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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br />01 /09/2024
<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 be endorsed. If SUBROGATIONIS WAIVED,
<br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not
<br />confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER CONTACT
<br />WHINS INSURANCE AGENCY LLC/PHS NAME:
<br />72186575 PHONE (066)467-8730 FAX
<br />(A/C, No, Ext): (A/C, No):
<br />The Hartford Business Servic enter
<br />I �J I LC31 S[gn,
<br />3600 VU Antonio,
<br />T Blvd I E-MAIL
<br />San Antonio, TX 78251 ADDRESS:
<br />INSLJFER(S) AFFOWING COVERAGE A NAIC#
<br />INSURED INSURER A: o 'tin J%en C T y
<br />Igoe & Company, Incorporated DBA Igoe AdmirA e Services, INSURER B:
<br />Incorporated
<br />INSURER C
<br />10905 TECHNOLOGY PL ST
<br />SAN DIEGO CA 92127-1811
<br />IR
<br />c e INSURE 0 L 4 U 4 &tV
<br />U
<br />-i
<br />:%j np..R 1 nR -n]7,n
<br />COVERAGES CERTIFICATE NUMBER: R WSI N NW WR:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE' )W' AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />NDICATED.NOTVATHSTANDING ANY REQUIREMENT, TERM OR CO ID'-.JN 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
<br />TERMS, 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 />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />$1,000,000
<br />PREMISES Ea occurrence
<br />X
<br />MED EXP (Any one person)
<br />$10,000
<br />General Liability
<br />A
<br />X
<br />72 SBA BF9102
<br />02/07/2024
<br />02/07/2025
<br />PERSONAL & ADV INJURY
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />POLICY ❑ PRO- LOC
<br />JECT
<br />PRODUCTS - COMP/OPAGG
<br />$4,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000
<br />BODILY INJURY (Per person)
<br />ANY AUTO
<br />A
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />72 SBA BF9102
<br />02/07/2024
<br />02/07/2025
<br />BODILY INJURY (Per accident)
<br />X
<br />HIRED NON -OWNED
<br />AUTOS X AUTOS
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$2,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS-
<br />MADE
<br />72 SBA BF9102
<br />02/07/2024
<br />02/07/2025
<br />AGGREGATE
<br />$2,000,000
<br />DED X
<br />RETENTION $ 10,000
<br />WORKERS COMPENSATION
<br />PER
<br />OTH-
<br />AND EMPLOYERS' LIABILITY
<br />STATUTE
<br />ER
<br />E.L. EACH ACCIDENT
<br />ANY YIN
<br />PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />EMPLOYEE BENEFITS
<br />LIABILITY
<br />72 SBA BF9102
<br />02/07/2024
<br />02/07/2025
<br />Each Claim Limit
<br />Aggregate Limit
<br />$2,000,000
<br />$4,000,000
<br />DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Those usual to the Insured's Operations. City of Santa Ana, its officers, agents, employees, and volunteers, but only as required by a valid written
<br />contract, agreement, or permit is an additional insured as provided by the Business Liability form SS0008 attached to this policy.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
<br />Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />20 CIVIC CENTER PLZ IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />SANTA ANA CA 92701-4058 AUTHORIZED REPRESENTATIVE
<br />RisieManagemaltDiviaian
<br />REVIEWED & APPROVED BY:
<br />© 1988-2015 ACORD COf �,91�9Aawdo
<br />— J Risk Management Specialist
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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