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A� H CERTIFICATE OF LIABILITY INSURANCE D02126@ 212D/YYYV THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER MARSH USA INC. 540 W. MADISON NANACT ; Marsh U.S. Operations ME aeNNo Est: 866-966-4664 NC No 0 212-94&0770 CHICAGO, IL 60861 E-MAIL ADDRESS; Chicago.CertRequesl@marsh.eom INSURERS AFFORDING COVERAGE NAIC# INSURER A: New Hampshire Insurance Company 23841 INSURED Grant Thornton LLP INSURER B: AUInsurance Company 19399 INSURER C : Attn: Stacy Masloroff 3333 Finley Road, Suite 700 Downers Grove, IL 60515 INSURER D : INSURER E : INSURER F ; COVERAGES CERTIFICATE NUMBER: CHI-009994932-D4 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. ILTR TYPE OF INSURANCE ADOLS BR POLICYNUMBER POLICY EFF fMWDDrYYYO POLICY EXP MM/DO LIMITS COMMERCIALGENERAL LIABILITY CLAIMS -MADE ❑OCCUR _ EACH OCCURRENCE $ DAMAGETORENTED PREMISES Ea occurrence) $ GEN'L MED EXP (Any one person) $ PERSONAL B ADV INJURY $ AGGRErGATE LIMIT APPLIES PER: POLICYL ]JEC LOG OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGO $ _ $ AUTOMOBILELWBILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ _ $ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DED RETENTION $ $ A S WORKERS COMPENSATION AND EMPLOVERS'LIABILITV Y / N ANVPRO MEMB REXC UDED?ECUTIVE OFFICEPoM In HIM XCLUOED9 (f yes,doryln NH) Dyes, describe under DESCRIPTION OF OPERATIONS below NIA X WC80766249(ADS) WC80756250 (CA) 03101Y2022 03101/2223 0310112023 X PER oTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of subrogation is applicable where required by written contract and allowed by law. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th 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 REPRESENTATIVEis RbirL1Yt10gBt16e111MWYk1t ry B�A5PPR6JED BY: �ir1L /64L y�IGTdOk U 1UUU-ZU16 ACURU OI ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD