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Q n i Digitally si ned ACORO CERTIFICATE OF LIABILITY IN U NC1�1 by Angie DATE(MMIOOIYYYY) llwaa� 7/21/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI T T�Ir� �R 1 A ilp"InLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T Rk !rG AP'ORCDatM.THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUIN 3 IN9'y622.bn-§ORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be andw0fir I'S"BROGATIMMMEar.nCt to the terms and conditions of the policy, certain policies may require an endorsement. A statement on tF:s certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Robin NAME: Strauss REG Insurance Brokerage, Inc. 750 Third Ave PHONE (212)669-5400 aD N9: 123I)669-5<1'I AIL ADDRESS: rstraussOrisk-strategies. com INSURERS AFFORDING COVERAGE NAIC If INSURERA:Hanover Insurance Company 22292 New York NY 10017 INSURED INSURER B:Allmerica Financial Benefit Ins 41840 INSURER C: Evanston Insurance CO 35378 Paragon Partners Consultants, Inc. INSURER 0: 5660 Katella Avenue Suite 100 INSURER E: Cypress CA 90630 1 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2272187137 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 MAYBE 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 ADDL SUER POLICYNUMBER POLICY EFF MM DOIYYYY POLICY E%P MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE �X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1, 000,000 MED EXP(My one person) $ 10,000 X Y 2101 0219850 12 7/25/2022 7/25/2023 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERA -AGGREGATE $ 2,000,000 %t ❑ jEa POLICY LOG PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accMeet $ 1,000,000 X BODILY INJURY (Per person) $ A ANYAUTO BODILY INJURY Pi (Per accident) () $ ALL OWNED SCHEDULED AUTOS AUTO$ ARN 7/25/2022 7/25/2023 NN-OWNED HIREDAUrOS OAUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION X PER H- OT STA E ER EMPLOYERS' LIABILITY YIN EL EACH ACCIDENT $ 1,000 000 ANY PROPRIETORIPARTNEWEXECUOVE El NIA B OFFICEWMEMBER EXCLUDED? (Mandatory in NH) Whe10173585 06 7/25/2022 7/25/2023 E.L. DISEASE - EA EMPLOYEE $ 1,000 000 Ifyes, descnbe under E.L. DISEASE -POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS below C Professional - Claims Made - TBD 7/25/2022 7/25/2023 Each Wm,gful AWA,,,,.te 2,000,000 Retro Date 9/3/1993 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CSA - R1033 City of Santa Ana, officers, agents, employees, and volunteers are included as additional insured on a primary and non-contributory basis under the General Liability coverage as required by written contract per policy terms, conditions and exclusions. waiver of subrogation applies under the General Liability coverage as required by written contract per policy terms, conditions and exclusions. 30 NOC City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2014101) INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (Michael Christian/LZF yy+e's'N. 'q'a�eR��uat ry�.�" ;% REVEWED&APPROVEDBY: 01968-2014 ACORD i A-fCACAA4 The ACORD name and logo are registered marks of ACORD Risk MRnagementspedRlist