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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 05/22/2025
<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 Emily Kauffman
<br /> NAME:
<br /> Milestone Risk Management&Insurance Services HCNN. Ext: (949)852-0909 a/c,No): (949)852-1131
<br /> License No.OB72766 E-MAIL ekauffman@milestonepromise.com
<br /> ADDRESS:
<br /> 8 Corporate Park,Suite 130 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Irvine CA 92606 INSURERA: Travelers Casualty Insurance Company ofAmerica 019046
<br /> INSURED INSURER B: Travelers Property Casualty Company of America 256740
<br /> C3 Office Solutions LLC,DBA:C3 Technology Services INSURER C: Hartford Casualty Insurance Co 29424
<br /> 1536 E.Warner Ave. INSURER D: Lloyd's of London
<br /> INSURER E:
<br /> Santa Ana CA 92705 INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 25/26 MASTER w/24/25 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE 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 $ 2,000,000
<br /> CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 1,000,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A Y Y 680-6N797658 05/23/2025 05/23/2026 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 4'000'000
<br /> JECT
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y BA-61\1798090 05/23/2025 05/23/2026 BODILY INJURY(Pe r accide nt) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> B EXCESS LAB CLAIMS-MADE CUP-7N447797-25-42 05/23/2025 05/23/2026 AGGREGATE $ 1,000,000
<br /> DED I X1 RETENTION $ 0 $
<br /> WORKERS COMPENSATION X STATUTE EORH
<br /> AND EMPLOYERS'LIABI LI TY YIN 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> C OFFICER/MEMBER EXCLUDED? NIA 72WECBK2YZ7 10/02/2024 10/02/2025
<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 /> Professional Liability/E&O Each Claim $2,000,000
<br /> D Y Y ESN0240365964 05/23/2025 05/23/2026 Aggregate $2,000,000
<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 affiliates are included as Additional Insured,with respects to the
<br /> General Liability,Auto and Professional Liability,where required by written contract,per attached form. A Waiver of Subrogation is in favor of the Additional
<br /> Insured,with respects to General Liability,Auto,Professional Liability and Workers Compensation,where required by written contract,per attached form.
<br /> *30 days written notice of cancellation to the certificate holder/10 days notice for nonpayment of premium.
<br /> signed
<br /> Tu Tran Dug Tran yNguyenby
<br /> Date:1011.01.11 APPROVED
<br /> Nguyen 08:08:02- By Tu Tran Nguyen at 8:07 am,Jun 11,2025
<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 Attn:Informational Technology Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza,M-42
<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
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