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A n ry i o Digitally signed by ® # " ' ' `- Angie Acev A� o CERTIFICATE OF LIABILITY INS ANCE O)ATE (MMIDDIYYYY) � 7/z72o2z CERTIFICATETHIS MATTER I CERTIFICATEDOES NOT AFFIRMATIVELY NEGATIVELY AMEND, EXTEND OR ALTER THE GOVERAGdd��YTHE POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners of Illinois, LLC 4350 Weaver PkWy Warrenville IL 60555-3925 CONTACT Select Business Certificate Team PHONE Fax 630-355-2077 ac Ne : 630-355-7996 AIL ADDRESS: selectcerts.a it assured artners.com INSURERSAFFORDING COVERAGE NAIC# INSURER A: Travelers Cas Ins. Co. of America 19046 INSURED MNNDES-01 Donna Desmond & Associates INSURER e : 265 South Beverly Glen Blvd. INSURERC: INSURER D : Los Angeles CA 90024 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 1487561559 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDLSUBR POLICYNUMBER POLICY EFF MMIDDIYYYYl POLICY UP (MMIDDIYYYYI LIMITS A X LCONIMERCIAL GENERAL LIABILITY CLAIMS -MADE ff] OCCUR Y Y 6801137166052142 12/12021 12/1/2022 EACH OCCURRENCE $2,000.000 DAMAGETORENTED PREMISES Eamamrsance $300,000 MED EXP(Any one Person) $5,000 PERSONAL &ADV INJURY $2,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 GEN-L X POLICY ❑ JECT LOG PRODUCTS - COMP/OP AGG $4,000.000 $ OTHER: A AUTOMOBILE LIABILITY Y 6801B7166052142 12/1/2021 12/l/2022 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY (Par person) $ AUTO JANY OWNED F7 SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNEWEXECUTIVE ❑ OFFICER/MEMBER EXCLUDEDy NIA E.L. DISEASE EA EMPLOYEE $ (Mandatory in NH) If yes, daamIm under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Addillonal Remarks Schedule, may be attached if more space is required) RE: Agreement #A-2017-172 and A-2017-290. Primary/Non-Contributory Additional Insured(s) for General Liability and Auto Liability: The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Waiver of Subrogation on General Liability applies in favor of the Additional Insureds. Endorsement form(s) attached. CERTIFICATE HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT � RIZEO REP SENT _ �) ©1988.2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Risk MnMgentmlD(Yision REVIEWED&APPROVED BY: ® Risk Management5peaalisl Is