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,a`oRo° CERTIFICATE OF LIABILITY INSURANCE
<br />/YYW)
<br />DATE (MM/DD(MMIDD4
<br />7
<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 />AME: Nick Grover
<br />Arthur J. Gallagher Risk Management Services, LLC rHNFAx
<br />500 N. Brand Boulev ,vc o o : 818-539-1636
<br />Suite 100 F: M IL
<br />D _ m
<br />Glendale CA 91203 INSURER(S) AFFORDING COVERAGE NAIC#
<br />n i
<br />vs ni I a i s 10020
<br />INSURED UNVLAVE-0' II Tr e r s It 0 rl
<br />25674
<br />University of La Verne
<br />1950 Third Street INs, 2ERC:
<br />La Verne, CA 91650 INS F. •
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<br />.,..KLRE:
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<br />ad SUPER F,
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<br />COVERAGES / 't `a dkiWICIVE I %�UWWE OF (1 }{ •[1 J • ( ) X aE1t Gfi'I(UW1A:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS- ED BELOW HAVE B UE ED AB OR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERN 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />U06-360
<br />7/1/2023
<br />8/1/2024
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES TO ccED
<br />PREMISES Ea occurrence)$
<br />1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ 5,000
<br />$10,000 Ded.
<br />PERSONAL & ADV INJURY
<br />$ Included
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />POLICY PRO ❑ LOC
<br />El JECT
<br />X
<br />PRODUCTS - COMP/OP AGG
<br />$ Included
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />FIR ER DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L
<br />$
<br />UMBRELLALIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />UB-1S903424-24-14-G
<br />7/1/2024
<br />7/1/2025
<br />X PER OTH-
<br />STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Professional Liability
<br />U06-360
<br />7/1/2023
<br />8/1/2024
<br />Each Claim
<br />1,000,000
<br />(Claims Made)
<br />Aggregate
<br />3,000,000
<br />Deductible
<br />10,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Subject to all policy terms, conditions, and exclusions.
<br />City of Santa Ana, officers, agents, employees, and volunteers are named are additional insureds for general liability coverage as required by virtue of a written
<br />contract or agreement and to the extent insurable as respects their interest in the operations of the named insured. The insurance provided by this policy is
<br />primary, and all other insurance available to the additional insured is non-contributory. Waiver of Subrogation applies in favor of the Certificate Holder for
<br />General Liability and Workers Compensation if required by virtue of a written contract or agreement.
<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 ACCORDANCE WITH THE POLICY PRC
<br />Risk Management Division RA
<br />20 Civic Center Plaza, 4th Floor =% REVIEWED &ArPRovmBY.
<br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE z,
<br />USA A Acev44
<br />®'
<br />Risk Management Specialist
<br />© 1988-2015 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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