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Digitally signed <br />------ b <br />A`ORO CERTIFICATE OF LIABILITY G� _ y zo2zm <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE)JS NO RIGHTS UPON T T. CE . ER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OMTC�\Cp �� �1?'}kj?JO►Ip <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONT j p1EE�/ <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER I <br />vsi I <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAI (INSURED p or en . se <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 endorsementls). <br />PRODUCER <br />StatefaTm <br />AT.G. Metzger, Agent UOR0750772 <br />° 425 N. Santa Anita Ave., SURE B <br />CA 91006 <br />626-445-9643 <br />25151 <br />INSURED <br />INSURERS: <br />State Farm Mutual Automobile Insurance Company <br />25178 <br />Thompson, Scott & Bradford <br />INSURER c: <br />State Farm General Insurance Company <br />25151 <br />dba Thompson & Thompson Real Estate Valuation & Consulting <br />INSURER D: <br />State Farm Fire and Casualty Company <br />25143 <br />55 E Huntington Or STE 239 <br />INSURER E: <br />Arcadia CA 91006 <br />INSURER F: <br />rnVFRAr:FR rFGTIFIrATC NI IEAFFO• <br />esm"01na1 unasncs. <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 />TYPE OP INSURANCE <br />ADDLE <br />BR <br />POLICY NUMBER <br />POUCYEFF MWDDfYYYYI <br />MPOLICY EXP <br />OMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CWIMSIdADE Ix OCCUR <br />Y <br />Y <br />92-GT-P595-1 <br />1210512021 <br />12105/2022 <br />EACH OCCURRENCE <br />S 2.000.000 <br />PREMI ES ESE awe <br />$ 300,000 <br />GENT <br />MED EXP( one person) <br />$ 5,000 <br />PERSONAL IADV INJURY <br />$ 2,000.000 <br />AGGREGATE UNIT APPLIES PER: <br />POLICY❑JEST LOG <br />OTHER: <br />GENERALAGGREGATE <br />$ 4,000,000 <br />PRODUCTS -COMPIOPAGG <br />$ 4,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />OWNED <br />AUTOS ONLY AUTOSULEOSCHE <br />AURED NN_D TOS ONLY AUTOS MEGNLL <br />fi357121-826-75B <br />02f26/2022 <br />0212612023 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ 1,000,000 <br />DOILY INJURY(Perpmson) <br />$ <br />BODILY INJURY (Peremden0 <br />$ <br />PROPERTY <br />or e� A GE <br />S <br />$ <br />C <br />UMBRELLA LIAR <br />EXCESS me <br />ICLAIMS-MADE <br />OCCUR <br />92-G9-P932-9 <br />05/12/2021 <br />05112Y2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />DEC <br />I I RETENTION Il$ <br />D <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LNABILITY <br />ANY PROPRIETOMPARTNERIEXECUTIVE YIN <br />OFFICERIMEMSER EXCLUDED? ❑V <br />(Myes. charyln NH) er <br />0 SCRIPTION Oasibe F OPERATIONS below <br />N/A <br />Y <br />92J4-K693-9 <br />12l2212021 <br />12122l2022 <br />PER OTH- <br />6 ATUTE <br />EL EACH ACCIDENT <br />§ 1,000,000 <br />EL DISEASE -EA EMPLOYE <br />$ 1,000,000 <br />E.L DISEASE -POLICY UMR <br />$ 1,000,000 <br />DESCR TIONOFOPERATIONS1LOCATIONS1VEHICLE$(ADDLD 101, Additional Remarks SeNndule, maybe attached If more apace%required) <br />City of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to general and Auto Liability per the attached <br />endorsements as required by written contract. Insurance Is primary and Noncontributory- Waiver of Subrogation applies to Workers' Compensation, <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium In accordance with the policy provisions. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92702 <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 />AUTHORRED <br />ACORD 25 (2015103) The ACORD name and logo are registered marks of ACORD A,Ju ilco44 <br />Risk Management Specialist <br />