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ac02® CERTIFICATE OF LIABI 0 CE Digita Y°Y)
<br />/........_---- _-_ - ........_..... _ pp 0hp,,,,14/2022
<br />gT
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CO F 0 RS UPON 1'i�FiCN IBLWOW�.2V'EtI�O
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVER/.GE FFt
<br />ORDED BY T J� ,J- CIET
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A ONTRACT BETWEEN T - ,SSU IC eft( I'CfK)t�
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />NT. -
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poll (le) s V A I , L F�EL jY�i2>;i 9or&�6W.d..
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies tray require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />.—_.......___.___......_......__ —_
<br />PRODUCER
<br />CONTACT ------ ----- -- '_"'.-"
<br />Bannister a Associates Insurance Agency NAME;Xerry-_Wakely
<br />9 Y FAXPHONE---j�------
<br />CA License #0691071 PHONE
<br />N0�ExtP (714) 536-6086 1_(AIC, Noh(714) 536-4054
<br />305 17th Street E-MAIL
<br />Huntington Beach CA 92648-4209 _ADDRESS: kerr bai-ins.com
<br />_- -__INSURER(S)LAFFORDING COVERAGE NAIC It
<br />-_..................._—___-_._.._............_.__-____..-.__ INSURERA: Continental Casual ty_Company __ 20443
<br />INSURED (949) 39-9 9656 3
<br />Townsend Public Affairs, Inc.
<br />INSURERB Nationwide Mutual Insurance Cc 23787
<br />- -- ----
<br />INSURER C:Oak .River Insurance Company _ 34630
<br />_..
<br />1401 Dove Street, Suite 330 INSURER D: Boaz ley Insurance Company_ 37540
<br />Newport Beach CA 92660 INSURER E:
<br />_...._---- --- INSURER F:._....._.__—
<br />COVERAGES CERTIFICATE NUMBER'Cert ID 11699 RFVI.RInim MIIN9RFR.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW _—BENISSUED BISSUED 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 OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />.___....__
<br />TYPE OF INSURANCE
<br />-
<br />Afin
<br />INSR.
<br />SUER-
<br />yyYe
<br />-_ POLICY NUMBER
<br />POLICY EFF
<br />(MM/pD�VYYY_
<br />POLICY EXP-
<br />MMIDDNYVY]-__
<br />A
<br />%
<br />--
<br />COMMERCIAL GENERAL LIABILITY
<br />- _
<br />CLAIMS -MADE CX]OCCUR
<br />Y
<br />e 6074573557
<br />08/31/2021
<br />08/31/2022
<br />______LIMITS
<br />EACH OCCURRENCE
<br />_...
<br />$ 1,000,000
<br />DAMAGE TO R-EN fgbT
<br />PREMISES,(Eeoccurrence
<br />.$._- 300,000
<br />MEDEXP(Anyonepersan)
<br />$ 10, 000
<br />PERSONAL &ADV INJURY
<br />$See Prof '1 L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY[ PR0 EX] LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GE_N'L
<br />PRODUCTS-COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />_-
<br />LIABILITY
<br />COMBINEDSING. LIMIT
<br />Ee_acddent)--„-,-,_
<br />0
<br />$ 1, 000, 000
<br />H
<br />X
<br />ANYAUTO
<br />Y
<br />ACP 3098752757
<br />05/01/2022
<br />05/01/2023
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY ._.. AUTOS
<br />HIRED AUTOSNOWOWNEDLY
<br />AUTOS ONLY ..... AUTOS ONLY
<br />BODILY INJURY Per accident
<br />( )
<br />$
<br />PROPERTY DAMAGE
<br />jeer accldaPO-__
<br />_ --'-
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB X OCCUR
<br />B 6074573560
<br />08/31/2021
<br />08/31/2022
<br />EACHOCCURRENCE
<br />$ 51000_000---------------
<br />AGGREGATE
<br />$ 51000,000
<br />....__
<br />EXCESS LIAB CLAIMS -MADE
<br />DIED X RETENTION$ 10,0_00
<br />- -—_------YlN
<br />......__
<br />_
<br />________
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPRCPRIETORIPARTNEEXECUTIVE
<br />OFFICERIMEMBEREXCIUDED7
<br />(Mandatory In NH)
<br />If yes, describe under
<br />NIA
<br />Y
<br />_
<br />TOWC229428
<br />___
<br />07/01/202107/01/2022
<br />__ _
<br />_
<br />PER OTh-
<br />R STATUTE .__.L_ER
<br />---'
<br />E.L. EACH ACCIDENT
<br />$ 11000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />.. ..__
<br />$ 1,000,000
<br />---
<br />E.L. DISEASE -POLICY LIMIT
<br />------ --
<br />$ 1, 000,000
<br />DESCRIPTIONOFOPERATIONS below
<br />D
<br />Professional Liability
<br />W301DF210101
<br />08/31/2021
<br />08/31/2022
<br />Limit (each
<br />claim):
<br />$ 2,000,000
<br />--------
<br />incl Personal/Adv injury
<br />_-_ . ---- ..__
<br />_.
<br />..
<br />Retention: $5,000
<br />Limit (aggregate):
<br />$ 4,000,000
<br />___.._--_ -------------
<br />DESCRIPTION OF OPERATIONS LOCATIONS IVIES ICLES (ACORD 101, Additional Remarks Schedule, may be 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 />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza,
<br />4th Floor
<br />Santa Ana CA 92701
<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 />M
<br />©1988.2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />Page 1 of 1
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<br />REVIEWED&APPROVED BY:
<br />Ar Aavda .
<br />Rbk Management spedlallst
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