|
72E
<br /> MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> /04/2025
<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 CONTACT Alex Cramer
<br /> NAME:
<br /> The Hilb Group of Maryland dba PSA Insurance HCNN. Ext: (443)798-7422 (FAX
<br /> ,No): (443)798-7100
<br /> &Financial Partners,LLC E-MAIL acramer@hilbgroup.com
<br /> ADDRESS:
<br /> 11311 McCormick Rd,Suite 500 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Hunt Valley MD 21031-8622 INSDRERA: Property&Casualty Insurance Co of Hartford 34690
<br /> INSURED INSURER B: Rated by Multiple Companies 00914
<br /> Alta Language Services,LLC INSURER C: Travelers Casualty&Surety Co of America 31194
<br /> 3355 Lenox Rd NE Ste 750 INSURER D: Palomar Excess&Surplus Insurance Co.(Cowbell) 16754
<br /> INSURER E
<br /> Atlanta GA 30326-1393 INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 25-26 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> A 30SBABW9H93 12/23/2025 12/23/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> JECT
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED 30SBABW9H93 12/23/2025 12/23/2026 BODILY INJURY(Pe r accide nt) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED �/ NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY /� AUTOS ONLY Per accident
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> A EXCESS LAB CLAIMS-MADE 30SBABW9H93 12/23/2025 12/23/2026 AGGREGATE $ 3,000,000
<br /> DED I X1 RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION X1 STER ATUTE EORH
<br /> AND EMPLOYERS'LIABI LI TY YIN 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> B OFFICER/MEMBER EXCLUDED? NIA 30WECBM7DL9 12/23/2025 12/23/2026
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Errors and Omissions/Professional Each Claim $3,000,000
<br /> C Liability 107765893 12/23/2025 12/23/2026 All Claims $3,000,000
<br /> Retention $10,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers are included as Additional Insured under the General Liability policy
<br /> where a written contract requires such status.A Waiver of Subrogation applies in favor of the Additional Insured(s)under the General Liability and Workers
<br /> Compensation policy where a written contract requires such status.
<br /> Tu Trdn Digitally
<br /> l y signed by
<br /> TuTranNguyen
<br /> Nguyen°5505108009 APPROVED
<br /> By Tu Tran Nguyen at 3:50 pm,Dec 09,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana,Attention:Human Resources Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|