|
_ Page 1 of 2
<br />AC RaI 06/18/2024 CERTIFICATE OF LIABILITY INSURANCE DATE(M/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 'ONTACT W W Ce t'fica Center
<br />NAME: i L •
<br />Willis Towers Watson theast, Inc. 'HDN
<br />c/o 26 Century BlvAnaie
<br />A/^ - 9 1-888-467-2378
<br />P.O. Box 305191 i RIESS: ce ficates@wt co.comNashville, TN 372 SU R(S AFI•o ING VE G NAIC#
<br />INSURED
<br />Guidehouse Inc.
<br />1676 International Dr 800
<br />McLean, VA 22102
<br />C()VFRArFS CF ICA Nll R -
<br />J: IR
<br />INSL FRB:
<br />INSUR
<br />INSUR
<br />1 URERE:
<br />UR F
<br />01
<br />ib M
<br />LM Insuran
<br />Li rt In
<br />•F'i
<br />an
<br />orporation
<br />a r ra
<br />i • m a y
<br />RFV Nl
<br />23035
<br />33600
<br />42404
<br />20079
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS_ ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM C., 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGERENTED
<br />PREMISESl(Ea occurrence)$
<br />1,000,000
<br />MED EXP (Any one person)
<br />$ 25,000
<br />A
<br />Y
<br />Y
<br />TB2-Zll-C3H77D-033
<br />12/14/2023
<br />12/14/2024
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />POLICY X ECT l PRO- X LOC
<br />X
<br />PRODUCTS - COMP/OPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLELIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$ Included
<br />ANY AUTO
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />Y
<br />AS5-Zll-C3H77D-023
<br />12/14/2023
<br />12/14/2024
<br />BODILY INJURY (Per accident)
<br />$ Included
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$ Included
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />C
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />TH7-Zll-C3H77D-053
<br />12/14/2023
<br />12/14/2024
<br />DED RETENTION $
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? No
<br />(Mandatory in NH)
<br />N/A
<br />Y
<br />WC5-Zll-C3H77D-013
<br />12/14/2023
<br />12/14/2024
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Technology & Professional Liab
<br />42-EPP-332564-01
<br />12/14/2023
<br />04/28/2025
<br />Limit
<br />$10,000,000
<br />Media Liability
<br />Limit
<br />$10,000,000
<br />Network Security & Privacy Liab
<br />Limit
<br />$10,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insureds as respects
<br />to General Liability and Auto Liability.
<br />General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force
<br />for or which may be purchased by Additional Insured.
<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 />ACCORDANCE WITH THE POLICY PRC
<br />City of Santa Ana
<br />�F RisieManagementDiviaian
<br />Risk Management Division gi
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE REVIEWED & APPROVED BY:
<br />4th Floor of K A�
<br />Santa Ana, CA 92701 p� Q. a Risk Management Specialist
<br />© 1988-2016 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />SR ID: 26031478 BATCH: 3506727
<br />
|