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TracyDigitally signed <br />y by Tracy Jacobs <br />r _ _ _ 1_ — Date: 2022.08.16 <br />ACOR 1 0 Jaco s 16:01:34 <br />� CERTIFICATE OF LIABILITY INSURANCE <br />07'oo'DATE(MM/DD/YYYY) <br />08ro1/2022 <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(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 Nina Teu <br />NAME: <br />Newfront Insurance Services, LLC <br />PHONE 415 754-3635 FAX <br />A/C No Ext : ( ) A/C, No <br />E-MADDRESS: nina.teu@newfront.com <br />450 Sansome Street <br />Suite 300 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />San Francisco CA 94111 <br />INSURERA: 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 />INSURER E <br />Sherman Oaks CA 91423 <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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE �X OCCUR <br />X <br />X <br />57SBA BK9041 SC <br />08/01/2022 <br />08/01/2023 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1 ,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO- <br />JECT LOC <br />❑ <br />OTHER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AALL UTOS OWNED SCHEDULED <br />AUTOS <br />HIREDAUTOS X NON -OWNED <br />AUTOS <br />57 SBA BK9041 SC <br />08/01/2022 <br />08/01/2023 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />X <br />UMBRELLALIAB <br />EXCESS LAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />57 SBA BK9041 SC <br />08/01/2022 <br />08/01/2023 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />DED X RETENTION $ 10000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICE R/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />57WECAB9AXK <br />08/01/2022 <br />08/01/2023 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />C <br />Errors and Omissions <br />EEH114048832 <br />11/21/2021 <br />11/21/2022 <br />General aggregate: $2,000,000 <br />Deductible: $10,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, employees, agents and representatives are included as an additional insured as required by a written contract with respect to <br />General Liability. Waiver of subrogation applies in favor of the additional insureds with respect to General Liability. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Finance and Management Services Agency <br />20 Civic Center Plaza <br />Santa Ana <br />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 />AUTHORIZED REPRESENTATIVE <br />@ 1988-2014 ACORD <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />t'i181c <br />REVIEWED & APPROVED BY. <br />—�� Risk Management Analyst <br />