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,trcoRo� CERTIFICATE OF LIABILITY INSURANCE
<br />L..1
<br />DATE(MMIDDNYYY)
<br />06/17/2021
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Newfront Insurance Services, LLC
<br />55 2nd Street
<br />CONTACT
<br />NAME: Brandy Ahearn
<br />PH°NE . (415) 754-3635 IAJC No):
<br />M.
<br />E-MAIL ADDRESS: brandy.ahearn@newfront.com
<br />ahearn@newfront.com
<br />Floor 18
<br />San Francisco CA 94105
<br />1NSURER(S) AFFORDING COVERAGE
<br />NA1C#
<br />INSURER A: Everest Indemnity Insurance Co
<br />10851
<br />INSURED
<br />INSURER S : Everest Denali Insurance CO
<br />16044
<br />Citiguard, Inc
<br />INSURERC: Everest National Insurance Co
<br />10120
<br />INSURERD: Landmark American Ins Co
<br />33138
<br />22736 Vanowen St Ste 300
<br />West Hills CA 91307
<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 />ILTR
<br />TYPE OF INSURANCE
<br />AOOL
<br />SUBR
<br />POLICY NUMBER
<br />MMfD�mW
<br />MMfD�YfYYYY
<br />LIMITS
<br />X
<br />COMMERCIALGENERALLIABILITY
<br />CLAIMS -MADE OCCUR
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Eaoccurrencs
<br />$ 100,000
<br />MED EXP (Any one person)
<br />S 10,000
<br />PERSONAL S ADV INJURY
<br />$ 1,000,000
<br />A
<br />X
<br />51 GLO14701-211
<br />03/26/2021
<br />03/26/2022
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY O JEfl LOG
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,000
<br />PER PROJECT AGGREGATE
<br />$ 2,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBaccidentINED SINGLE LIMIT
<br />Ea
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person}
<br />$
<br />ANY AUTO
<br />B
<br />ALL
<br />AUTOS OWNED
<br />AUTODULED
<br />51 CAD00588-211
<br />03/26/2021
<br />03/2612022
<br />BODILY INJURY (Per accident)
<br />$
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,0130
<br />A
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />51 CC005874-211
<br />03/26/2021
<br />03126/2022
<br />DED I X I RETENTION $ 10000
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS" LIABILITY Y / N
<br />ANYPROPRIETOPJPARTNERIE.XC OF ICERIM MB REXCLUDED? ECUTFVE
<br />(Mandatory In NH)
<br />NIA
<br />5300004557
<br />03/2612021
<br />03I2612022
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,()00
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Errors and Omissions/
<br />Professional Liability
<br />Occurrence
<br />LHR842349 00
<br />02/10/2021
<br />03/26/2022
<br />Each occurrence: $1,000,000
<br />General aggregate: $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or
<br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
<br />noncontributory. 30 days notice of cancellation applies. Per Project general aggregate limit applies.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL
<br />BE DELIVERED IN
<br />Risk Management DivisionACCORDANCE
<br />WITH THE POLICY PROVISIONS.
<br />20 Civic Center Piz FI 4
<br />AUTHORIZED REPRESENTATVVE 1 tEVIQ
<br />WED & APPRQ
<br />Santa Ana
<br />CA 92701
<br />y I
<br />MANACfEMENT DIVI
<br />I
<br />/ED
<br />SION
<br />©1988-2014 ACORD CORP RATIO ti%r ed.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1 1�}
<br />SAMANTHA M. LAMBERT
<br />
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