 117-03 The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: EXPIRATION TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME DATE City of Santa AUTOMOBILE LIABILITY L31553622 09/01/2023 09/06/2022 Ana_auto .pdf CERT- GENERAL LIABILITY 6079204724 09/01/2023 09/01/2022 1797123285.pdf CERT- PROFESSIONAL LIABILITY V27737210401 09/01/2023 09/01/2022 1797123285.pdf WORKERS COMPENSATION AND EMPLOYERS' CERT- 57WEOL6H1H 09/01/2023 09/01/2022 LIABILITY 1797123285.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 9/23/2022 2:35 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Cannon Corporation Name: Project A-2019-117-03A Number: Extension of Agreement To Provide Engineering, Technical, Project and Administrative Support Services Agreement No. A-2019- Name: 117-03 The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE AUTOMOBILE LIABILITY 7040001609 09/01/2024 09/01/2023 76115394.pdf City of Santa GENERAL LIABILITY 7039996776 09/01/2024 08/28/2023 Ana....pdf POLLUTION / ENVIRONMENTAL City of Santa V27737220402 09/01/2024 08/28/2023 LIABILITY Ana....pdf WORKERS COMPENSATION AND City of Santa 72WEOL6H1H 09/01/2024 08/28/2023 EMPLOYERS' LIABILITY Ana....pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 9/13/2023 4:16 PM