T.R. HOLLIMAN AND ASSOCIATES, INC. (2)

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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 09/01 /2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Julie Rybak NAME: Kellogg & Moreland Agency, Inc. DBA PHONE (909) 792-8960 F (909) 792-2030 AIC No Ex AIC, No Arroyo Insurance Services E' fuller arr0 olns.com aoDREss: e° y 1654 Plum Lane INSURER(S) AFFORDING COVERAGE NAIC If Redlands CA 92374-4532 INSURERA: Mesa Underwriters Specialty INSURED INSURER e: United Financial Casualty Cc 11770 TR Holliman Associates Inc INSURER o: Employers Preferred Insurance Company 10346 3543 Citrus Avenue INSURER D : INSURER E: Highland CA 92346 INSURER F: COVERAGES CERTIFICATE NUMBER: CLZ381Ua3U7 RFVISION NIIMRFP- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AIJUL INSD SEEK WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EAP MWDDNYYV LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR OCCURRENCE $ 1,000,000 ISES Ea occurrence $ 100,000 %P (Any one person) $ 5,000 PERSONAL INJURY $ 1,000,000 A Y Y MP0004018007552 11/17/2022 11/17/2023 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRo- JECT LOG ALAGGREGATE $ 2,000,000 R-COMPIOPAGG CTS-COMP/OP AGG Included $OTHER: $ AUTOMOBILE LIABILITY INED SINGLE LIMIT identANYAUTO $ 1,000,000 YINJURY(Per person) $ B OWNED SCHEDULED AUTOS ONLY X AUTOS Y Y 04196679-5 10/10/2022 10/10/2023 Y INJURY Per accident ( )XHIRED $ NON -OWNED AUTOS ONLY X AUTOS ONLY RTY DAMAGE cidenlured $ motorist Bl $ 100,000 UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ G WORKERS COMPENSATION ANDEMPLOYER&LIABILITY ANY PROPRIETOREARTNER/EXECUTIVE — OFFICERIMEMBER EXCLUDED? FYI (Mandatory In NH) Tyes, describe under DESCRIPTION OF OPERATIONS below N/A EIG 506795"l 08/15/2023 08/15/2024 I PER OTH- STATUTE ER E.L. EACHACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana, Its Officers, Employees, Agents, and Representatives are Additional Insureds with respect to General Liability as per written contract, insurance Is primary and non-contributory per attached endorsement #MUS0101201270316, 30 days cancellation notice applies. City of Santa Ana Risk Management Division, 4th 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rnIPPEIPATrnN All rl-h+.. —A ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD