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A` O � KI-01 Di�022 CERTIFICATE OF LIABILI I C DATE MMIDD by rl rsl0'slzOzz THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONF/)j2S V ..LN CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND O R .FF.N/R OLICIES I�N', I�vp BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONT E ,VG I I '7fE��S),�iHOR ZEID REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. — rl.��,� is2-0 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL IN iURED provisionsorr uv endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c policies may rPgt• re an endo'�s�rN¢�IO A�j�teD�l�do this certificate does not confer rights to the certificate holder in lieu of such endorse PRODUCER License # 0122529 Gallant Risk and Insurance Services, LLC 4160 Temescal Canyon Rd. Suite 214(Aic Corona, CA 92883 _ CONTACT AME: � H NNo, Ext): (9S1) 36B-07O0 FAX. No :(951) 368-0707 ADDAIL RESS: INSURERS AFFORDING COVERAGE NAICR INSURER A: The Hanover Insurance Company 22292 INSURED INSURER B:Sequoia lnsuranceCom an 22985 INSURER C : HSB Specialty Insurance Company 14438 Graves & King, LLP INSURER D :OBE Insurance Corporation 39217 P.O. Box 1548 Riverside, CA 92502 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF D POLICY EXP MMDD I LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Contractual Liab X OH3A14081410 1013112021 10/31/2022 EACH OCCURRENCE $ 2,080000 DAEMAGE TO RENTED MISES (Ea nm $ $ 5,000 X MED EXP IAny oft erson PERSONAL&ADV INJURY $ 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: X POLICY jE8T LOC OTHER: GENERALAGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGO $ 4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AURTOS ONLY X AUT03 ONEY OH3A14081410 10131/2021 1013112022 COMBINED SINGLE LIMIT Ea accident 2r000000' BODILY INJURY Per Persan BODILY INJURY Per accident)$ X PPeOPECIRe^I AMAGE $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS�MADE OH3A14081410 10/3112021 1013112022 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ DED I X I RETENTION$ 0 Aggregate %000,000 B WORKERSCOMPENSATION ANDEMPLOYERVLIABILITY YIN ANY PROPRIETORIPARTNER/EXECUUVE [M.F.ICE ryl NM)EXCLUDED? Y Ifyas, describe under DESCRIPTION OF OPERATIONS below NIA OWC1176015 10/3112021 1013112022 X IPER OTH- TT ER E.L. EACH ACCIDENT 1,000�000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 C D Cyber Liability Professional E&O 660612202 LAW2048402 1212112021 111112021 12/21/2022 1111/2022 Per Cim 1MM/Agg Per Clm $2MM/Agg 2,000,000 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana is listed as Additional Insured per the attached policy forms. City of Santa Ana 20 Civic Center Plaza, 7th Floor Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD The ACORD name and logo are registered marks of ACORD .rnsA` RiekMalagemmtDivleipn -- REVIEWED&APPROV®8r. A Risk Management Spedalist