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DATE(MM/DD/YYYY)
<br /> ACORO° CERTIFICATE OF LIABILITY INSURANCE
<br /> 06/28/2024
<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
<br /> NAME: Jonathan Severson
<br /> Bannister & Associates Insurance Agency PHONE FAX
<br /> CA License #OL78680 A/c No Ezt: _(714) 536-6086 A/C,No:(714) 536-4054
<br /> 305 17th Street E-MAIL
<br /> Huntington Beach CA
<br /> ADDRESS: ,jo a
<br /> Angie
<br /> INSUR (S)AFFORD G COV AGE AIC#
<br /> INSURER A:CC tAtMpN7p4n Company 20443
<br /> INSURED INSURER B:UiiLZd Financial Casualty Co 11770
<br /> Townsend Public Affairs, Inc. ���```
<br /> INSURER C: Jak ' N 'may-r
<br /> 1401 Dove Street, Suit 0 INSURERr:Leazley In.-_ance Company 37540
<br /> wp Ne ort Beach CA 92660�e e v e O INSU2Er.E:
<br /> (949) 399-9050 INA".ERF:
<br /> COVERAGES RE CERTIFICATE NUMBER:Cert ID 14363 (271) 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE � OCCUR Y Y B 6074573557 08/31/2024 08/31/2025 PRIM SES Ea XIEII ence $ 300,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY PRO �
<br /> El JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> Ea accident 1,000,000
<br /> B X ANY AUTO Y 972631650 08/29/2024 02/28/2025 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A X UMBRELLALIAB X OCCUR B 6074573560 08/31/2024 08/31/2025 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> WORKERC AND
<br /> EMPLOYERS'
<br /> YIN Y TOWC532707 08/31/2024 08/31/2025 X PER STATUTE EERH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑ NIA
<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 /> D Professional Liability W301DF240401 08/31/2024 08/31/2025 Limit (each claim) : g 2,000,000
<br /> incl Personal/Adv injury Retention: $5,000 Limit (aggregate) : $ 4,000,000
<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 officers, agents, employees, and volunteers are named as additional insureds
<br /> with respects general and auto liability policy limits. Primary and non-contributory wording
<br /> applies with respects general and auto liability policy limits. Waiver of subrogation applies with
<br /> respects general and worker's compensation policy limits. 30-day notice of cancellation for
<br /> underwriting reasons and 10-day notice of cancellation for non-payment of premium will be sent in
<br /> the event of company election.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICE WILL FIF DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PRC
<br /> City of Santa Ana
<br /> Risk Management Division Risk Manag>�tientDivisinrt
<br /> 20 Civic Center Plaza, AUTHORIZED REPRESENTATIVE a�'� REVIEWED&APPROVED BY.
<br /> 4th Floor 1 �I 4g¢e Aeer,44
<br /> Santa Ana CA 92701 ®' Risk Management Specialist
<br /> ©1988-2015 ACORD
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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