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DATE(MM/DD/YYYY)
<br /> A`�"� CERTIFICATE OF LIABILITY INSURANCE
<br /> 08/15/2024
<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: Doreen Adelman
<br /> Aon Private Risk Mgmt - Phoenix PHONE 951 772-8720 AX,No:
<br /> 2555 E Camelback Rd A/C No Ezt: ( )
<br /> E-MAIL
<br /> Phoenix AZ 85016 ADDRESS: doreen.adelman@aon.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Travelers Property Casualty Co 20508
<br /> INSURED INSURER B:Travelers Property Casualty Co 42390
<br /> Robert D. Niehaus, Inc
<br /> INSURERC: Ins Co of the State of PA/AIG 19429
<br /> 140 E. Carrillo Street INSURER D:Houston Casualty Company 42374
<br /> Santa Barbara CA 93101 INSURER E: UNDERWRITERS AT LLOYD IS, LONDON 022616
<br /> INSURERF: Continental Casualty Co 20443
<br /> COVERAGES DA CERTIFICATE NUMBER:Cert ID 49754 (47) 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 $ 2,000,000
<br /> DAMA ToCLAIMS-MADE � OCCUR Y Y 680-OX748952-24-42 09/01/2024 09/01/2025 PRIM SES EaoN,E ence $ 300,000
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> X JECT
<br /> OTHER:El $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> Ea accident 1,000,000
<br /> A ANY AUTO Y Y 680-OX748952-24-42 09/01/2024 09/01/2025 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident $
<br /> A UMBRELLALIAB X OCCUR Y Y CUP-OX751286-24-42 09/01/2024 09/01/2025 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> WORKERB AND
<br /> EMPLOYERS'
<br /> YIN Y UB-OX750517-24-42-G 09/01/2024 09/01/2025 X STATUTE EER PER H
<br /> AND EMPLOYERS'LIABILITY
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑N N I A
<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 /> F EPLI 652145186 09/01/2024 09/01/2025 EPLI Aggregate Limit g 4,000,000
<br /> A Property - Commercial 680-OX748952-24-42 09/01/2024 09/01/2025 Blanket Bus Per g 831,798
<br /> Pro - Ded $1,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Clerk of the City Council; City of Santa Ana and, it's Officers, Officials, Employees, and
<br /> volunteers are to be covered as Additional Insureds as respects all operations of the named insured
<br /> per written contract on file. Includes Blanket Waiver of Subrogation and Blanket Primary Wording
<br /> endorsement. Cancellation is 30 days except for non-payment which is 10 days. Excess follows the
<br /> General Liability, Auto and Work Comp.
<br /> APPROVED
<br /> By Cynthia Mora at 1:50 pm, Dec 05, 2024
<br /> CERTIFICATE HOLDER CAN
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Clerk of the City Council
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza (M-30) AUTHORIZED REPRESENTATIVE
<br /> P.O. Box 1988 4. to RdU�.at
<br /> Santa Ana CA 92702-1988 �xcu�uue.$�eau`.�ac.
<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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