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 />
|