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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />A� " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE DD/Y4/O
<br />04/05/2021
<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 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 />Bannister & Associates Insurance Agency
<br />CA License #0691071
<br />CONTACT
<br />NAME: Kerry Wakely
<br />PHONE FAX
<br />A/C No Ent: (714) 536-6086 A/C,No: (714) 536-4054
<br />E-MAIL
<br />ADDRESS: kerry@bai-ins.com
<br />305 17th Street
<br />Huntington Beach CA 92648-4209
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA:Continental Casualty Company
<br />20443
<br />INSURED (949) 399-9050
<br />Townsend Public Affairs, Inc.
<br />INSURER B: Nationwide Mutual Insurance Co
<br />23787
<br />INSURER C:Oak River Insurnace Company
<br />34630
<br />INSURER D: AXIS Surplus Insurance Company
<br />26620
<br />1401 Dove Street, Suite 330
<br />INSURER E:
<br />Newport Beach CA 92660
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: Cert ID 4859 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 />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE IX I OCCUR
<br />Y
<br />B 6074573557
<br />08/31/2020
<br />08/31/2021
<br />PREM SESOEa occurD,.nce
<br />$ 300,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ Excluded
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER :
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY ❑PRO JECT [X]LOC
<br />PRODUCTS - COMP/OPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLELIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />B
<br />ANY AUTO
<br />Y
<br />ACP 3038752757
<br />05/01/2021
<br />05/01/2022
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />B 6074573560
<br />08/31/2020
<br />08/31/2021
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ 10,000
<br />$
<br />WORKERC AND
<br />EMPLOYERTIONS'
<br />AND EMPLOYERS' LIABILITY Y/N
<br />Y
<br />TOWC121809
<br />07/01/2020
<br />07/01/2021
<br />X STATUTE OERH
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 11000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability
<br />P-001-000144554-02
<br />07/31/2020
<br />07/31/2021Limit
<br />(each
<br />claim)
<br />g 2,000,000
<br />(claims -made form)
<br />Retention: $5,000
<br />Limit (aggregate):
<br />$ 4,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />City of Santa Ana, its officers, agents, employees, and volunteers are named as additional insureds
<br />with respects general and auto liability policy limits. Primary and non-contributory wording
<br />applies with respects general and auto liability policy limits. Waiver of subrogation applies with
<br />respects worker's compensation policy limits. 30-day notice of cancellation for underwriting
<br />reasons and 10-day notice of cancellation for non-payment of premium will be sent in the event of
<br />company election.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF,
<br />NOTICE WILL
<br />BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza,
<br />AUTHORIZED REPRESENTATIVE
<br />4th Floor
<br />"BRA"`F
<br />12iSIeMwag709erdDMsiun
<br />Santa Ana CA 92701
<br />z
<br />REVIEWED & APPROVED BY.-
<br />© 1988-2015 ACORD C
<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD
<br />'
<br />Risk Management Analyst
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