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'`"Ic " CERTIFICATE OF LIABILITY INSURANCE
<br />°"TE(MwuB ""'
<br />04/28/2020
<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(les) 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 />CD TACT
<br />NA E. Cathy Service Van Wyke-Stahl
<br />Sergeant Insurance Agency, LLC.
<br />PxoxE (818) 561-2600 FAX (818) 436-5908
<br />ac xo
<br />7740 Painter Avenue #210
<br />E.M,UL
<br />ADDRESS,
<br />INSURE S AFFORDING COVERAGE
<br />NAICR
<br />Whittier
<br />INSURER A: Liberty Mutual Insurance
<br />INSU
<br />36940
<br />CA 90602
<br />INSURED
<br />,,,,Be, e: EMPLOYERS PREFERRED INS. CO.
<br />10346
<br />IN suRERc: Indian Harbor Insurance Co
<br />24082
<br />BARTEL ASSOCIATES. LLC
<br />INSURER D: Philadelphia Ins. Co.
<br />18058
<br />411 SOREL AVE STE 602
<br />INSURER E:
<br />SAN MATEO CA 94402-3525
<br />INSURER F:
<br />"" RGYIOIV IY IYUIYI6CK:
<br />ABOVE FOR THE
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOEOROTHER
<br />POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTT WITH RESPECT
<br />TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIEIS SUBJECT
<br />TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BYILTR
<br />TYPEOFINSURANCE
<br />AOD
<br />SUBRPOLICYNUMBER
<br />POLICY EFF
<br />"RESPECT
<br />QMTSX
<br />COMMERCIALGENERAL LIABILITY
<br />URRENCE
<br />s 2,000.000.00CLAIMS-MADE❑X
<br />CGCUftORE
<br />T
<br />Ea accunence
<br />s 2.000,000.00M
<br />S 15,000.00A
<br />wommon)
<br />Y
<br />Y
<br />BKS(20) 57297374
<br />09/01/2019
<br />09/0V202PERSONAL&ADV
<br />INJURY
<br />S 2,000,000.00
<br />GEN'L
<br />X
<br />AGGREGATE UMITAPPLIES PER:
<br />PRO- 1-1LOC
<br />❑
<br />GENERALAGGREGATE
<br />g 4,000,000.00
<br />PRODUCTS-COMPIOP AGO
<br />S 4,000,000.0
<br />POLICY JECT
<br />OTHER:
<br />E
<br />AUTOMOSILELIABILRY
<br />COMBINED SINGLE LIMIT
<br />Ea a¢ident
<br />S 1'000,000.00
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />S
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY As
<br />BAS 2
<br />(20) 57297374
<br />09/01/2019
<br />09/01/2020
<br />BODILY INJURY IPer accieen0
<br />$
<br />X
<br />HIRED x NON -OWNED
<br />AUTOS ONLY AUTOSS ONLY
<br />PROPERTY pAMAGE
<br />S
<br />Per a¢idenl
<br />S
<br />UMBRELLA Me
<br />OCCUR
<br />EACH OCCURRENCE
<br />§
<br />AGGREGATE
<br />§
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DEO I I RETENTIONS
<br />§
<br />WORKERSCOMPENSATION
<br />X/
<br />AND EMPLOYERS' LIABILITY YIN
<br />RE
<br />B
<br />ANYPROPRIETORP
<br />OFFICERIMEARIERUC UDEDXEGUTIVE
<br />NIA
<br />Y
<br />EIG 2685705-01
<br />09/01/2019
<br />09/01/2020
<br />E.L. EACH ACCIDENT
<br />g 1,000,000.00
<br />(Mandatory In NH)
<br />II yes, describe uMIer
<br />EL DISEASE -EA EMPLOYEES
<br />1,000,000.00
<br />E.L.DISEASE-PODGY LIMIT
<br />E 1,000,000.00
<br />DESCRIPTION OF OPERATIONS Miaw
<br />Misc. Professional Liability
<br />am m a a m
<br />,
<br />C
<br />MPPOO1715215
<br />09/01/2019
<br />09/01/2020
<br />Dam Lim (Pol Agg)
<br />5,000,000.00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be sUached if more space is required)
<br />D: CYBER LIABILITY -PHSD1521412- 02/12/2020 - 02/12/2021 - POLICY AGGREGATE 2,000.000- DEDUCTIBLE 10,000
<br />CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND REPRESENTATIVES ARE HEREBY NAMED AS AN ADDITIONAL INSURED
<br />BY
<br />CONTRACT ON POLICY # SKS (20) 57297374 and SAS (20) 57297374 AS RESPECTS TO OPERATIONS OF THE NAMED INSURED ONLY, SEE
<br />CG2010.
<br />COVERAGE UNDER POLICY # BKS (20) 57297374 & SAS (20) 57297374 IS PRIMARY AND NON-CONTRIBUTORY ABOVE ANY OTHER INSURANCE
<br />THE CERTIFICATE HOLDER(S) MAY CARRY. 30 DAY NOTICE OF C T
<br />& o
<br />REVIEWED
<br />Epirw N
<br />City of Santa Ana
<br />Finance & Management Services
<br />20 Civic Center Plaza
<br />Santa Ana
<br />nww c� to 1 erve/
<br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />CA 92701
<br />t ne Auuttu name and logo are registered marks of ACORD
<br />reserved_
<br />
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