Laserfiche WebLink
A� ® CERTIFICATE OF LIABILITY INSURANCE F TE(MMIDDNYYY) <br /> O <br /> 03/10/2026 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br /> AUTHORIZED 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 <br /> endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. <br /> A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME:Trust Risk Management Services,Inc. <br /> Trust Risk Management Services, Inc. doing business in CA PHONE FAX <br /> as TRMS Insurance Agency (A/C, o,Ext):855.655.1801 (A/C,No):855.850.2230 <br /> EMA111 Rockville Pike Suite 700 ADDRESS:alliedinfo@trustrms.com <br /> Rockville, MD 20850 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:ACE American Insurance Company 22667 <br /> INSURED INSURER B: <br /> REACH EMPLOYEE ASSISTANCE INC INSURERC: <br /> 101 E Lincoln Ave Ste 230 <br /> Anaheim, CA 92805-3206 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBF POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY Y G73741361 02/15/2026 02/15/2027 EACH OCCURRENCE $1,000,000 <br /> CLAIMS MADE X❑ PREMI <br /> OCCUR ETORENTED <br /> PREMISES(Ea occurrence) $150,000 <br /> MED EXP(Any one person) $25,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES GENERAL AGGREGATE $3,000,000 <br /> PER: <br /> NPRO PRODUCTS—COMP/OP AGG <br /> POLICY JECT LOC $3,000,000 <br /> OTHER <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per Person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER JOT $ <br /> AND EMPLOYERS LIABILITY Y/N STATUTE -ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ E.L.DISEASE-EA EMPLOYEE $ <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> A PROFESSIONAL LIABILITY Y G73741361 02/15/2026 02/15/2027 EACH INCIDENT $1,000,000 <br /> ANNUAL AGGREGATE �$3,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> �APPROVED <br /> By Tu Tran Nguyen at 2:26 pm,May 15,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana / Benefits Dept THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS <br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />