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Francine R. °1grti"5gnetl °"'"11nefl
<br />wlaaa
<br />Villareal
<br />DESMMAR-01 JBAE
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />oATE13120r0vrl
<br />8/1/2020
<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(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 License # 0757776
<br />HUB International Insurance Services Inc.
<br />4695 MacArthur Court
<br />Suite600
<br />CONTACT Juliana Bae, CISR
<br />NAME:
<br />PHONE , Et: (714) 569-2720 3817 FAx 714 784-3999
<br />(A/C, No):( )
<br />noDAREss:juliana.bae hubinternational.com
<br />Newport Beach, CA 92660
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Sentinel Insurance Company. Ltd.
<br />11000
<br />INSURED
<br />INSURER B:Navigators Specialty Insurance Company
<br />36056
<br />INSURER C
<br />Desmond, Marcello & Amster, LLC
<br />INSURER D:
<br />6060 Center Drive, Suite #825
<br />Los Angeles, CA 90045
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER- RFVISION NHMRFR-
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 />L
<br />TYPE OF
<br />ADDLSUBR
<br />INSD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD
<br />POLICY UP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />72SBANM9496
<br />8/15/2020
<br />8/15/2021
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES(Ea occu e
<br />$ 1,000,000
<br />MED UP (Any one erson
<br />$ 10,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />POLICY PEC�_ E LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />EMPLOYEE BENEFI
<br />$ 2,000,000
<br />OTHER;
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />CEOs MBINED SINGLE LIMIT anidenti$
<br />1,000,000
<br />BODI LY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />72SBANM9496
<br />8/15/2020
<br />8115/2021
<br />BODILY INJURY Per accident
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X
<br />PROPER DAMAGE
<br />$
<br />AUTOS ONLY X AUTOS ONLY
<br />A
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />72SBANM9496
<br />8/15/2020
<br />8/15/2021
<br />DED I X I RETENTION$ 10,000
<br />$
<br />WORKERS COMPENSATIONOTIK AND EMPLOYERS' LIABILITY YIN
<br />AOFFICERNEMBEER EXCLUDED?ECUTIVE ❑
<br />(Mandatory in NH)
<br />If yes, describe under
<br />N/A
<br />STATUTE ER
<br />EL EACH ACCIDENT
<br />$
<br />EL.DISEASE -EA EMPLOYE
<br />It
<br />DESCRIPTION OF OPERATIONS be.
<br />E.L. DISEASE -POLICY LIMIT
<br />$
<br />B
<br />E&O - Claims Made
<br />CE19MPL5952011C
<br />4116/2020
<br />4116/2021
<br />Each Claim
<br />2,000,000
<br />B
<br />Retro Date 411191
<br />CE19MPL5962011C
<br />4116/2020
<br />4116/2021
<br />Aggregate
<br />2,000,000
<br />DESCRIPnONOFOPER nONS/LOCATIONS/VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />RE: Contract # A-2011-069, A-2015-157 and A-2 15-160. City of Santa Ana, its officers, employees, agents, volunteers & representatives are additional
<br />insureds with respect to general liability per SS0008 04 05, pg 17-20, includes primary/non-contributory. 30 days notice of cancellaion, 10 days for
<br />non-payment of premium, will be delivered per policy provisions.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD
<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 />AUTHORIZED REPRESENTATME
<br />thilthi_ ewEC & ganRON(ED vrt
<br />REMEWED6APPROYED BY:
<br />© 1988-2015 ACORD C o, 'a.Tx..n[ P_ V`°"d
<br />gMMOM
<br />Risk Management Analyst
<br />
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