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<br />DESMMAR-01 JBAE
<br />.v� u CERTIFICATE OF LIABILITY INSURANCE
<br />OATS (MWDDNYYY)
<br />6/16/2022
<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 policy(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 ri his to the Certificate holder in lieu of such endorsement(s).
<br />PRODUCER License # 0757776
<br />HUB International Insurance Services Inc.
<br />4695 MacArthur Court
<br />Suite600
<br />Newport Beach, CA 92660
<br />CONTACT Juliana BBe, CISR
<br />PHONE
<br />(A/C, No. Eat,: (714) 569-2720 3677 jac, Nal:(714) 784-3999
<br />Ao""D�'E$$,juliana.bae hubinternational.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Sentinel Insurance Company, Ltd.
<br />11000
<br />INSURED
<br />INSURER B:Navigators Specialty Insurance Company
<br />36056
<br />INSURERC:
<br />Desmond, Marcello & Amster, LLC
<br />222 Pacific Coast Hwy, 10th Floor
<br />Los Angeles, CA 90045
<br />INSURER D:
<br />INSURER E :
<br />INSURER F
<br />COVERAGES rFRTIFIrera MI IIUICco. _ --
<br />__......_... _ .. _...__... RCVIJIU-1 KUMHCK:
<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 CONTRACTOR 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 OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />A
<br />TYPE OF INSURANCE
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />ADDL
<br />INSD
<br />X
<br />SUER
<br />W
<br />POLICY NUMBER
<br />72SBANM9496
<br />POLICY EFF
<br />IMMIDDIYYYYI
<br />811512021
<br />POLICY UP
<br />IMMIDIUMOMLIMITS
<br />81157292P
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />REMISES occurrence
<br />$ 1,000,000
<br />10,000
<br />MED UP (AmaneDemur)
<br />PERSONAL S ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY —1 PEeT [XI LOG
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />PRODUCTS-COMP/OP AGO
<br />$ 2,000,000
<br />COMaBINED SINGLE LIMIT RDdPnfl
<br />$ 1,000,000
<br />A
<br />OTHER'
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />OVMED SCHEDULED
<br />AUTOS ONLY AUTOB
<br />X HUT OS ONLY X AUTSO NELDY
<br />72SBANM9496
<br />8115/2021
<br />8/15/2022
<br />BODILY INJURY jPer pereond
<br />$
<br />BODILY INJURY Per accident
<br />$
<br />Pd20PER�1' DAMAGE
<br />er aoa nt
<br />$
<br />EACH OCCURRENCE
<br />8
<br />$ 1,000,000
<br />A
<br />UMBRELLA LIAB X OCCUR
<br />EXCESS LIAR CLAIMS -MADE
<br />72SBANM9496
<br />8/15/2021
<br />ail Sa 22
<br />AGGREGATE
<br />$ 1,000,000
<br />DED X RETENTION$ 10,000
<br />8
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />OFFICERMIEMBER EXCLUDED?ECUTIVE ❑
<br />(Mandatory in NH(
<br />NIA
<br />STATUTE
<br />SERH
<br />E.L. EACH ACCIDENT
<br />$
<br />If yes, describe under
<br />E. L. DISEASE -EA EMPLOYE
<br />$
<br />$
<br />4,000,000
<br />4,000,000
<br />B
<br />B
<br />OF O
<br />DESCRIPTION OF OPERATIONS below
<br />Errors &Omissions
<br />Ennors 80missioRB
<br />CE22MPL5952011C
<br />CE22MPL5952011C
<br />411612022
<br />4/1612022
<br />E.L.DISEASE-POLICV LIMIT
<br />4/1612023 (Each Claim
<br />4/16/2023 Aggregate
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlnonal Remarks Schetlule, may be attached If more space Is requiretll
<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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Management Division
<br />ACCORDANCE WITH THE POLICY PROW"""'
<br />20 Civic Center Plaza 11
<br />RLMngeamtq.+:m
<br />Santa Ana, CA 92702 AU�THOR2ED/REEPP7RESENTATIVE 'nRed[wm p A� BY,
<br />"Fr�S'�"�sf[sCsl,G/r3 prczoo«
<br />^^�^ -^ RekhYrngerrentOmalAide
<br />W "I S0o4UT O AG V KU Uk
<br />The ACORD name and logo are registered marks of ACORD
<br />
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