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ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DDmYY)
<br />1
<br />6..�
<br />3/30/2026
<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 />CONTACT
<br />IMA Certs Team
<br />IMA, Inc. - Pasadena
<br />PHONE FAX
<br />3475 E. Foothill Boulevard
<br />A/c No EXt: .JC,No:
<br />E-MSuite
<br />ADDRESS: certificates@imacorp.com
<br />100
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Pasadena CA 91107
<br />INSURERA: Hartford Casualty Insurance Company
<br />29424
<br />License#:0008309
<br />INSURED LIEBCAS-Cl
<br />INSURERB: Federal Insurance Company
<br />20281
<br />Liebert Cassidy Whitmore, A Professional Corporation
<br />6033 W. Century Blvd 5th Floor
<br />INSURERC: QBE Insurance Corporation
<br />39217
<br />INSURERD: QBE Specialty Insurance Company
<br />11515
<br />Los Angeles CA 90045
<br />INSURER E: Harco National Insurance Company
<br />26433
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER:600526245 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 />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />72SBABL8FM5
<br />12/14/2025
<br />12/14/2026
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE � OCCUR
<br />PREMISES DAMAGE TO
<br />PREMISES Ea occurrence)
<br />ccurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />POLICY D PRO
<br />JECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />72SBABL8FM5
<br />12/14/2025
<br />12/14/2026
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 2,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />72SBABL8FM5
<br />12/14/2025
<br />12/14/2026
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ 1 n nnn
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />Y
<br />2771750595
<br />4/1/2026
<br />4/1/2027
<br />X PER OTH-
<br />STATUTE ER
<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 />C
<br />Professional Liability
<br />LAW2163903
<br />12/14/2025
<br />12/14/2026
<br />Each Claim/Aggregate:
<br />$10,000,000
<br />D
<br />E
<br />Cyber Liability
<br />D&O
<br />CELP001193501377801
<br />PML000345401
<br />12/14/2025
<br />12/14/2025
<br />12/14/2026
<br />12/14/2026
<br />Each Occ/Aggregate:
<br />Aggregate:
<br />$3,000,000
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />General Liability forms apply to Automobile as written on the policy.
<br />RE: Legal Services Agreement A-2021-138 Certificate Holder Includes: City of Santa Ana, its officers, officials, employees and agents Certificate Holder and all
<br />other parties required by the contract are included as Additional Insured on the General Liability Policy, if required by written contract or agreement, subject to
<br />the policy terms and conditions. This Insurance is Primary & Non -Contributory on the General Liability Policy, if required by written contract or agreement,
<br />subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of the Certificate Holder and all other parties required by the contract on
<br />the General Liability and Workers Compensation Policies, if required by written contract or agreement, subject to the policy terms and conditions.
<br />APPROVED
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />USA
<br />CANCELLATION (By fu Fran Nguyen at 7u:4t am, wprau, zuzo
<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 />ACORD 25 (2016/03)
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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