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Francine R. O'ghally signed by
<br />Fmndne R. Villareal
<br />\/i llavo�l Date. 2022.0105162J30
<br />A� �® CERTIFICATE OF LIABILITY INSURANCE
<br />FDA7/31/2021
<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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT NAME: Matthew Cowan
<br />LIC#OE38105
<br />AICONN Ext: (310)361-5630 X 106 (MC,No: (888)560-8728
<br />ADDRESS: Terri c iuliansummers.com (Certificate Contact)
<br />Julian Summers Insurance
<br />5155 W Rosecrans Avenue Suite 205
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC II
<br />INSURER A: TRAVELERS INDEMNITY COMPANY OF CT
<br />25682
<br />Hawthorne CA 90250
<br />INSURED
<br />INSURER B: TRAVELERS PROP CASUALTY CO OF AMERICA
<br />25674
<br />INSURER C :
<br />MULTI W SYSTEMS INC
<br />INSURER D:
<br />2615 STROZIER AVE
<br />INSURER E :
<br />EL MONTE CA 91733
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MMIOOIYYYY)
<br />(MMMDNYYY)
<br />LIMITS
<br />x
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS-MADEF)CIOCCUR
<br />PREMISES (Ee occurrence)
<br />$ 100,000
<br />MED UP (Any one person)
<br />$ 10,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />630-7122389A-TCT-21
<br />08/01/2021
<br />08/01/2022
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY X JPRO
<br />ECT [::]LOG
<br />PRODUCTS - COMP/OP AGO
<br />$ 2,000,000
<br />OTHER:
<br />DEDUCTIBLE
<br />$ NONE
<br />AUTOMOBILE
<br />LIABILFTY
<br />UUMUI IED
<br />$ 1,000,000
<br />�S
<br />ANY AUTO
<br />BODILY INJURY (Pan person)
<br />$
<br />B
<br />ALL UTOS OS SAOHUTOSEDULED
<br />AU
<br />Y
<br />BA-3N112945-21-CAG
<br />08/01/2021
<br />08/01/2022
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED AUTOS RNON-OWNED
<br />AUTOS
<br />(Pluiuddri
<br />$
<br />COMP/COLL DED
<br />$ 500
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />B
<br />x
<br />EXCESS UAB
<br />CLAIMSWADE
<br />CUP-7f229094-21-14 Follows GL
<br />08/01/2021
<br />08/01/2022
<br />AGGREGATE
<br />$ 4,000,000
<br />DEp
<br />I ^ I RETENTION $ -0-
<br />IS
<br />B
<br />ORKERS COMPENSATION
<br />NO EMPLOYERS' LIABILITY YIN
<br />NY PROPRIETOR/PARTNER/EXECUTIVE
<br />FFICERIMEMSER EXCLUDED? �Y
<br />NIA
<br />Y
<br />UB-7J230124-21-14
<br />08/01/2021
<br />08/01/2012
<br />y I VtK 1 0 -
<br />A STATUTE ER
<br />E.L. EACH ACCIDENT
<br />S 1,000,000
<br />E.L. DISEASE - FA EMPLOYEE$
<br />1,000,000
<br />Mandatary in NH)
<br />If yes, describe under
<br />EL DISEASE -POLICY LIMIT
<br />1 $ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />BUSINESS PERSONAL PROPERTY
<br />630-7J22389A-TCT-21
<br />08/01/2021
<br />08/0l/2022
<br />$339,571
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Agreement No N-2020-111
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as Additionally Insured on this policy pursuant to Written contract, agreement, or
<br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
<br />noncontributory. Waiver of Subrogation applies to Workers' Compensation. CITY WILL BE MAILED 30 DAYS WRITTEN NOTICE OF POLICY
<br />CANCELLATION.
<br />CITY OF SANTA ANA
<br />RISK MANAGEMENT DIVISION
<br />20 CIVIC CENTER PLAZA, 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 />REPRESENTATIVE
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />RiA Mougement Division
<br />REAeRm APPROVED BY:
<br />fMLr�1� R. V:.(LL�,tC
<br />Risk Management Analyo
<br />Is
<br />
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