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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />A� " CERTIFICATE OF LIABILITY INSURANCE
<br />[ �, , n, n, , -n,, 0
<br />DATE (MM/DD/YYYY)
<br />8/31/DD/Y
<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
<br />Risk Strategies Company
<br />CONTACT
<br />NAME: Risk Strategies Company
<br />2040 Main Street, Suite450
<br />Irvine, CA 92614
<br />PHONE
<br />Ext: 949-242-9240 FAX,No:
<br />E-MAIL
<br />ADDRESS: syoung@risk-strategies.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Travelers Indemnity Company of CT
<br />25682
<br />www.risk-strategies.com CA DOI License No. OF06675
<br />INSURED
<br />IDS Group Inc.
<br />1 Peters Canyon Rd., Ste 130
<br />Irvine CA 92606
<br />INSURER B : Travelers Property Casualty Co of America
<br />25674
<br />INSURERC: Travelers Casualty and Surety Co America
<br />31194
<br />INSURER D7
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: F,nrsg145 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />�/
<br />COMMERCIAL GENERAL LIABILITY
<br />✓
<br />6809H717919
<br />5/1/2021
<br />5/1/2022
<br />EACH OCCURRENCE
<br />$$2,000,000
<br />CLAIMS -MADE EVI OCCUR
<br />DAMAGE TO
<br />PREMISES (EaoccurrDenC.)$$1,000,000
<br />VIED EXP (Any one person)
<br />$$10,000
<br />PERSONAL & ADV INJURY
<br />$$2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$$4,000,000
<br />PRO -
<br />POLICY ✓� ECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ $4,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />✓
<br />BA8F335897
<br />5/1/2021
<br />5/1/2022CO
<br />cccideDtSINGLELIMIT)
<br />$$1'000'000
<br />✓
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />✓
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY ✓ AUTOS ONLY
<br />B
<br />�/
<br />UMBRELLA LAB
<br />�/
<br />OCCUR
<br />CUP71<299343
<br />5/1/2021
<br />5/1/2022
<br />EACH OCCURRENCE
<br />$$9,000,000
<br />AGGREGATE
<br />$$9,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED ✓ RETENTION $0
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY /N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑
<br />UB4K463295
<br />5/1/2021
<br />5/1/2022
<br />PER
<br />,/ STATUTE EERH
<br />E.L. EACH ACCIDENT
<br />$$1,000,000
<br />OFFICER/MEMBER EXCLUDED?
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$$1,000,000
<br />C
<br />Professional Liability
<br />107008332
<br />11/12/2020
<br />11/12/2021
<br />Per Claim: $3,000,000
<br />Aggregate: $ 3 , 0 00 , 0 00
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Re: Agreement #2018-185 & 2016-136; A-2021-058; A-2020-230-01; RFP #18-031.
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to
<br />written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary,
<br />and any insurance carried by City shall be excess and noncontributory.
<br />City will be mailed 30 days written notice of policy cancellation.
<br />CERTIFICATE HOLDER CANCELLATION
<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: Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE
<br />N RA Management Division
<br />RSC Insurance Brokerage 3 r REVIEWED &APPROVED BY.-
<br />© 1988-2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �' Risk Management Analyst
<br />63689145 121-22 GL-AL-UL-WC, 20-21 PL Sherry Young 18/31/2021 4:23:14 PM (PDT) I Page 1 of 8
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