|
ALTALAN-01 MMCCOY
<br />'��oFzo CERTIFICATE OF LIABILITY INSURANCE
<br />OAT116121111711 I
<br />8/16/2022
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Baldwin Krystyn Sherman Partners LLC
<br />5871 Glenrldge Dr, NE, Ste 400
<br />Atlanta, GA 30328
<br />CONTACT
<br />PHONE FAX
<br />U.. No, Exel: (404) 917-1910 (A/C. Not:
<br />A AIESS,
<br />INSURERS) AFFORDING COVERAGE
<br />NAICH
<br />INSURER A: Travelers Casualty Insurance Company of Americ
<br />19046-
<br />INSURED
<br />INSURERB -Travelers Property Casualty Company ofAmerica
<br />25674
<br />INSURERC: Sentinel Insurance Company, Ltd.
<br />11000
<br />ALTA Language Services, Inc.
<br />3355 Lenox Road NE, Suite 510
<br />Atlanta, GA 30326
<br />INSURERD: Travelers Casualty & Surety Company of America
<br />31194
<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 FORTHE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
<br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO
<br />ALLTHE TERMS,
<br />EXCWSIONSAND CONDITIONS OF SUCH
<br />POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />SD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF POLICY E%P
<br />DD FF IPOLIC ran
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACFI OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE X OCCUR
<br />X
<br />680BR305409
<br />12/23/2021
<br />12/23/2022
<br />PAMAGET Ee Nc�e
<br />s 300,000
<br />MEDEXP (Any one crsan
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />GEN'L
<br />POLICY El JEpGT X TOG
<br />2,000,000
<br />PRODUCTS-COMPIOPAGG
<br />5
<br />5
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />CONIUINEU SINGLE LIMIT
<br />Is 1,000,000
<br />(Ea ���Itlenu
<br />Ir Guar wduav n'er persnn_.
<br />s
<br />ANY AUTO
<br />GAINED SCUEDULED
<br />BABR305483
<br />12/23/2021
<br />12/23/2022
<br />AUTOEOS ONLY AUTOS
<br />BODILY INJURY I'., acciticrn)'S
<br />X
<br />AUTODS ONLY X A�t05 ONLY
<br />PROPERTYd.alouDAMAGE
<br />S
<br />B
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />g 2,000,000
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />CUPBR305526
<br />12/23/2021
<br />12/23/2022
<br />AGGREGATH
<br />$ 2,000,000
<br />CEOX iRETENTION$ 5,000
<br />Prod/Con-I
<br />$ 2,000,000
<br />C
<br />WORKERS COMPENSATION
<br />PER
<br />X PER OTH-
<br />AND EMPLOYERS' UABILITY YIN
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />5 1,000,000
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />�
<br />NIA
<br />12/23/2021
<br />12123/2022
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />EL DISEASE - EA EMPLOYEE
<br />5 1,000,000
<br />If yes, cascee, under
<br />— -
<br />DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />DESCRIPTION OFOPERATIONS bdlew
<br />_F-L.
<br />D
<br />Professional Liab
<br />0105875094LB
<br />12/2312021
<br />1212312122
<br />I
<br />AgglEach Claim
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD TDi, Atltlitianal Rmnarks SCM1etlule, maybe attacbetl if more space is re uiretll
<br />City of Santa Ana is included as additional insured perwritten contract with respect to the General Liability po icy.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City Of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL
<br />BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZREPRESENTATIVE
<br />LLED
<br />' �I �' —
<br />AOORU Zb (2016/U3) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
|