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Last modified
8/15/2024 2:55:11 PM
Creation date
11/18/2021 1:37:33 PM
Metadata
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Template:
Contracts
Company Name
BEST BEST & KRIEGER LLP
Contract #
A-2021-217
Agency
City Attorney's Office
Council Approval Date
11/2/2021
Insurance Exp Date
4/30/2025
Notes
For Insurance Exp. Date see Notice of Compliance
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DATE(MMIDDIYYYY) <br /> ACORO" CERTIFICATE OF LIABILITY INSURANCEF4/30/2025 4/26/2024 <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 Lockton Insurance Brokers, LLC CONTACT <br /> NAME: <br /> 777 S.Figueroa Street, d FL PHONE <br /> CA License 4OB99399 E-MAILS Ext: _ o <br /> Los Angeles CA 9001 ADDRESS: <br /> (213)689-0065 I SURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:V 1j e 7 <br /> INSURED Best Best&Krieger LLp INSURER B:t „Q. 'Y UY C 1 <br /> 1312669 3390 University Ave,5th Floor INSURER c <br /> Riverside CA 92501 IN ER' : • <br /> E, • • • <br /> ,1111101111111111, <br /> VIN F: <br /> COVERAGES A M 7 • UM <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW F AVF BEEN ISSUED TG1 T IN AM A OVE 19QA 4HE ERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT'_)N -)F ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFURuED 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE <br /> A X �' N 35894252 4/30/2024 4/30/2025 <br /> CLAIMS-MADE x OCCUR PREM SESOEa oNcurrDence $ 1,000,000 <br /> X Deductible:$0 MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ I11C1UC1ed. <br /> JECT <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY N N 73555244 4/30/2024 4/30/2025 Ea aBcideDtSINGLE LIMIT $ 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS XXXXXXX <br /> X HIRED X NON-OWNED rPROPERTY DAMAGE $ XXXXXXX <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ XXXXXXX <br /> UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX <br /> DED I I RETENTION$ $ XXXXXXX <br /> WORKERS COMPENSATION PER OTH- <br /> B AND EMPLOYERS'LIABILITY N 71750505 4/30/2024 4/30/2025 x <br /> Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 000 000 <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Santa Ana,its officers,employees and agents are Additional Insured to the extent provided by the policy language or endorsement issued or approved by the <br /> insurance carrier.Coverage provided is primary and non-contributory.Waiver of Subrogation applies per attached endorsement(s).30 Days Notice of Cancellation applies per <br /> attached endorsement(s). <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 11767171 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City Of Santa Ana ACCORDANCE WITH THE POLICY PRC <br /> Risk Management Division ��pt��t <br /> 20 Civic Center plaza,4th loot AUTHORIZED REPRESENTATIVE REVIEWED&APPROVED BY: <br /> Santa Ana CA 92701 44 Aecv44 <br /> ® Risk Management Specialist <br /> r <br /> ©1988-20 ACORD <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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