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ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />`�
<br />DATE(MM/DDmYY)
<br />1 9/5/2025
<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
<br />Marsh & McLennan Agency LLC
<br />Marsh & McLennan Ins. Agency LLC
<br />Polaris Way #300
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />vC No Ext: A/C,No:
<br />E-M1
<br />ADDRESS: occerts@marshmma.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Aliso Viejo CA 92656
<br />INSURERA: National Casualty Company
<br />11991
<br />License#: OH18131
<br />INSURED ALLCITYMAN
<br />All City Management Services, Inc.
<br />11643 Telegraph Rd
<br />INSURERB: Lexington Insurance Company
<br />19437
<br />INsuRERc: AXIS Surplus Insurance Company
<br />26620
<br />INSURERD: Westchester Surplus Lines Insurance Co
<br />10172
<br />Santa Fe Springs, CA 90670-3656
<br />INSURER E :
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 1986752662 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
<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 />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />020744001
<br />6/15/2025
<br />6/15/2026
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE � OCCUR
<br />PREMISES DAMAGE TO
<br />PREMISES Ea occurrence)
<br />ccurrence
<br />$ 100,000
<br />X
<br />MED EXP (Any one person)
<br />$
<br />750,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY � PECOT- LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />Abuse & Molestation
<br />$ Included
<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 />C
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />P00100118039403
<br />6/15/2025
<br />6/15/2026
<br />EACH OCCURRENCE
<br />$ 3,000,000
<br />X
<br />AGGREGATE
<br />$ 3,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />Y
<br />WCC334410A
<br />1/1/2025
<br />1/1/2026
<br />X PER OTH-
<br />STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICE R/M EMBER EXCLUDED? FN]
<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 />D
<br />Excess Layer
<br />G72535522005
<br />6/15/2025
<br />6/15/2026
<br />AGGREGATE
<br />$6,000,000
<br />Abuse & Molestation
<br />Included
<br />EACH OCCURRENCE
<br />$6,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />City of Santa Ana, officers, agents, employees, and volunteers are included as additional insured as respects to General Liability per attached endorsement.
<br />Primary and Non -Contributory Wording applies per attached endorsement. Cancellation provisions apply per the attached. Umbrella follows form. Waiver of
<br />Subrogation applies to General Liability and Workers Compensation per attached endorsements.
<br />Digitally signed
<br />TT
<br />u I ran by Tu Tran
<br />Nguyen
<br />Date: 2025.09.08 APPROVED
<br />Nguyen 0739:57-07'00'
<br />By TO Tran Nguyen at 7.25 am, Sep 08, 202
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana CA 92701-0000
<br />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 PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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