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Tori Piersono9e:202 o52zoa29':,;eY700' <br />DESMMAR-01 JBAE <br />,v� " CERTIFICATE OF LIABILITY INSURANCE <br />GATE (MMMDNYYY) <br />6116/2022 <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 pollcy(les) 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 endorsements). <br />PRODUCER License f$ 0767776 <br />HUB International Insurance Services Inc. <br />4695 MacArthur Court <br />Suite 600 <br />Newport Beach, CA 92660 <br />CONTACT Juliana Bae, CISR <br />PHHONNE <br />(A/cFAX Na):(714) 784-3999 <br />LirDAaesS:juliana.bae@hubinternational.com <br />INSURERS AFFORmNGCOVERAGE <br />NAIC# <br />INSURERA: Sentinel Insurance Company,Ltd. <br />11000 <br />INSURED <br />INSURER B:Navigators Specialty Insurance Company <br />36056 <br />INSURER C: <br />Desmond, Marcello & Amster, LLC <br />222 Pacific Coast Hwy, IOUT Floor <br />Los Angeles, CA 90045 <br />INSURER D: <br />INSURER E : <br />INSURERF: <br />wvtl Utb CERTIFICATE NUMBER' <br />REVISION NUMBER: <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 RESPECTTO 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 />LTR <br />TYPE OF <br />ADDL <br />IN <br />SUB <br />POUCYNUMBER <br />POLICYEFF <br />MIDD(MMIODNMI <br />8/15/2021 <br />POLICY EXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY: <br />CLAIMS -MADE [X] OCCUR <br />X <br />72SBANM9496 <br />8115/2022 <br />EACH OCCURRENCE <br />d� <br />DAEMIEESa ,cE m <br />$ 11000,000 <br />MED EXP (my one arson <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY El JET ❑X LOC <br />GENERALAGGREGATE <br />$ 2t0[10,900 <br />PRODUCTS-COMP/OP ADS <br />$ 2,000,000v <br />EDaccidentSINGLE LIMB <br />$ 11000,000'. <br />A <br />OTHER. <br />AUTOMOBILE LIABILITY! <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X RIiTOSONLY X A67 90NLY. <br />72SBANM9496 <br />8115/2021 <br />8115/2022 <br />BODILY INJURY Per rean <br />$ <br />BODILY INJURY Per accident <br />S <br />OP RLe AMAGE <br />$ <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />UMBRELLA LIAB X OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />72SBANM9496 <br />8/1512021 <br />8/15/2022 <br />AGGREGATE <br />$ 1,000,000 <br />DED X RETENTION$ 10,000 <br />g <br />B IErrors <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABIUTY YIN <br />OFFlCEWMEMB REXCLUDED ECUTIVE ❑ <br />(Mandatary in NH) <br />If yCs, describe u us <br />DESCRIPTION OF OPERATIONS be. <br />Errors &Omissions <br />& Omissions <br />NIA <br />CE22MPL595201IC <br />CE22MPL5952011C <br />4/1612022 <br />4/16/2022 <br />4/16/2023 <br />4/16/2023 <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE -EA EMPLOYE <br />§ <br />E.L. DISEASE - POLICY LIMIT <br />Each Claim <br />Aggregate <br />$ <br />0000088 <br />d,000,00fl <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addisonal Remarks Schedule, may be attached n more space Is requln,d) <br />RE: Operations of the named insured during the current policy term.City of Santa Ana, officers, agents, employees, and volunteers are additional insureds <br />with respect to general liability per SS0008 04 05, pg 17.20, includes primary/non-contributory. 30 days notice of cancellaion, 10 days for non-payment of <br />premium, will be delivered per policy provisions. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division <br />ACCORDANCE WITH THE POLICY PROM"'--" <br />20 Civic Center Plaza <br />RWoMar.&eanaixidm r <br />Santa Ana, CA 92702 <br />E.1Lym <br />AUTHORIZED REPRESENTATIVE r,26)6 <br />7ox rdrz <br />ta'pnane,rmr a,.,mlaae <br />[WOO-LU 10 Al UKU Uk <br />The ACORD name and logo are registered marks of ACORD <br />