Laserfiche WebLink
COUNTY OF ORANGE <br />CERTIFICATE OF SELF-INSURANCE <br />Office of Risk Management, 400 W. Civic Center Dr., 5th Floor, Santa Ana, CA 92701 <br />Coverage: This is to certify that the County of Orange is self -insured for the following <br />coverage: <br />Type of Coverage <br />Self -Insurance Limit <br />General Liability: Bodily Injury and Property Damage <br />$1,000,000 per occurrence <br />$2,000,000 aggregrate <br />Automobile Liability: Vehilces owned, Non -owned, and Hired <br />$1,000,000 per occurrence <br />Worker's Compensation - $20,000,000 SIR applies <br />Employer's Liability <br />Statutory <br />$1,000,000 per occurrence <br />Terms, Conditions and Special Items: <br />The provisions under General Liability, above, shall apply only with respect to claims arising out of the <br />negligent acts or omissions of the County of Orange, its officers, employees, and agents. <br />Cancellation: <br />Should any of the above described self -insured coverage be modified or cancelled before the <br />expiration date shown below, the County of Orange will provide 30 days written notice to the named <br />certificate holder. <br />Indemnified Party: <br />City of Santa Ana, its officers, agents and employees. <br />Certificate Holder <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ATTN: Jennifer Hall <br />RE: Vote Center - Agreement Number LA-179 <br />LOCATION: 1433 S. Bristol St., Santa Ana, CA 92704 <br />DATE: February 20, 2024 - August 20, 2024 <br />Certificate Effective Date: 02/20/24 <br />Certificate Expiration Date: 08/20/24 <br />Calvin Digitally signed Calvin Wong <br />DN: n Calvin Wong, o=CounTy <br />of Orarange, ou=CEO/Risk <br />Management, <br />Wong email=calvin—g@ocgov.-M, <br />c=US <br />Date: 2024.02.20 13:4105-08,00, <br />Manager, Risk Management <br />(714) 285-5500 <br />Date Certificate Issued: 02/20/24 <br />