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Digitally signed by Tori Pierson
<br />Tori Pierson Date: 2022.03.22 13:01:49
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<br />ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />1
<br />`.�
<br />03/21 /2022
<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 />Baker, Romero & Associates Insurance Brokers, Inc.
<br />CONTACT
<br />Christine R Sousa
<br />PHONE FAX
<br />A/C No Ext : (626)332-2258 A/C, No): (626)339-9921
<br />750 Terrado Plaza #238
<br />E-MAIL
<br />ADDRESS: Christine@bakerromerO.COm
<br />Covina, CA 91723
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />License #: OG22790
<br />INSURER A: TRAVELERS PROPERTY CASUALTY CO. OF AMERICA
<br />25674
<br />INSURED
<br />Galvin Preservation Associates Inc.
<br />INSURER B: Continental Ins Co
<br />20443
<br />DBA GPA Consulting
<br />INSURERC:
<br />840 Apollo Street, Suite 312
<br />INSURER D :
<br />El Segundo, CA 90245
<br />INSURER E:
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 00002920-15772217 REVISION NUMBER: 1007
<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 />POLICY NUMBER
<br />POLICY EFF
<br />(MM/DD/YYYY)
<br />POLICY EXP
<br />(MM/DDIYYYY)
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />680-4H777478-22-47
<br />03/14/2022
<br />03/14/2023
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAMS -MADE X OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GEML AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY ECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />BA-4R690875-22-47
<br />03/14/2022
<br />03/14/2023
<br />Ea acccdentSINGLE LIMIT
<br />$ 1,000,000
<br />X
<br />BODI LY I NJURY (Per person)
<br />$
<br />ANY AUTO
<br />BODI LY I NJURY (Per accident)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP-OJ605520-22-47
<br />03/14/2022
<br />03/14/2023
<br />EACH OCCURRENCE
<br />$ 7,000,000
<br />AGGREGATE
<br />$ 7,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />X
<br />DED I
<br />I RETENTION $ 10000
<br />Prod/Co Ops
<br />$ 7,000,000
<br />A
<br />IONILIT
<br />AND EMPLOYERS' LIABILITY
<br />YERS'LIABILITY
<br />AND EMPLOYERS'
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH) Y
<br />N I A
<br />Y
<br />UB-OK1 T826877-22-47
<br />03/14/2022
<br />03/14/2023
<br />PER
<br />X STATUTE EERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Prof. Liab. $15K Ded
<br />EEH288371840
<br />03/14/2022
<br />03/14/2023
<br />$5M Per Claim
<br />retro: 3/20/12
<br />B
<br />Pollution, $15K Ded
<br />EEH288371840
<br />03/14/2022
<br />03/14/2023
<br />Aggregate
<br />$5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />A.M. Best Ratings: Travelers Property Casualty Company of America (A++ XV); Continental Casualty Company (A V); The City of
<br />Santa Ana, its officers, employees, agents and representatives are named as additional insured on this policy pursuant to
<br />written contract, agreement, or memorandum of understanding. The insurance coverage shall be primary insurance as respects
<br />the CITY, tts officers, employees, agents and representatives The following blanket forms apply to the Additional Insured
<br />attached herewith:
<br />(continued on ACORD 101 Additional Remarks Schedule)
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTIf c'An' 1 co not
<br />ni.o.n ui
<br />ACCORDANCE WITH THE POLICY PROVI
<br />_
<br />AUTHORIZED REPRESENTATIVE
<br />REVEW & APPRavET.; fir
<br />Risk Manogement ClericalAide
<br />ACORD 25 (2016/03)
<br />©1988-2015 ACORD C(imr-w w i wrv. M11 nynts resUrvt:a.
<br />The ACORD name and logo are registered marks of ACORD Printed by CRS on 03/21/2022 at 10:23AM
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