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<br />Tori Pierson PieDate:IDd3.D,.,d,D:1fiAg
<br />ACORO® CERTIFICATE OF LIABILITY INSURANCE'
<br />`i
<br />DATE (mm Don rYO
<br />11 /22/2021
<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 />Newfront Insurance Services, LLC
<br />450 Sansome Street
<br />Suite 300
<br />CONTACT Josie Ruzette
<br />NAME:
<br />PHONErAI N Bar. (415) 754-3635 ac No
<br />E-MAIL ADDRESS: josle.ruzette@newfront.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC9
<br />San Francisco CA 94111
<br />msURERA: Sentinel Insurance Company Ltd
<br />11000
<br />INSURED
<br />INSURER B: Prop $, Cas Ins CO Hartford
<br />34690
<br />INSURERC: Continental Casualty Company
<br />20443
<br />Chattel, Inc.
<br />INSURER D
<br />13417 Ventura Blvd
<br />'
<br />Sherman Oaks CA .91423
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TR
<br />OF INSURANCE
<br />ADDLTYPE
<br />INSD
<br />Won SUER
<br />POLICYNUMBER
<br />MMIDOYEFF
<br />POLICY UP
<br />LIMITS
<br />x
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE Fx1 OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGET -RENTED
<br />PREMISES Ea occurence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />x
<br />x
<br />57 SBA BK9041 SC
<br />08/01/2021
<br />08/01/2022
<br />GEN'L
<br />x
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY 0 JECT LOC
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />PRODUCTS-COMPIOP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />A
<br />ALL OWNED SCHEDULED
<br />57 SBA SK9041 SC
<br />08/01/2021
<br />08/01/2022
<br />BODILY INJURY (Per accident)
<br />$
<br />%�
<br />NON -OWNED
<br />HIRED AUTOS H AUTOS
<br />PROPERTYentDAMAGE
<br />Per accid
<br />$
<br />X
<br />UMBRELLALIAB
<br />x
<br />OCCUR
<br />-
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />A
<br />EXCESS LIAR 1
<br />CLAIM&MADE
<br />57 SBA BK9041 SC
<br />08/01/2021
<br />08/01/2022
<br />DED I I RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIEfORIPARTNERIEXEWTIVE
<br />OFFICERIMEMBERE%CLDDED9 ❑
<br />(Mandatory in NH)
<br />NIA
<br />)(
<br />- 57 WEC AB9AXK
<br />08/01/2021
<br />08/01/2022
<br />PER OTH-
<br />STATUTE X ER
<br />E.L.EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />1 IS 1,000,000
<br />Errors and Omissions
<br />Each Claim: $1,000,000
<br />C
<br />Claims -made
<br />EEH 114048832
<br />11/21/2021
<br />11/21/2022
<br />Generable:$e0000$2,000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />City of Santa Ana; its officers, employees, agents and representative are included as an additional insured as required by a written contract with respect to
<br />General Liability. Coverage is Primary and Non -Contributory. Waiver of subrogation applies in favor of the certificate holder with respect to General Liability and
<br />Workers Compensation. '
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Piz FI 4
<br />Santa Ana
<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 />/7
<br />CA 92701 / � ----
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<br />I
<br />©1988-2014 ACORD CORD lholet/En6 AePRo,r®er:
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />Risk Maiugemm[ CJmal Aide -
<br />
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